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Olypus Esg400

This document provides instructions for using an electrosurgical generator model ESG-400. It contains information on intended use, safety warnings, component identification and functions, installation procedures, inspections, operation instructions, and push button functions. The generator is for use by physicians only and is to be used with compatible peripheral equipment and instruments for electrosurgery. Proper installation, inspections, and operation are required to ensure safe use.

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tainguyen21096
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© © All Rights Reserved
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0% found this document useful (0 votes)
196 views160 pages

Olypus Esg400

This document provides instructions for using an electrosurgical generator model ESG-400. It contains information on intended use, safety warnings, component identification and functions, installation procedures, inspections, operation instructions, and push button functions. The generator is for use by physicians only and is to be used with compatible peripheral equipment and instruments for electrosurgery. Proper installation, inspections, and operation are required to ensure safe use.

Uploaded by

tainguyen21096
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 160

INSTRUCTIONS

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 1 Checking the Package Contents ......................................................... 17


Chapter 2 Nomenclature and Functions .............................................................. 18
2.1 Symbols and descriptions...................................................................................................... 18
2.2 Front panel ............................................................................................................................ 21
2.3 Rear panel ............................................................................................................................. 23
2.4 Bottom panel ....................................................................................................................... 24
2.5 All screen ............................................................................................................................... 25
2.6 Set screen.............................................................................................................................. 26
2.7 Mode screen .......................................................................................................................... 27
2.8 Footswitch with two pedals.................................................................................................... 27
2.9 Footswitch with one pedal (optional) ..................................................................................... 28
2.10 Neutral electrode cable “P-cord” (optional) ........................................................................... 28
2.11 Communication cable 0.25 m (MAJ-1871, optional, this cable is required for the
connection with the compatible ultrasonic generator) ........................................................... 29
2.12 Communication cable 10 m (MAJ-1872, optional, this cable is required for the
connection with the compatible high flow insufflation unit (UHI-2/3)).................................... 30
2.13 Adapter for UHI-2/3 (MAJ-1873, optional, this adapter is required for the connection
with the compatible high flow insufflation unit (UHI-2/3)) ...................................................... 31

Chapter 3 Installation and Connections .............................................................. 32


3.1 Flow chart for installation work ............................................................................................. 33
3.2 Installation of electrosurgical generator................................................................................. 34
3.3 Connection of peripheral equipment ..................................................................................... 35
3.4 Connection to an AC mains power supply ............................................................................ 36
3.5 Automatic mist & smoke evacuation system/function (when using the compatible
high flow insufflation unit) ...................................................................................................... 37
3.6 Connection of footswitch ....................................................................................................... 42
3.7 Connection of neutral electrode (for monopolar treatment only)........................................... 43
3.8 Connection of HF instruments ............................................................................................... 49

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


ii Contents

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

Chapter 6 Push Button Functions ....................................................................... 85


6.1 Function list............................................................................................................................ 85
6.2 Push button hierarchy list ...................................................................................................... 86
6.3 Select procedure.................................................................................................................... 87
6.4 Assign footswitch and autostart function ............................................................................... 88
6.5 Menu ...................................................................................................................................... 90
Save procedure: saving / overwriting of output settings........................................................ 91
Delete procedure: Deleting a procedure................................................................................ 96
Languages ............................................................................................................................. 97
Touch tone ............................................................................................................................. 100
Autostart setup....................................................................................................................... 101
Software version .................................................................................................................... 102
Safety test .............................................................................................................................. 103
Service ................................................................................................................................... 105
Output volume control............................................................................................................ 105
Brightness control .................................................................................................................. 107

Chapter 7 Care, Storage and Disposal ................................................................ 108


7.1 Care ....................................................................................................................................... 108
7.2 Storage .................................................................................................................................. 109
7.3 Disposal ................................................................................................................................. 110

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Contents iii

Chapter 8 Troubleshooting ................................................................................... 111


8.1 Neutral electrode operation ................................................................................................... 112
8.2 Error screen, codes and measures ....................................................................................... 113
8.3 Periodic safety check............................................................................................................. 125
8.4 Returning the electrosurgical generator for repair................................................................. 125

Appendix .................................................................................................................... 126


System chart .................................................................................................................................... 126
Mode characteristics ........................................................................................................................ 127
Output characteristics ...................................................................................................................... 129
Transportation, storage and operating environment........................................................................ 146
Specifications................................................................................................................................... 147
Electromagnetic compatibility (EMC) information............................................................................ 152
Alarm information............................................................................................................................. 156
Tone information .............................................................................................................................. 157

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

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


4 Important Information – Please Read Before Use

Labels and Symbols


Safety-related labels and symbols are attached on the locations shown below. If
labels or symbols are missing or illegible, contact Olympus. Function-related
symbols are described in chapter 2.1, “Symbols and Descriptions”.

Output insulated from earth


Caution, read (connection for neutral electrode)
instructions
Refer to Defibrillation proof type CF
instructions applied part (cardiac application)

Type plate

Date of
manufacture

CE marking

Non-ionizing electromagnetic
radiation

Waste electrical and electronic


equipment

cTUVus marking

Manufacturer

Fuse rating

Potential equalization terminal

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Important Information – Please Read Before Use 5

Important Information – Please Read


Before Use
Intended use
The ESG-400 is an electrosurgical generator intended for tissue cutting and
coagulation in open, laparoscopic and endoscopic surgery in conjunction with
electrosurgical accessories and ancillary equipment.
Contraindications:
Electrosurgical interventions are contraindicated if, in the judgment of the
physician, tissue coagulation and cutting could have a negative effect on the
state of the patient. Electrosurgical tissue coagulation and cutting may be
contraindicated for patients with cardiac pacemakers, a weakened immune
system or blood coagulation disorders.

Application of high frequency treatment


If there is an official standard on the applicability of high frequency treatment as
defined by a national or local medical administration, or other institution, such
as an academic society, follow that standard when performing the procedure.
Before performing any high frequency treatment, study the properties, purposes,
effects and possible risks thoroughly (nature, extent, probability and imminence)
associated with the planned treatment and any alternative therapeutic method
that can be performed. Carry out high frequency treatment only when its
benefits outweigh its risks. Fully explain to the patient the possible benefits and
risks of high frequency treatment as well as those of any therapeutic method(s)
that can be performed instead of electrosurgery, and perform high frequency
treatment only after patient consent is granted. During high frequency treatment,
continue to evaluate the potential benefits and risks, and stop the treatment if
the risks become greater than the possible benefits to the patient.

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.

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


6 Important Information – Please Read Before Use

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.

Electrosurgical generator compatibility


Refer to the “System chart” and “Specifications” in the Appendix to confirm that
this electrosurgical generator is compatible with the ancillary equipment being
used. Using incompatible equipment can result in patient injury and / or
equipment damage.
For the electromagnetic compatibility (EMC), this electrosurgical generator
complies with edition 3 of the EMC standard for medical electrical equipment
(IEC 60601-1-2: 2007).

Repair and modification


This electrosurgical generator does not contain any user-serviceable parts. Do
not disassemble, modify, or attempt to repair it; patient or user injury and / or
equipment damage may result. Repairs must only be carried out by Olympus or
a firm authorized by Olympus. Some problems that appear to be malfunctions
may be corrected by referring to chapter 8, “Troubleshooting”. If the problem
cannot be resolved using the information in chapter 8, contact Olympus.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Important Information – Please Read Before Use 7

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.

Dangers, warnings and cautions


High frequency leakage current or spark discharge may cause user and / or
patient burns. Always prepare for an emergency operation in case of
unintentional patient burn, bleeding and perforation.
Follow the dangers, warnings and cautions given below when handling this
electrosurgical generator. This information is to be supplemented by the
dangers, warnings and cautions given in each chapter.

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


8 Important Information – Please Read Before Use

User-related error prevention


WARNING Improper use

 The safety and effectiveness of electrosurgical


interventions depend not only on the design of
the equipment used, but also to a major extent
on factors which are under the control of the
user. It is therefore extremely important to read,
understand and follow the instructions supplied
with the electrosurgical generator and the
accessories in order to ensure safety and
effectiveness.
 Always use the electrosurgical generator as
outlined in this instruction manual. Improper use
will not only impede functions and prevent
optimum performance, but may cause
equipment damage and / or complications.
Before each use, always inspect the equipment
as outlined in this instruction manual.

CAUTION Annual safety checks

The electrosurgical generator and the footswitch


must undergo a safety check in yearly intervals in
accordance with the national statutory regulations
(refer to chapter 8.3 “Periodic safety check”).

Environmental conditions
CAUTION Interference with other equipment

 Be sure that this electrosurgical generator is not


used adjacent to or stacked with other
equipment (other than the components of this
electrosurgical generator or system) to avoid
electromagnetic interference.
 Before use, thoroughly confirm the compatibility
of all equipment.
 To ensure electrical safety, the electrosurgical
generator should not be used in conjunction
with:
− Electrical equipment whose safety against
leakage current is not guaranteed.

− Electrosurgical equipment whose safety in


combined use is not guaranteed.

 The electrosurgical generator complies with the


electromagnetic compatibility (EMC) standard.
Nevertheless, when the electrosurgical
generator is active it may disturb neighboring

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Important Information – Please Read Before Use 9

electronic equipment. If an auxiliary computer


system is in use together with the
electrosurgical generator and endoscopic
imaging techniques, the image on the monitor
might freeze or blackout. Follow the instructions
in “Electromagnetic Compatibility (EMC)
information” in the Appendix regarding
electromagnetic ambient conditions.
 Never loop the cords (active cord, bipolar cord,
neutral electrode cord) or bundle cords together
with cords belonging to other medical
equipment. The high frequency signals or spark
discharge noise generated by the
electrosurgical generator may interfere with the
operation of other medical equipment.
 Do not use the electrosurgical generator in a
location exposed to strong electromagnetic
radiation (microwave or short-wave medical
treatment equipment, magnetic resonance
imaging, radio or mobile phone equipment).
Electrosurgical generator malfunction can occur.

CAUTION Unsuitable temperature and humidity

The electrosurgical generator should only be used


under the conditions as described in “Transport,
storage and operating environment” in the
Appendix. Use under other conditions may impede
normal performance and / or result in equipment
damage.

Accessories
WARNING Mechanical stress

Do not apply excessive bending, straining, or


squeezing force to any cords. It may cause
malfunction.

CAUTION Damaged and non-compatible accessories

 The electrosurgical generator shall only be


used with compatible accessories. When
connecting accessories (cords, electrodes, HF
instruments) avoid output settings where the
maximum output voltage of the electrosurgical
generator may exceed the rated accessory
voltage (refer to “Mode characteristics”, “Output
characteristics” in the Appendix, and the
instruction manual of the accessory). For a list
of compatible neutral electrodes, refer to
“Specifications” in the Appendix. For compatible

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


10 Important Information – Please Read Before Use

plugs and sockets, refer to chapter 3.8,


“Connection of HF instruments”.
 Before use, the electrosurgical generator and
accessories must be examined for damage. All
cables and its plugs must be free of scratches
and cracks. Cables and accessories with
damaged insulation or connections must not be
used.

Electric shock
WARNING Grounding failure

To prevent the risk of electric shock, the housing of


the electrosurgical generator must be grounded.
Always connect the power cord plug to a properly
grounded wall outlet. Do not use a 3-pin / 2-pin
adapter, as it can impair safe operation of the
electrosurgical generator.

WARNING User shock

To prevent user shock, malfunction and damage of


the electrosurgical generator, keep liquids away
from all electrical equipment. If liquid gets on or
into the electrosurgical generator, terminate
operation immediately and contact Olympus.

CAUTION Injury during servicing

When the housing is opened, there is a danger of


electric shock. The electrosurgical generator must
only be serviced by authorized technicians.

Burns
WARNING Patient and / or user

 The maximum output voltage characteristics of


the electrosurgical generator are shown in the
diagrams in “Output characteristics” in the
Appendix. When setting the power level, first
set it to a low level and increase it gradually. If
the output is initially set to a high level, the
electrode’s insulation may be damaged and
cause user and / or patient burns. However,
certain modes may present an unacceptable
risk at low output power settings. For example,
with the PulseCut fast mode or PulseCut slow
mode, the risk of an excessive thermal effect
rises if the output power setting is too low.
Therefore, it is recommended that you perform
basic testing before using the electrosurgical

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Important Information – Please Read Before Use 11

generator. If the instruction manual of the HF


instrument to be used stipulate a rated voltage,
the output should be set so that it does not
exceed that voltage.
 Contact with the tip of the electrodes may
cause burns when the electrosurgical generator
is active.
 During operation, temporarily unused
electrodes should be stored in an electrically
insulated container. Unused electrodes or HF
instruments should never be placed on the
patient. Otherwise, it may cause patient and / or
user burns.
 To prevent patient burns, the electrosurgical
generator and ancillary cords should not come
in contact with the patient or metal parts of the
operating table. Furthermore, the patient should
also be kept away from metallic parts of the
operating table or other devices. Remove any
metallic items from the patient (wristwatches,
jewelry, etc.) before starting the procedure.
 If the electrosurgical generator is used in
conjunction with another electrosurgical
generator, never use both generators
simultaneously. Keep the HF instrument
connected to the not-used electrosurgical
generator away from the target area while the
other generator is in operation. Do not activate
output of both generators simultaneously.
Patient or user injury may occur due to the
concentration of electric current.
 To prevent patient burns, the patient’s skin
surfaces should not touch each other (e.g. bare
arm and side of chest) or any metal items in the
procedure room.
 To prevent patient burns during high frequency
treatment, the patient’s clothes must be dry.
 During endoscopic treatment be sure that the
distal end of the endoscope and / or HF
instruments do / does not contact bridging fluids
surrounding the target tissue. Electric current
may flow to the surrounding tissue via the fluids
and cause burns. This does not apply to
instruments intended for use in conjunction with
conductive fluids.
 The endoscopic treatment performed should
not include an operation in which part of the
treated tissue (polyp head, etc.) or part of the

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


12 Important Information – Please Read Before Use

endoscope distal end or endotherapy


instrument is in contact with or close to
surrounding tissue during high frequency
exposure. Otherwise, current flows to the tissue
through the part of the treated tissue, the
metallic parts at the endoscope’s distal end or
endotherapy instrument and may cause burns.
 When using an electrocardiograph or other
physiological monitoring equipment
simultaneously with the electrosurgical
generator on a patient, any monitoring
electrodes should be placed as far away as
possible from the electrodes used with the
electrosurgical generator. If placed too close,
high frequency signals or spark discharge noise
from the electrosurgical generator may interfere
with the operation of an electrocardiograph or
other physiological monitoring equipment.
Needle monitoring electrodes should not be
used, as they may cause patient burns.
Physiological monitoring equipment
incorporating high frequency current limiting
measures is recommended.
 To prevent burns, the user and assistant should
wear surgical gloves during the procedure.

CAUTION High frequency leakage current

Wherever possible, the patient should not be able


to come into contact with electrically conductive
components that are grounded. Route all
connecting cables so that they are not in direct
contact with the patient or other cables. Capacitive
coupling may occur.

Potential hazards for the heart


DANGER Shock hazards to the heart

 To prevent shock hazards, never apply the


electrosurgical generator to the heart in
combination with type B or BF applied parts.
 When using the electrosurgical generator on or
in the vicinity of the heart, be sure to use it with
the minimum necessary output. Spark
discharge during operation may affect the heart.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Important Information – Please Read Before Use 13

DANGER Pacemaker / Defibrillator malfunction

The high frequency equipment, when applied to a


patient with a cardiac pacemaker, an implanted
cardioverter defibrillator (ICD) or other implanted
electronic devices (IED), may cause
malfunctioning or failure of the implanted electronic
device and may seriously affect the patient. Always
confirm that it is safe to proceed with a cardiologist
or the manufacturer of the implanted electronic
device before proceeding. If monopolar modes of
the electrosurgical generator are used, position the
neutral electrode so that the current pathway does
not pass through or near the implanted electronic
device and its lead system. The risk of malfunction
or failure of an implanted electronic device is
reduced by the use of a bipolar mode. A risk does
exist, however, if the application is in close
proximity to the implanted electronic device.

WARNING Cardiac emergency

Always keep a defibrillator ready in case of a


cardiac emergency. During operation of the
defibrillator, remove the endoscope and / or
laparoscope and HF instruments from the patient.

Fire / Explosion
DANGER Ignitable anaesthetics and gases

The risk of flammable gases or other materials


being ignited exists with any surgical application of
electrical energy. Precautionary measures must be
taken to keep flammable materials and substances
away from the site of intervention (do not use
flammable anaesthetics, nitrous oxide or oxygen).
Otherwise, explosion or fire may result and cause
serious injuries. This electrosurgical generator is
not explosion-proof. Do not use the electrosurgical
generator within an explosion zone.

WARNING Ignitable gas in the gastro-intestinal tract

If the intestines contain a flammable gas, replace


this gas with air or a non-flammable gas before
performing the operation, to minimize the risk of
fire or explosion.

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


14 Important Information – Please Read Before Use

WARNING Ignitable cleaning- and disinfection agents

 Flammable agents used for cleaning and


disinfection must be allowed to evaporate
before the electrosurgical generator is used.
Also ensure that flammable solutions are
neither on the patient’s skin (e.g. under neutral
electrode) nor in the patient’s body cavity when
the electrosurgical generator is used.
 Non-flammable agents should be used for
cleaning and disinfection wherever possible.

WARNING Ignitable materials

 If absorbent cotton or gauze is used during the


procedure, it can be ignited by a spark
generated in the normal operation of the
equipment.
 When performing electrosurgery, sparks occur
which could lead to burning or deflagration of
combustible materials.
 Body hair is flammable. Water soluble surgical
lubricating jelly may be used to cover hair close
to the surgical site to decrease flammability.

WARNING Risk of fire

Disconnect the power plug before changing the


fuses! Replace fuses as marked. The fuses must
only be replaced by authorized technicians!

Procedural hazards and complications


DANGER Procedural hazards and complications

 The safety of electrosurgery will be greatly


enhanced by a thorough knowledge of the
medical literature on the subject. Study of
specific information on the hazards and
complications of the procedure in question is
especially recommended.
 To respond to possible patient bleeding,
prepare at least one of the following three
haemostatic procedures: coagulation, clipping
or local injection.
 To prepare for possible accidents, emergency
equipment for life-saving, intubation and
appropriate pharmaceuticals should be located
in or near the procedure room.
 Always prepare a spare electrosurgical
generator or an alternative procedure to avoid

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Important Information – Please Read Before Use 15

interruption of treatment due to an unexpected


electrosurgical generator failure during
treatment.
 Should any abnormal output be suspected
during operation, immediately terminate the use
of the equipment by releasing the footswitch. If
the footswitch does not react, switch off the
electrosurgical generator. Otherwise,
malfunction of the equipment may cause an
unintended increase in output.
 Use physiological monitoring equipment
throughout the entire procedure, for continuous
observation of the patient’s condition.
 For procedures where the high frequency
electrical current could flow through parts of the
body with a relatively small cross sectional area,
the use of a bipolar mode may be desirable in
order to avoid unwanted tissue damage.
 It is not recommended to use electrosurgery for
circumcisions because of the risk of thermal
injuries. The risk can be reduced if metal parts
of any kind (e.g. clamps) and / or monopolar HF
instruments are avoided.

WARNING Safety measures during the procedure

 Wear personal protective equipment to guard


against dangerous chemicals and potentially
infectious material. During operation, wear
appropriate personal protective equipment,
such as eye wear, face mask, moisture-
resistant clothing and surgical gloves that fit
properly and are long enough so that your skin
is not exposed.
 Studies have shown that smoke generated
during electrosurgical procedures can be
irritating and potentially harmful to surgical
personnel. These studies recommend the use
of surgical masks and adequate ventilation of
smoke by the use of surgical smoke evacuators
or other means.

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


16 Important Information – Please Read Before Use

WARNING Output performance

 If the electrosurgical generator fails and the


output is stopped during treatment, it may be
impossible to continue treatment due to tissue
or coagulum build-up on the HF instrument or
other similar condition.
 During endoscopic treatment never grasp the
target tissue with non-insulated grasping
forceps. Non-insulated grasping forceps will
disperse the electric current and normal
operation may be impeded.

WARNING Electrical stimulation of nerves and muscles

Nerves and muscles can be stimulated by low


frequency electrical currents or intense high
frequency electrical currents. Low frequency
electrical currents may be generated by a partial
rectification of intense high frequency electrical
current, in particular when there is a spark
discharge to the tissue or to another metallic object.
Intense high frequency electrical currents can
occur at the beginning of an electrosurgical cut or
when using high output power settings. This may
cause violent spasms or muscle contractions. Use
the lowest appropriate power level and effect (e.g.
effect 1 instead of effect 3). However, for certain
modes a low output power setting may present an
unacceptable risk for the patient. For example, with
the PulseCut fast mode or PulseCut slow mode,
the risk of an excessive thermal effect rises if the
output power setting is too low.

CAUTION Generator defect

 To prevent electrosurgical generator damage,


never short-circuit electrodes (accessories,
neutral electrodes).
 In the event of a defect or malfunction in the
electrosurgical generator, an undesirably high
output power may be emitted.

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.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 1 Checking the Package Contents 17

Chapter 1 Checking the Package


Contents
Verify that all items shown below are contained in the package. Inspect each
item for damage. If the electrosurgical generator is damaged, a component is
missing or you have any questions, do not use the electrosurgical generator
and contact Olympus.

Electrosurgical generator (ESG-400) Footswitch with cable (WB50402W)

Instruction manual

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


18 Chapter 2 Nomenclature and Functions

Chapter 2 Nomenclature and Functions


2.1 Symbols and descriptions
Front panel

Power on / off

Neutral electrode – non-split type

Neutral electrode – split type

Select procedure

Footswitch

Menu

BIPOLAR socket

MONOPOLAR 1 socket

UNIVERSAL socket

MONOPOLAR 2 socket

Touch-screen

Double footswitch

Single footswitch

Autostart

Plus

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 2 Nomenclature and Functions 19

Minus

Return

OK

Cancel

Save procedure

Delete procedure

Languages

Touch tone on

Touch tone off

Software version

Safety test

Service

Volume

Brightness

Select procedure (in title line)

Menu (in title line)

Toggle

Previous

Next

Numeric

Alphabetic

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


20 Chapter 2 Nomenclature and Functions

Uppercase / lowercase

Backspace

Caution

Communication indicator

Reset

RCAP Resistance Controlled Automatic Power

Reference to BIPOLAR socket

Reference to MONOPOLAR 1 socket

Reference to UNIVERSAL socket

Reference to MONOPOLAR 2 socket

Rear panel

Volume

Footswitch

LINK-IN LINK-IN socket

LINK-OUT LINK-OUT socket

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 2 Nomenclature and Functions 21

2.2 Front panel


1. 2. 3. 4. 5. 6. 7.

12. 11. 10. 9. 8.

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).

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22 Chapter 2 Nomenclature and Functions

9. Contact quality monitor indicator for split neutral electrode


This indicator illuminates green if a split neutral electrode is connected and
the contact resistance is within an acceptable range. The indicator
illuminates red if the split neutral electrode is not connected or not applied
properly (e.g. bad contact quality or partly dislocated) or no neutral
electrode is connected (in both cases the activation of monopolar output is
disabled).
10. Contact quality monitor indicator for non-split neutral electrode
This indicator illuminates green if a non-split neutral electrode is
connected.
11. Neutral electrode socket
This socket connects the plug of a neutral electrode for monopolar
application.
12. UNIVERSAL socket
This socket connects the plug of an Olympus HF instrument with HF
instrument recognition.

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Chapter 2 Nomenclature and Functions 23

2.3 Rear panel

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.

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24 Chapter 2 Nomenclature and Functions

NOTE

 The touch-screen messages may depend on


the language setting of the electrosurgical
generator.
 For a detailed explanation of the different types
of sockets, refer to chapter 3.7 “Connection of
neutral electrode” and chapter 3.8 “Connection
of HF instruments”.

2.4 Bottom panel

1.

1. Docking socket
This socket connects the plug (7-pin) of a docking connector to connect
peripheral equipment.

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Chapter 2 Nomenclature and Functions 25

2.5 All screen


1. 2. 3. 4. 5.

6.
7.
8.

9.

11.
10.

1. Reference to output sockets indicator


This indicator shows the corresponding output socket where the same
symbol is printed on the front panel.
2. Output socket name
The name of the corresponding output socket is displayed here.
3. Autostart indicator
This symbol indicates if the autostart function is assigned to the
corresponding output socket. Blank if autostart or footswitch is not
assigned. Refer to chapter 6.4, “Assign footswitch and autostart function”.
4. Procedure name
The name of the selected procedure is displayed here. Blank if no
procedure is selected.
5. Communication indicator
This symbol indicates if communication with peripheral equipment
connected to the docking socket is established.
6. Footswitch indicator (double pedal)
This symbol indicates if a connected double pedal footswitch is assigned
to the corresponding output socket. Blank if autostart or footswitch is not
assigned. Refer to chapter 6.4, “Assign footswitch and autostart function”.
7. Output mode
The name of the output mode as selected in the “Mode screen” is
displayed here. If “Off” is selected, “--“ will be displayed instead of power
level and effect.
8. Output power level
The number shows the output power level as selected in the “Set screen”.
If an output power level is set to zero, “--” will be displayed instead of
numbers.
9. Effect
The number shows the effect as selected in the “Set screen”. For RFCoag
mode the RCAP function can be selected instead of an effect (refer to
chapter 5.4, “Output setting”).

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26 Chapter 2 Nomenclature and Functions

10. Button area


Each button covers the entire area including all output socket related
information as described above (3. to 10.). Press the button, to switch to
the corresponding “Set screen” to select the mode, power levels and
effects for the corresponding output socket.
11. Footswitch indicator (single pedal)
This symbol indicates if a connected single pedal footswitch is assigned to
the corresponding output socket. Blank if autostart or footswitch is not
assigned. Refer to chapter 6.4, “Assign footswitch and autostart function”.

2.6 Set screen


1.

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”)

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Chapter 2 Nomenclature and Functions 27

2.7 Mode screen


1.

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.”

2.8 Footswitch with two pedals


The footswitch with two pedals (Olympus REF: WB50402W) is included in
delivery.

1. 3.

2.

1. Cut pedal (yellow color)


This pedal is used to activate the selected cutting mode.
2. Coagulation pedal (blue color)
This pedal is used to activate the selected coagulation mode.
3. Footswitch plug
Connects the footswitch with the electrosurgical generator on the rear
panel.

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28 Chapter 2 Nomenclature and Functions

2.9 Footswitch with one pedal (optional)


The footswitch with one pedal (Olympus REF: WB50403W) is an optional item
which may be purchased separately.

2.

1.

1. Coagulation pedal (blue color)


This pedal is used to activate the selected coagulation mode.
2. Footswitch plug
Connects the footswitch with the electrosurgical generator on the rear
panel.

2.10 Neutral electrode cable “P-cord” (optional)


The neutral electrode cable “P-cord” (Olympus REF: MAJ-814) is an optional
item for the connection with a neutral electrode which may be purchased
separately.
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.

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Chapter 2 Nomenclature and Functions 29

2.11 Communication cable 0.25 m (MAJ-1871, optional,


this cable is required for the connection with the
compatible ultrasonic generator)
The communication cable 0.25 m (Olympus REF: MAJ-1871) is a separate
accessory and connects the electrosurgical generator with the compatible
ultrasonic generator.

1.

2.

1. Communication cable 0.25 m LINK-OUT plug


This plug connects the communication cable 0.25 m either to the LINK-
OUT socket of electrosurgical generator or to the LINK-OUT socket of the
compatible ultrasonic generator.
2. Communication cable 0.25 m LINK-IN plug
This plug connects the communication cable 0.25 m either to the LINK-IN
socket of electrosurgical generator or to the LINK-IN socket of the
compatible ultrasonic generator.

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30 Chapter 2 Nomenclature and Functions

2.12 Communication cable 10 m (MAJ-1872, optional,


this cable is required for the connection with the
adapter for the compatible high flow insufflation
unit (UHI-2/3))
The communication cable 10 m (Olympus REF: MAJ-1872) is a separate
accessory and connects the electrosurgical generator with the adapter for the
compatible high flow insufflation unit.

1.
2.

1. Communication cable 10 m LINK-OUT plug


This plug connects the communication cable 10 m either to the LINK-OUT
socket of electrosurgical generator or to the LINK-OUT socket of the
compatible high flow insufflation unit.
2. Communication cable 10 m LINK-IN plug
This plug connects the communication cable 10 m either to the LINK-IN
socket of electrosurgical generator or to the LINK-IN socket of the
compatible high flow insufflation unit.

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Chapter 2 Nomenclature and Functions 31

2.13 Adapter for UHI-2/3 (MAJ-1873, optional, this


adapter is required for the connection with the
compatible high flow insufflation unit (UHI-2/3))
The adapter for UHI-2/3 (Olympus REF: MAJ-1873) is a separate accessory
and connects the electrosurgical generator with the high flow insufflation unit.

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).

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32 Chapter 3 Installation and Connections

Chapter 3 Installation and Connections


The electrosurgical generator must be properly installed and commissioned by
Olympus or by a person or firm commissioned and authorized by the
manufacturer.
Prepare the electrosurgical generator and other equipment to be used with this
electrosurgical generator before each use. Refer to the instruction manual of the
equipment, to the “System chart” in the Appendix, and install and connect all
equipment as described on the following pages.

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Chapter 3 Installation and Connections 33

3.1 Flow chart for installation work


The following is a flow chart for installation work. For details on each step, read
the corresponding description.

3.2 Installation of electrosurgical generator page 34

3.3 Connection of peripheral equipment page 35

3.4 Connection to an AC mains power supply page 36

Automatic mist & smoke evacuation page 37


3.5
system/function

3.6 Connection of footswitch page 42

3.7 Connection of neutral electrode page 43

3.8 Connection of HF instruments page 49

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34 Chapter 3 Installation and Connections

3.2 Installation of electrosurgical generator


CAUTION

 Install the electrosurgical generator on a stable,


level surface. Otherwise, the electrosurgical
generator could fall, causing equipment
damage and / or injury to the user or patient.
 If the electrosurgical generator is placed on a
trolley, the trolley must be of adequate strength
and size to hold the electrosurgical generator
securely.
 Never place the electrosurgical generator on its
side or upside down. Otherwise, the
electrosurgical generator may not work
correctly.
 To prevent malfunction, do not place the
electrosurgical generator in the proximity of a
wall or other equipment in a way that would
block the ventilation openings.
 Always use the electrosurgical generator in
compliance with the environmental conditions
during normal operation specified in
“Transportation, storage and operating
environment” in the Appendix. Otherwise, the
electrosurgical generator may not work
correctly.
 If the electrosurgical generator is lifted up, do
not hold the electrosurgical generator at the
fuse holder at the rear panel. Otherwise, this
may damage the electrosurgical generator.

NOTE

 Keep the instruction manual near the


electrosurgical generator or in another easily
accessible place.
 Before using an optional item, thoroughly
review and understand the instruction manual
provided with that item and check the
compatibility with the electrosurgical generator.
 Specifications, design and accessories are
subject to change without any notice or any
obligation of the manufacturer.

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Chapter 3 Installation and Connections 35

3.3 Connection of peripheral equipment


Refer to the instruction manual of the peripheral equipment for the connection
instructions.

WARNING

The electrosurgical generator and the peripheral


equipment must be switched off before connecting
to each other.

NOTE

 If the communication to the peripheral


equipment is established and the peripheral
equipment is switched on, the communication
indicator is illuminated on the top right of the
“All screen” or “Set screen” (see chapter 2.5,
“All screen”).
 The threaded holes on the bottom left and right
of the rear panel are left open intentionally to
attach peripheral equipment with the
electrosurgical generator via fixture plates.

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36 Chapter 3 Installation and Connections

3.4 Connection to an AC mains power supply


DANGER

Connect the power plug of the power cord directly


to a grounded wall outlet or to a multiple power
socket outlet equipped with an insulating
transformer of protection class I, conforming to
IEC 60601-1. In this case, observe the maximum
permitted current or power loading of the multiple
power socket outlet and the insulating transformer.

WARNING

Firmly plug in the power cord so it will not


accidentally be dislodged during the operation.

CAUTION

 Always use the power cord provided with the


electrosurgical generator or a cable of similar
quality (see “Specifications” in the Appendix).
Never attempt to modify the power cord.
 If the same circuit breaker is used to supply
power to other electrical equipment, carefully
consider the power requirements of the
additional equipment and use circuit breakers
that have ample capacity. Otherwise, the
electrosurgical generator does not work
correctly.
 Portable multiple power socket outlets must not
be placed on the floor. Do not use an additional
extension cable or other multiple power socket
outlets that are not approved by the
manufacturer for joint use.

NOTE

 Before connecting to the power supply, check


that the supply voltage meets with the electrical
data on the type plate of the electrosurgical
generator.
 If the voltage of the facility is different from the
voltage indicated on the type plate of the
electrosurgical generator, contact Olympus.

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Chapter 3 Installation and Connections 37

1. Connecting the power cord


Confirm that the power of the electrosurgical generator is off. Connect the
power cord to the AC power socket of the electrosurgical generator (see
figure 3.1).

2. Connecting to the power outlet


Connect the power plug of the power cord directly to a grounded wall outlet
which meets the power requirements indicated on the electrical rating plate
on the rear panel of the electrosurgical generator (see figure 3.1).

Figure 3.1

3.5 Automatic mist & smoke evacuation


system/function (when using the compatible high
flow insufflation unit)
When the electrosurgical generator is combined with an Olympus high flow
insufflation unit (UHI-2/3) via a communication cable (MAJ-1871 or 1872), the
smoke and mist produced in the abdominal cavity can be evacuated
simultaneously with the electrosurgical output.

CAUTION

 When using the automatic mist & smoke


evacuation system/function, also refer to the
instructions for use of the compatible high flow
insufflation unit (UHI-2/3).
 Avoid applying excessive force to the
communication cable. Otherwise, wire
disconnection or other failure may result.
 Do not use the 2-way cable (MAJ-1423) for
aeration and the extension cable for aeration in
combination with the electrosurgical generator.

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38 Chapter 3 Installation and Connections

 When using the electrosurgical generator with


the compatible ultrasonic generator and the
compatible high flow insufflation unit (UHI-2 or
UHI-3) simultaneously, contact Olympus.

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.

2. Connecting the adapter for UHI-2/3


Connect the system plug of the adapter for UHI-2/3 to the system
connector on the rear panel of the compatible high flow insufflation unit
(see figure 3.2).

3. Connecting the communication cable to the adapter for UHI-2/3


Connect the LINK-IN or LINK-OUT plug of the communication cable 10 m
to the LINK-IN or LINK-OUT socket of the adapter for UHI-2/3. After
connection, secure each plug by pushing it in while turning the screws on
both sides of the plug (see figure 3.2).

4. Connecting the communication cable to the electrosurgical generator


Connect the other plug of the communication cable 10 m that has been
connected to the adapter for UHI-2/3 to the LINK-IN or LINK-OUT
connector of the electrosurgical generator. After connection, secure each
plug by pushing it in while turning the screws on both sides of the plug (see
figure 3.2).

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Chapter 3 Installation and Connections 39

Correct connection

System connector

High flow insufflation Electrosurgical generator


unit (UHI-2, UHI-3)

Adapter for UHI-2/3

Incorrect connection
System connector

High flow insufflation Electrosurgical generator


unit (UHI-2, UHI-3)

Adapter for UHI-2/3

Figure 3.2

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40 Chapter 3 Installation and Connections

When adding the compatible ultrasonic generator to the


compatible high flow insufflation unit and the electrosurgical
generator
CAUTION

 To prevent malfunction connect either the


compatible electrosurgical or ultrasonic
generator to the compatible high flow
insufflation unit. Do not connect both the
compatible electrosurgical and ultrasonic
generators to the insufflation at the same time.
 When connecting three devices or more, do not
use two of communication cable 10 m.
Otherwise, the communication may fail.

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).

1. Connecting the communication cable 0.25 m to the compatible


electrosurgical generator
Connect the plug of the communication cable 0.25 m to the LINK-IN or
LINK-OUT connector of the compatible electrosurgical generator.

2. Connecting the communication cable 0.25 m to the compatible ultrasonic


generator
Connect the other plug of the communication cable 0.25 m to the LINK-IN
or LINK-OUT connector of the ultrasonic generator.

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Chapter 3 Installation and Connections 41

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

Compatible high flow Compatible ultrasonic


insufflation unit (UHI-2, UHI-3) generator Electrosurgical generator

System
connector

Adapter for UHI-2/3

Figure 3.3

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42 Chapter 3 Installation and Connections

3.6 Connection of footswitch


There are two kinds of footswitches, the single pedal footswitch (optional) and
the double pedal footswitch. This section describes how to connect these
footswitches.

WARNING

 Connect the footswitch plug securely to the


electrosurgical generator. Otherwise, output
may not be activated. In this case, the HF
instrument could cut the tissue mechanically,
which could cause bleeding and / or perforation
of the tissue.
 The footswitch plug is not waterproof, and liquid
such as water must not get into the plug.
 When connecting or disconnecting the
footswitch plug, always hold the plug. Pulling
the cable may result in damaging of the wires.
 Do not connect products other than the
footswitch for this electrosurgical generator to
the footswitch socket. Otherwise, the footswitch
might not function and may cause patient injury
and / or damage of the equipment.

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Chapter 3 Installation and Connections 43

1. Checking the footswitch


Confirm that the footswitch cable and footswitch plug is free of scratches
and cracks and that the footswitch pedals are not damaged.

2. Checking the footswitch pedal function


Press each pedal and confirm that it functions smoothly without being
caught by anything.

3. Connecting the footswitch


Align the footswitch plug so that the keying is facing down. Insert the
footswitch plug into one of the footswitch sockets of the electrosurgical
generator on the rear panel and rotate the fastener ring fully clockwise to
tighten it (see figure 3.4).

Figure 3.4

3.7 Connection of neutral electrode (for monopolar


treatment only)
Split type neutral electrode
When a split type neutral electrode (patient grounding pad) is connected to the
electrosurgical generator, it is possible to detect unintended detachment of the
neutral electrode from the patient. Refer to “Specifications” in the Appendix for a
list of compatible neutral electrodes.
If the contact between the neutral electrode and the patient’s skin is insufficient,
the contact quality monitor indicator for split neutral electrodes illuminates red.
Reattach the neutral electrode or use a new plate. The contact quality monitor
indicator for split neutral electrode will only light green while the contact
between the neutral electrode and the skin of the patient is within an acceptable
resistance range (see “Specifications” in the Appendix).

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44 Chapter 3 Installation and Connections

WARNING

Always use compatible split type neutral


electrodes. When using non-split electrodes the
contact quality monitor does not work and no
warning signal will occur in case of loss contact
between the neutral electrode and the patient.

CAUTION

Always use split type neutral electrodes if possible.


By using a non-split neutral electrode the contact
quality monitor does not work. An unintended
detachment of the neutral electrode will not be
detected and this may result in patient burns.

Non-split neutral electrode


If a non-split type neutral electrode is connected to the electrosurgical
generator, it is not possible to detect any detachment of the neutral electrode
from the patient. The electrosurgical generator displays a confirmation window
on the touch-screen if a non-split neutral electrode has been connected. A
confirmation by the user is required. This is to avoid the use of non-split neutral
electrodes which is not explicit intended by the user.
The contact quality monitor indicator for non-split neutral electrode will light
green when detecting a non-split type neutral electrode (see “Specifications” in
the Appendix).

CAUTION

No error message or audible signal will be


generated if an unintended detachment of the non-
split neutral electrode occurs. Therefore, it is not
recommended to use non-split neutral electrodes.

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Chapter 3 Installation and Connections 45

Connection of the neutral electrode


Improper connection between the neutral electrode and the patient’s skin
surface may cause burns. Always attach the neutral electrode and consider the
warning notes as described below. For further details on neutral electrodes,
refer to the neutral electrode’s instruction manual.

DANGER

When using neutral electrodes for infants (patient


weight 0…15 kg) avoid output settings which
exceed the maximum output power for the neutral
electrode (refer to the instruction manual of the
neutral electrode).

CAUTION

 Apparent low output power at normal operating


settings may indicate a faulty application of the
neutral electrode or poor contact in its
connections. Check the connections before
selecting a higher output power level.
 Use the largest neutral electrode that will fit to
the patient, especially for obese patients.
Otherwise, patient burns may result. The use of
large neutral electrodes is strongly
recommended, particulary if high output power
levels will be used.
 To avoid compression necrosis use only self-
adhesive neutral electrodes.
 Do not use capacitive coupling neutral
electrodes as a return path for the high
frequency current to avoid incorrect operation of
the contact quality monitor and to prevent
patient burns.
 Use only original packed neutral electrodes and
check the expiration date of the neutral
electrode intended to use. If expired neutral
electrodes are used the adhesive may fail to
maintain contact with the patient’s skin. Patient
burns may result.
 Do not use the neutral electrode if it has been
damaged, modified or has sharp edges. This
may cause patient burns.
 This electrosurgical generator should be used
in combination with one of the neutral
electrodes shown in “Specifications” in the
Appendix.

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46 Chapter 3 Installation and Connections

 Never attach the neutral electrode in the vicinity


of a metal implant. The tissue in the vicinity of
the metal implant may get burned.
 To avoid air entrapment, do not fold or wrinkle
the neutral electrode and make sure that its
surface is smooth. The entire surface of the
neutral electrode should be in direct contact
with the patient’s skin. Incomplete contact
between the neutral electrode and patient’s skin
may result in patient burns.
 Apply the neutral electrode onto patients skin
with the long edge towards the surgical site.
 The site where the neutral electrode is intended
to be attached must be clean, dry and free of
hair. Otherwise the neutral electrode can loose
contact. Improper contact between the neutral
electrode and the patient’s skin surface may
cause patient burns. If necessary, remove all
hair from the area to which the neutral electrode
will be attached.
 When the patient is moved after the neutral
electrode has been attached, confirm that the
neutral electrode is still in proper contact with
the patient. Otherwise, it may cause patient
and / or user burns.
 Avoid placing the neutral electrode over bony
prominences or scar tissue as proper contact
might not be obtainable. This may cause patient
burns.
 The neutral electrode should not be reused or
repositioned.
 If the contact quality monitor indicator for split
neutral electrodes indicates red either because
the neutral electrode has not been attached
correctly or detached, output may not be
activated. In this case the touch-screen will
display an error window (“Insufficient neutral
electrode contact”, with error no: E202).
 If a neutral electrode failure is indicated and an
HF instrument is already placed at the
treatment site, mechanical tissue cutting by the
HF instrument may occur and cause patient
bleeding or perforation.

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Chapter 3 Installation and Connections 47

NOTE

 In case a contact quality monitor alarm arises


during a procedure, an audible signal can be
heard and the output stops automatically.
 For the removal of the neutral electrode, do not
peel off the neutral electrode by pulling the
cable. Start the plate removal at a corner.
Slowly peel back the plate. Otherwise, skin
injury may result.

1. Checking the contact quality monitor indicator


Before connecting any neutral electrode to the electrosurgical generator,
make sure the contact quality monitor indicator for split neutral electrodes
illuminates red and the contact quality monitor indicator for non-split neutral
electrodes is off.

2. Preparation of the neutral electrode


Peel off the protective liner from the neutral electrode and attach the plate
to the patient’s body according to the neutral electrode manufacturer’s
instruction manual.
3. Connecting the neutral electrode
 For neutral electrodes with a pre-attached cable consider the following
procedure: Insert the neutral electrode plug into the neutral electrode
socket (suitable for 2 pin plugs with 2.5 mm pin diameter and pin
spacing 10 mm, US standard) on the front panel of the electrosurgical
generator (see figure 3.5).
 For neutral electrodes without a pre-attached cable consider the
following procedure: Lift the lever-locking arm of the neutral electrode
cable “P-cord”, and then position the neutral electrode tab evenly
between the clamp jaws. Lock the clamp by fully pressing down the
lever-locking arm (see figure 3.6). Insert the “P-cord” plug on the
electrosurgical generator side into the neutral electrode socket (suitable
for 2 pin plugs with 2.5 mm pin diameter and pin spacing 10 mm, US
standard) on the front panel of the electrosurgical generator (see figure
3.5).

Figure 3.5

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48 Chapter 3 Installation and Connections

Figure 3.6

4. Verifying the contact quality monitor indicator


 If a split neutral electrode has been connected, verify that the contact
quality monitor indicator for split neutral electrodes illuminates green.
 If a non-split neutral electrode has been connected, a confirmation
window according to figure 3.7 will appear. Press the “OK button” to
continue and the display returns to the last used screen. Verify that the
contact quality monitor indicator for non-split neutral electrodes
illuminates green.

Confirmation window

Figure 3.7

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Chapter 3 Installation and Connections 49

3.8 Connection of HF instruments


The electrosurgical generator can be used with monopolar cutting and
coagulation instruments as well as with bipolar cutting and coagulation
instruments. The HF instruments must have an appropriate plug to connect
either into the monopolar sockets or the bipolar socket or the universal socket
(see socket description below). When connecting HF instruments avoid output
settings where the maximum output voltage of the electrosurgical generator
may exceed the rated HF instrument voltage (refer to “Mode characteristics”
and “Output characteristics” in the Appendix, and the instruction manual of the
HF instrument).

WARNING

Securely connect the HF instrument. Otherwise,


insufficient output might occur during treatment
and, in this case, mechanical tissue cutting by the
HF instrument may occur and cause bleeding or
perforation of the patient.

CAUTION

Olympus HF instruments should be used for


electrosurgical procedures. For details, refer to the
instruction manual of the HF instrument. If you
have any questions concerning the applicability of
your HF instrument, please contact Olympus.

MONOPOLAR 1 socket

Suitable for 3 pin monopolar plugs with


4 mm pin diameter (Valleylab standard)
and coaxial monopolar plugs with 8 mm
pin diameter (Bovie standard).

MONOPOLAR 2 socket

Suitable for 3 pin monopolar plugs with


4 mm pin diameter (Valleylab standard)
and coaxial monopolar plugs with 9 / 5
mm pin diameter (Erbe standard).

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50 Chapter 3 Installation and Connections

WARNING

A connection of a 1-pin 4 mm plug to any other


receptacle except the right-hand-side receptacle of
the MONOPOLAR 1 socket and the
MONOPOLAR 2 socket may destroy the socket
during activation.

WARNING

Do not connect a 2-pin 4 mm plug (e.g. from


monopolar hand-switch activated forceps) to the
MONOPOLAR 1 socket or to the MONOPOLAR 2
socket. Connecting this type of instrument may
damage the generator.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 3 Installation and Connections 51

BIPOLAR socket

Suitable for 2 pin bipolar plugs with 4


mm pin diameter (Valleylab standard),
pin spacing 28.8 mm and coaxial bipolar
plugs with 8 / 4 mm pin diameter (Erbe
standard).

UNIVERSAL socket

Suitable for 7 pin bipolar multifunctional


plugs (Olympus standard) and offers HF
instrument recognition. For a detailed
description, refer to chapter 5.4, “Output
setting”.

1. Checking the HF instrument

Confirm that the HF instrument cable and HF instrument plug are not
damaged.

2. Connecting the HF instrument


Insert the HF instrument plug into the appropriate socket on the front panel
of the electrosurgical generator.

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52 Chapter 4 Inspection

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

Before each use, inspect this electrosurgical


generator as instructed below. Inspect other
equipment to be used with this electrosurgical
generator as instructed in their respective
instruction manual. Should the slightest irregularity
be suspected, do not use the electrosurgical
generator and refer to chapter 8,
“Troubleshooting”. If the irregularity is still
suspected after consulting chapter 8, contact
Olympus. Damage or irregularity may compromise
patient or user safety and may result in more
severe equipment damage.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 4 Inspection 53

4.1 Flow chart for inspection work


The following is a flow chart for inspection work. For details on each step, read
the corresponding description.

4.2 Inspection of power page 54

Inspection of connection between peripheral


4.3 page 56
equipment and the electrosurgical generator
Ins

4.4 Inspection of touch-screen and push button page 57

4.5 Inspection of footswitch connection page 60

4.6 Inspection of alarm system page 61

4.7 Procedure after inspection page 61

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54 Chapter 4 Inspection

4.2 Inspection of power


WARNING

 If the electrosurgical generator fails to start up


(no indicators illuminates and the touch-screen
is off), confirm that the power cord is connected
securely to a grounded wall outlet and the AC
power socket on the electrosurgical generator
and confirm that the grounded wall outlet is
powered. If it still fails to start up, remove the
power cord from the grounded wall outlet and
contact Olympus. Equipment damage or
malfunction may have occurred and fire or
electric shock can result.
 If the output is activated and the output tone
can be heard but no output indicators
illuminates or the touch-screen are off, stop the
procedure immediately, switch off the
electrosurgical generator. Otherwise, it may
cause perforation, bleeding and user and / or
patient burns.

Inspection of the power switch, touch-screen and push buttons


Switch on the electrosurgical generator with the power switch.
 The power switch illuminates.
 The touch-screen lights up.
 The push buttons illuminates.
 The contact quality monitor indicator for split neutral electrodes illuminates.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 4 Inspection 55

Inspection of start screen and start tone


 Confirm that the “Start screen” (see figure 4.1) is shortly displayed on the
touch-screen, then the “All screen” (output settings with the recall of the last
settings of all corresponding output sockets, see figure 4.2) is displayed and
the electrosurgical generator is ready for use.
 Confirm that a tone can be heard at the same time as the “Start screen” is
displayed.

Start screen

Figure 4.1

All screen

Figure 4.2

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56 Chapter 4 Inspection

4.3 Inspection of connection between peripheral


equipment and the electrosurgical generator
When the communication indicator is illuminated
If the communication indicator illuminates, the connection between peripheral
equipment and electrosurgical generator is established (see figure 4.3).

Communication indicator

All screen

Figure 4.3

If the communication indicator does not illuminate


The communication indicator does not illuminate when the peripheral equipment
and the electrosurgical generator is not properly connected.

1. Confirm that the peripheral equipment and the electrosurgical generator


are connected properly.

2. Confirm that the generators are switched on.


If the communication indicator does not illuminate even after the above
check, contact Olympus.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 4 Inspection 57

4.4 Inspection of touch-screen and push buttons


The touch-screen displays control buttons which can be activated by touching
the corresponding part on the screen.

CAUTION

 To prevent malfunction, do not press more than


one part on the touch-screen simultaneously.
 Touching the touch-screen from an oblique
direction may cause malfunction. Always
control the touch-screen by viewing from the
straight forward direction.
 Unintended contact of the touch-screen may
cause malfunction. Before activating the output
confirm that the present setting is correct.
 To prevent malfunction or damage to the touch-
screen, do not apply an excessive load on its
surface.
 Do not control the touch-screen with a pointed
object (such as a pen). Otherwise, malfunction
or damage may result.
 Deposition of dirt and dust between the touch-
screen and the front panel may cause
malfunction of the touch-screen. To prevent this,
wipe the touch-screen with a cloth to remove
dirt and dust.
 After pressing the “Plus button” / “Minus button”,
confirm that the output level is changed
accordingly. Otherwise, inappropriate output
can cause burns to the patient and / or user,
patient bleeding and / or perforation.

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58 Chapter 4 Inspection

Inspection of touch-screen operation

1. Press the “MONOPOLAR 1 button” on the marked area as shown in figure


4.4.
A “Set screen” appears, showing all settings of the corresponding output
socket.

2. Press the “Plus button” / “Minus button”.


 Pressing the “Plus button” increases the power level.
 Pressing the “Minus button” decreases the power level.
 For a significant change of the power level continuously press the “Plus
button” / “Minus button”.

3. Press the “Toggle button”.


Pressing the “Toggle button” changes the effect.

4. Press the “Return button”.


The screen changes from the “Set screen” to the “All screen” (see figure
4.4).

All screen Set screen

Figure 4.4

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 4 Inspection 59

Inspection of push button operation

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

2. Press the “Return button”.


The screen changes from the “Menu screen” to the “All screen” as shown
in figure 4.6.

Menu screen All screen

Figure 4.6

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60 Chapter 4 Inspection

4.5 Inspection of footswitch connection


1. Connect a footswitch (e.g. double pedal footswitch) with the electrosurgical
generator on the rear panel according to chapter 3.6, “Connection of
footswitch”.

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

3. Press the “Double footswitch indicator” of the “MONOPOLAR 1 output


socket” (see figure 4.8).
The “Double footswitch button” changes to gray which indicates the
connection of the double pedal footswitch at the “MONOPOLAR 1 output
socket.”

4. Disconnect the footswitch plug from the electrosurgical generator.


The “Double footswitch button” is black again.

Double footswitch button Single footswitch button

Footswitch screen

Figure 4.8

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Chapter 4 Inspection 61

4.6 Inspection of alarm system


WARNING

Be sure to inspect the alarm function before use. If


the alarm function is not normal, the electrosurgical
generator might fail to detect an equipment error
and this may result in unexpected burns,
perforation and / or bleeding.

Inspection of neutral electrode warning

1. Make sure that no neutral electrode is connected to the neutral electrode


socket of the electrosurgical generator.
Try to activate any monopolar mode by pressing the corresponding
footswitch pedal. The contact quality monitor indicator for split neutral
electrodes illuminates red and the output cannot be activated.

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

4.7 Procedure after inspection


Switch off the electrosurgical generator with the power switch.
 The illumination of the power switch is off.
 The touch-screen is off.
 The illumination of the push buttons is off.
 The contact quality monitor indicator for split neutral electrodes is off.

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62 Chapter 5 Operation

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

If during operation any irregularity will be


suspected, do not use the electrosurgical
generator and refer to chapter 8,
“Troubleshooting”. If the irregularity is still
suspected after consulting chapter 8, contact
Olympus. Damage or irregularity may compromise
patient or user safety and may result in more
severe equipment damage.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 5 Operation 63

5.1 Flow chart for operation work


The following is a flow chart for operation work. For details on each step, read
the corresponding description.

5.2 Turn on the electrosurgical generator page 64

Automatic mist & smoke evacuation page 65


5.3
system/function

5.4 Output setting page 67

5.5 Output of energy page 79

5.6 Procedure after use page 84

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64 Chapter 5 Operation

5.2 Turn on the electrosurgical generator


NOTE
 By using the electrosurgical generator for the
first time there will be a default setting of the
assigned modes, output power settings and the
effects.
 By switching between the modes, the
electrosurgical generator automatically recalls
the settings used for each mode individually.
 By switching on the electrosurgical generator
after one or more procedures have been done,
the last used mode, effect and output power is
presented at the “All screen”. Before starting
the procedure, confirm the correctness of the
settings.

1. Checking the connections


Confirm that all HF instruments and peripheral equipment required for the
procedure are connected properly and securely.
 For the connection method refer to chapter 3, “Installation and
Connections”.
 For the connection check method refer to chapter 4, “Inspection”.

2. Turn the power on.


Press the power switch of the electrosurgical generator.
For the “power on” check method, refer to chapter 4.2, “Inspection of
power”.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 5 Operation 65

5.3 Automatic mist & smoke evacuation


system/function (when using the compatible high
flow insufflation unit)
CAUTION

 When using the automatic mist & smoke


evacuation system/function, also read the
instruction manual for the compatible high flow
insufflation unit (UHI-2 or UHI-3).
 If exhaust does not stop 5 seconds after
stopping the output, the compatible high flow
insufflation unit may be malfunctioning.
Disconnect the communication cable and
contact Olympus.
 Confirm that the electrosurgical generator is
turned ON. Otherwise, the automatic mist &
smoke evacuation system/function of the
compatible high flow insufflation unit will not
work.
Press the power switch of the compatible high flow insufflation unit (see Fig.
5.1).
 While the handswitch or footswitch pedal is pressed, the automatic mist &
smoke evacuation system/function of the UHI-2 or UHI-3 is activated
simultaneously as the output. The exhaust continues for 5 seconds even
after the output is stopped.
 For the connection method, see chapter 3.5, “Automatic mist & smoke
evacuation system/function (when using the compatible high flow insufflation
unit)”.

High flow insufflation unit (UHI-2) High flow insufflation unit (UHI-3)

Figure 5.1

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66 Chapter 5 Operation

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.

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Chapter 5 Operation 67

5.4 Output setting


Set the mode, the output power and the effect displayed on the touch-screen
according to the procedure to be performed.

WARNING

The output power selected should be as low as


possible for the intended purpose. Certain modes
or accessories may present an unacceptable risk
at low output power settings. For example, with the
PulseCut fast mode or PulseCut slow mode, the
risk of an excessive thermal effect rises if the
output power setting is too low. It is recommended
to do appropriate examinations before using on a
human body. Inappropriate output can cause burns
to the patient and / or user, patient bleeding
and / or perforation.

CAUTION

High current densities can cause nerve and


muscle stimulation. High current densities may
occur when modes with High Power Cut Support
(HPCS) are used. Nerve and muscle stimulations
may cause discomfort or pain in patients without
sedation, pain medication or general anesthesia.
To reduce the probability of nerve and muscle
stimulations use modes without HPCS.

NOTE

 The power level displayed in the “All screen” or


“Set screen” 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).
 If the power level of any mode is below the
minimum allowable value, the “Set screen” or
the “All screen” shows “--” in the power level
area. In this case, the power output is set to
zero watts. Each mode has a different minimum
power level (refer to “Mode characteristics”, in
the Appendix).
 If a mode has been switched off (“Off” was
selected) in the “Mode screen”, the “Set screen”
or the “All screen” shows “--” instead of power
level and effect setting.
 The mode, power level and effect setting
cannot be changed while output is activated.

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68 Chapter 5 Operation

 All cutting modes (except BlendCut) are


supported by the High Power Cut Support
(HPCS). The HPCS optimizes the start of the
cutting procedure by applying high power to the
tissue to support immediate spark ignition and
reduce the risk of mechanical cutting.

1. Checking the output settings


Confirm that the mode, the output power level and the effect displayed on
the touch-screen correspond with the procedure to be performed.
 If no change is required for the output settings, go to chapter 5.5,
“Output of energy”.
 If the output settings have to be changed, go to step no. 2 below.

2. Choose the power and effect settings


If the touch-screen shows the “All screen”, press on the appropriate button
connected to the output socket which settings shall be changed e.g.
“MONOPOLAR 1 button” (see figure 5.2).
 The display changes from the “All screen” to the “Set screen”.

 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”.

All screen Set screen

Figure 5.2

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Chapter 5 Operation 69

3. Choose the output mode


To change the mode, press the “Mode button” in the “Set screen”, e.g.
“SoftCoag button” (see figure 5.3).
 The display changes from the “Set screen” to the “Mode screen”.
 When the “Mode screen” is displayed, a specific mode can be selected.
 Set a mode by pressing the appropriate button. Pressing the “Off
button” will inactivate the corresponding cut or coagulation function.
Select a mode in accordance with the type of procedure to be
performed and the HF instruments to be used. For the applications / HF
instruments and specific technical features of the different modes refer
to table 5.1, “Overview of all modes”.

Set screen Mode screen

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.

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70 Chapter 5 Operation

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

 If a procedure will be selected from the “Select Procedure screen” and at


least one of the stored procedure settings are out of range of the allowed
Olympus HF instrument settings, a confirmation window according to figure
5.6 will appear. Press the “OK button” to continue. The default instrument
settings will be taken and the display returns to the “All screen”.

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Chapter 5 Operation 71

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

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72 Chapter 5 Operation

Bipolar cut / coagulation mode – SalineCut / SalineCoag


CAUTION

Use an electroconductive physiological saline


solution. Do not use a non-conductive solution
because this cause an error message and output
is disabled.

NOTE

 Saline solution means 0.9 % sodium chloride


irrigation.
 A neutral electrode is not required if performing
a bipolar cutting in a conductive fluid.

Bipolar coagulation mode – RFCoag


CAUTION

 During RFCoag with RCAP mode an automatic


termination of the procedure (indicated by an
intermittent audible signal) only occurs if the
electrode is withdrawn from the tissue or if the
tissue is totally desiccated after a long
treatment time. For that reason it is essential
when using RFCoag with RCAP mode that the
procedure should be stopped by the user on the
basis of the applied energy, the duration of
application and the coagulation progress.
 Before using any bipolar HF instrument which
does not have a cutting function reduce the
power level of the bipolar cutting modes to “--”
(zero) or switch “Off” the cut mode in the “Mode
screen.” Otherwise an unintended activation of
the cut mode (cut pedal is pressed) may cause
HF instrument damage, patient burns,
perforation and bleeding.

NOTE

 If the procedure is not finished after 999


minutes and 59 seconds (“999:59”), the counter
restarts from “00:00.”

 The energy counter changes as follow:


“0.00 kJ”...“9.99 kJ”, “10.0 kJ”...“99.9 kJ”,
“100 kJ”...“999 kJ”. After exceeding an energy
of “999 kJ” the counter changes to “> 1 MJ”
(Mega joules).

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 5 Operation 73

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.

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74 Chapter 5 Operation

Time / energy counter

RCAP button Reset button Time counter Energy counter

Set screen Activation in Set screen with


RFCoag (with RCAP) mode

Figure 5.8

Time counter Energy counter

All screen Activation in All screen with


RFCoag (with RCAP) mode

Figure 5.9

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 5 Operation 75

Overview of all modes


Table 5.1: Application / HF instruments and specific technical features of the
different modes

Mode Mode name Effect Application / Specific technical features


HF instruments
Monopolar PureCut 1, 2, 3 − Cutting of varying tissue − High Power Cut Support
cut structures (HPCS)
− Monopolar cutting − Fast Spark Monitor (FSM)
electrodes, e.g. needle ensures smooth and
electrodes, pencil reproducible cutting in varying
electrodes, loop tissue (e.g. muscle and fat)
electrodes

BlendCut 1, 2, 3 − Cutting of varying tissue − Increased crest factor


structures with
increased coagulation
capabilities
− Monopolar cutting
electrodes, e.g. knife
electrodes, loop
electrodes, pencil
electrodes

PulseCut slow 1, 2, 3 − Intermittent cutting (e.g. − Two pulse timings for


PulseCut fast 1, 2, 3 for endoscopic controlled cutting,
operations) slow = moderate speed, fast =
− Monopolar cutting higher speed
electrodes, e.g. needle − High Power Cut Support
electrodes, snare (HPCS)
electrodes − Fast Spark Monitor (FSM)
ensures smooth and
reproducible cutting in varying
tissue (e.g. muscle and fat)

Monopolar SoftCoag 1, 2, 3 − Coagulation of tissue − Little carbonization and


coagulation with little sticking and adhesion
carbonization
− Monopolar coagulation
electrodes, e.g.
coagulation forceps, ball
electrodes

ForcedCoag 1, 2, 3 − Fast and effective − Spark allows coagulation also


coagulation with relatively small
− Monopolar coagulation electrodes
electrodes, e.g.
coagulation forceps, ball
electrodes

Table 5.1: to be continued

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76 Chapter 5 Operation

Table 5.1: continued

Mode Mode name Effect Application / Specific technical features


HF instruments
SprayCoag 1, 2, 3 − Contact-free surface − Spark allows coagulation also
coagulation with low with relatively small
penetration depth electrodes
− Monopolar coagulation
electrodes, e.g. knife
electrodes, ball
electrodes

PowerCoag 1, 2, 3 − Fast and effective − Spark allows coagulation also


coagulation with with relatively small
increased dissection electrodes
capabilities
− Monopolar coagulation
electrodes, e.g. pencil
electrodes

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

SalineCut 1, 2, 3 − Cutting in conductive − High Power Cut Support


(available only fluid (HPCS)
via the − Bipolar cutting − Automatic detection of
UNIVERSAL electrodes, e.g. loop conductive fluid
socket with electrodes
Olympus HF
instruments)

Bipolar BiSoftCoag 1, 2, 3 − Coagulation of tissue − Little carbonization and


coagulation with little sticking and adhesion
carbonization − Automatic start of procedure
− Bipolar coagulation (Autostart) selectable
electrodes, e.g.
coagulation forceps

AutoCoag 1, 2, 3 − Coagulation of tissue − Little carbonization and


with little sticking and adhesion
carbonization − Automatic end of procedure
− Bipolar coagulation detection
electrodes, e.g.
coagulation forceps

Table 5.1: to be continued

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Chapter 5 Operation 77

Table 5.1: continued

Mode Mode name Effect Application / Specific technical features


HF instruments
SalineCoag 1, 2, 3 − Coagulation in − Automatic detection of
(available only conductive fluid conductive fluid
via the − Bipolar coagulation
UNIVERSAL electrodes, e.g. loop
socket with electrodes, ball
Olympus HF electrodes
instruments)

HardCoag 1, 2, 3 − Controlled tissue − Automatic end of procedure


coagulation detection
− Bipolar coagulation
electrodes, e.g. bipolar
forceps

RFCoag with or − Controlled deep tissue − Automatic end of procedure


without coagulation detection
RCAP − Bipolar coagulation − With Resistance Controlled
electrodes, e.g. bipolar Automatic Power (RCAP)
forceps premature tissue desiccation
is avoided
− Audible feedback

FineCoag 1 − Coagulation of tissue − Little carbonization and


with little sticking and adhesion
carbonization
− Bipolar coagulation
electrodes, e.g. bipolar
forceps

Table 5.1: end

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78 Chapter 5 Operation

Table 5.2: Change of the power level with the resulting tissue effects

Mode Mode name Increasing / decreasing of the Increasing / decreasing of the


effect power level
Monopolar PureCut Results in increase / decreased Results in increased / decreased
cut BlendCut thermal effect. thermal effect and increased /
PulseCut slow decreased cutting capability.
PulseCut fast

Monopolar SoftCoag Results in increased / decreased Results in increased / decreased


coagulation coagulation speed. coagulation depth for short time
application.
Nevertheless, to achieve the full
potential coagulation depth a long
application time with a low power
setting is necessary.

ForcedCoag Results in increased / decreased Results in increased / decreased


SprayCoag coagulation speed. thermal effect.

PowerCoag Results in increased / decreased Results in increased / decreased


coagulation / dissection capability. thermal effect.

Bipolar cut BipolarCut Results in increased / decreased Results in increased / decreased


SalineCut thermal effect. thermal effect and increased /
decreased cutting capability.

Bipolar BiSoftCoag Results in increased / decreased Results in increased / decreased


coagulation AutoCoag coagulation speed. coagulation depth for short time
application.
Nevertheless, to achieve the full
potential coagulation depth a long
application time with a low power
setting is necessary.

SalineCoag Results in increased / decreased Results in increased / decreased


thermal effect. thermal effect.

HardCoag Results in increased / decreased Results in increased / decreased


automatic end of procedure thermal effect.
detection time.

RFCoag N/A Results in increased / decreased


FineCoag coagulation depth for short time
application.
Nevertheless, to achieve the full
potential coagulation depth a long
application time with a low power
setting is necessary.

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Chapter 5 Operation 79

5.5 Output of energy


Activate all cutting modes by pressing the footswitch cut pedal or the
handswitch cut button of the HF instrument. Activate all coagulation modes by
pressing the footswitch coagulation pedal or the handswitch coagulation button
of the HF instrument. The BiSoftCoag mode can be activated also via autostart
function (if assigned, refer to chapter 6.4, “Assign footswitch and autostart
function”).

DANGER

If inadequate output is observed, stop the


procedure immediately. Use the power switch as
emergency stop for malfunctions (e.g. in case the
footswitch or handswitch of the HF instrument
does not react).

WARNING

 If the autostart function is assigned to an output


socket, avoid unintended tissue contact of
electrodes. Otherwise, it may cause user
and / or patient burns.
 Before starting a procedure using a snare,
select a wire diameter which is appropriate for
the size of tissue to be removed and close the
snare loosely to avoid mechanically stress at
the operation site. Otherwise, perforation /
bleeding can occur. Be sure to activate the
output before operating the snare.
 Always use compatible accessories and control
equipment for treatment. Do not use damaged
or used disposable accessories. Electrical injury
hazard due to projecting wire parts and
mechanical injury hazards could result. Pay
attention to the dimensions of the accessories
to prevent unintended injury to the patient.
 When repeatedly using HF instruments
designed for reprocessing, check the HF
instruments for contamination before use and, if
necessary, clean the HF instruments.
Otherwise, this may result in insufficient
treatment effects.
 To prevent patient burns, perforation and
bleeding, be sure that you see the tip of the HF
instrument in the endoscopic image during
activated output in endoscopic procedures.
 Do not bring the tip of the HF instrument close
to a metal clip or other accessories. The tissue
around the metal clip or the HF instrument may
be burned.

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80 Chapter 5 Operation

 If output is not required, keep the foot away


from the pedal and / or the finger away from the
handswitch to prevent accidental pressing.
Otherwise, it may cause user and / or patient
burns.
 When the footswitch or the handswitch of the
HF instrument are not operated and the output
indicator lights or the output tone can be heard,
stop the procedure immediately, switch off the
electrosurgical generator. Otherwise, it may
cause perforation, bleeding and user and / or
patient burns.
 If there is a malfunction at the footswitch or
handswitch of the HF instrument, continuous
output may cause unintended burns, bleeding
and / or perforation of the patient and / or user.
If the output is not active during the procedure,
the HF instrument may cut the tissue
mechanically, cause bleeding and / or
perforation.
 If the output does not stop when the user’s foot
is released from the footswitch pedal or the
user’s finger released from the handswitch of
the HF instrument, immediately switch off the
electrosurgical generator to prevent patient
burns, perforation and bleeding.
 Do not increase the electrosurgical generator’s
output if a function is not working as expected;
doing so could cause patient injury, burns,
bleeding and / or perforation. In this case,
inspect the cord connections, the contact of the
neutral electrode and the settings of the
electrosurgical generator for any abnormalities.
 Ensure to press the correct footswitch pedal or
handswitch button of the HF instrument before
starting the procedure. Otherwise, it may cause
perforation, bleeding and patient burns.

CAUTION

 Patients may feel a neuromuscular stimulus


when a spark discharge from the HF instrument
occurs during activation. The neuromuscular
stimulus is caused by low frequency
components generated during discharging. To
prevent this, minimize the discharge by
selecting a lower effect and power level or by
activating the output when the electrode is in
good contact with the tissue to be cauterized.
However, for certain modes a low output power

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Chapter 5 Operation 81

and effect setting may present an unacceptable


risk for the patient. For example, with the
PulseCut fast mode or PulseCut slow mode, the
risk of an excessive thermal effect rises if the
output power or effect setting is too low.
 Always confirm the power level, effect and
mode on the touch-screen of the electrosurgical
generator before each application. Verify that
the setting of mode, power level and effect is
appropriate for the intended treatment.

NOTE

 Mode, power level and effect settings cannot be


changed while the output is activated.
 Activation of output is only possible if the touch-
screen shows the “All screen” or “Set screen.”
 To avoid patient injury or other damages during
(unintended) activation of the electrosurgical
generator the maximum application time is
limited to 60 seconds (for the HardCoag mode
the limit is 20 seconds). After exceeding the
time limit, an error window (E115) appears, an
alarm signal can be heard and the output is
deactivated. To continue the procedure, release
the footswitch pedal or handswitch button of the
HF instrument and the electrosurgical generator
can be reactivated again. The application time
limit does not apply to RFCoag, FineCoag and
SalineCut mode.
 If the cut and / or coagulation power levels are
set to “--” (zero) and the assigned footswitch
pedal or handswitch button of the HF
instrument is pressed, an alarm signal can be
heard and an error window (E141) appears.

1. Before activating the output


Confirm that the settings as indicated are correct and make sure to use the
intended footswitch pedal only (cut or coagulation). If an HF instrument
with a handswitch is connected, make sure to use the intended handswitch
button only (cut or coagulation). It is only possible to activate a cutting or
coagulation mode when the power and the effect settings are visible on the
touch-screen (“All screen” and the “Set screen”, see figure 5.10).

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82 Chapter 5 Operation

All screen Activation in All screen (e.g.


monopolar SoftCoag mode)

Figure 5.10

2. Activating the output


By pressing the cut pedal or cut handswitch button, cut output will occur.
By pressing the coagulation pedal or coagulation handswitch button,
coagulation output will occur.
 The output is activated as long as the footswitch or the handswitch
button is pressed.
 If the BiSoftCoag mode is selected and the autostart function is
assigned to the corresponding output socket, the output will occur after
a preset autostart delay time (see chapter 6.5, “Menu - Autostart setup”)
when the HF instrument has contact with the tissue.
 During activation an output tone can be heard.
 If the electrosurgical generator was activated from the “All screen”, the
setting area of the corresponding button will change its background
color according to the used mode (see figure 5.10).
 If the electrosurgical generator was activated from the “Set screen”, the
background color will change according to the used mode (see figure
5.11).
 The background color of the activation in “All screen” or “Set screen”
will be blue for all coagulation modes and yellow for all cutting modes.

3. Deactivating the output


The output will stop when the footswitch pedal or the handswitch button is
released. If the autostart function is used, the output will stop when the HF
instrument will be removed from the tissue.

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Set screen Activation in Set screen (e.g.


monopolar SoftCoag mode)

Figure 5.11

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84 Chapter 5 Operation

5.6 Procedure after use


WARNING

Always discard used disposable neutral electrodes


and HF instruments. Reprocessing single use
devices may lead to changes in material
characteristics such as metallic corrosion and
dulled edges, ceramic and plastic deformation or
splitting which may impact the strength of the
device and compromise device performance.
Reprocessing of single use devices can also cause
cross-contamination leading to patient infection.
These risks may potentially affect patient safety.

CAUTION

 When disconnecting plugs of HF instruments or


power cords, always hold the plug. Pulling the
cable may result in damaging of the wires.
 For disposal of the neutral electrode and used
HF instruments or the cleaning of reusable
accessories refer to the instruction manual of
these products.

1. Switch off the electrosurgical generator


Press the power switch to turn off the electrosurgical generator.
 The illumination of the power switch is off.
 The touch-screen is off.
 The illumination of the push buttons is off.
 The contact quality monitor indicator for split or non-split neutral
electrodes is off.

2. Disconnecting the accessories


Disconnect all bipolar or monopolar HF instruments from the
electrosurgical generator and the patient. Disconnect the neutral electrode
plug from the neutral electrode socket on the front panel and remove the
neutral electrode from the patient.

3. Disconnecting the power cord


If the electrosurgical generator is not used for a longer time period,
disconnect the power cord plug from the grounded wall outlet.

4. Cleaning and storage


Clean and store the electrosurgical generator by following the instructions
in chapter 7, “Care, Storage and Disposal”.

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Chapter 6 Push Button Functions 85

Chapter 6 Push Button Functions


The electrosurgical generator is equipped with a user friendly touch-screen that
allows the operator to select and modify various settings. Furthermore, push
buttons right from the touch-screen provide a fast access to frequently used
functions. This chapter describes all available functions of the electrosurgical
generator.

6.1 Function list


The table below gives a short summary about the available functions of the
push buttons and the related screens.

Functions Contents
Select Procedure Selection of previously saved preferred settings

Footswitch Assignment of footswitch and autostart function

Menu Save Procedure Saving / overwriting of output settings

Delete Procedure Deleting of previously saved settings

Select Language
Languages Available languages: English, Japanese, German, Chinese,
French, Italian, Spanish and Portuguese.

Activating / deactivating an audible feedback when a touch-


Touch Tone
screen button is pressed

Autostart Change of time delay before output in autostart mode

Software Version Shows information about the installed software version

Open / close of the output relays (required for a periodic


Safety Test
safety check)

Access to the “Service screen” for the technical service


Service
(password protected)

Output Volume Control Increase / decrease of the output volume

Brightness Control Increase / decrease of the brightness of the touch-screen

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86 Chapter 6 Push Button Functions

6.2 Push button hierarchy list


The push buttons allow an immediate access to the “Select Procedure screen”,
“Assign Footswitch screen” and “Select Menu screen”. Refer to the next
chapters for a detailed description.

Push buttons

Select Procedure screen

Assign Footswitch screen

Touch-screen

Select Menu screen

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Chapter 6 Push Button Functions 87

6.3 Select procedure


The “SELECT PROCEDURE” function recalls one of the settings saved in
memory.

1. Initiating the SELECT PROCEDURE function


Press the “SELECT PROCEDURE push button” (see figure 6.1).
 The display changes to the “Select Procedure screen”.
 The list of procedures saved in memory is displayed.
 If a procedure has already been selected, this is indicated by a gray
button.
 If no procedure has been saved, a “No procedure saved” message is
displayed.
To cancel the operation, press the “Return button” (see figure 6.1). The
screen returns to the “All screen” or “Set 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

Select Procedure screen

Figure 6.1

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88 Chapter 6 Push Button Functions

Example: When “Lap. Colectomy“ Procedure name


is selected

Select Procedure screen All screen

Figure 6.2

6.4 Assign footswitch and autostart function


The “FOOTSWITCH” function enables the assignment of a double and a single
pedal footswitch to appropriate output sockets. Furthermore, the “Autostart”
function can be assigned to an output socket as well. The autostart function
permits automatic activation of the output power as soon as both electrodes
touch the tissue and if the impedance is in a defined range.

NOTE

 The time delay for the autostart function can be


changed within the “Select Menu screen” under
“Autostart Setup button” (see chapter 6.5,
“Menu - Autostart setup”).
 The autostart function can only be used for the
BIPOLAR and UNIVERSAL socket in
conjunction with the BiSoftCoag mode.
 The autostart function cannot be assigned to
the UNIVERSAL socket before an instrument is
connected.
 If the autostart function has been selected and
the set power level is above 50, it will be
reduced automatically to 50.
 The activation of the cut or coagulation output
via a handswitch is also possible even if the
autostart function is assigned.
 If a footswitch is not connected properly, the
corresponding buttons are grayed out and an
assignment of the footswitch is not possible.

1. Initiating the FOOTSWITCH function


Press the “FOOTSWITCH push button” (see figure 6.3).
 The display changes to the “Assign Footswitch screen”.

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Chapter 6 Push Button Functions 89

 All output sockets with available assignments of double, single pedal


footswitches or autostart function are displayed.
 Only one assignment per output socket can be selected.

2. Confirming the assignment


Press a button to assign the appropriate footswitch or autostart function to
an output socket. Repeat this step for further assignment to other sockets if
needed.
To confirm the operation, press the “Return button” (see figure 6.3). The
screen changes to the “All screen” or “Set screen”.

FOOT
SWITCH

Assign Footswitch screen

Figure 6.3

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90 Chapter 6 Push Button Functions

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

Select Menu screen

Figure 6.4

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Chapter 6 Push Button Functions 91

Save procedure: Saving / overwriting of output settings


The “Save Procedure” function saves the output settings displayed on the
touch-screen for up to 39 different procedures. New procedures / settings can
be saved and existing settings can be overwritten from this menu.

Saving a new procedure

1. Select Menu screen


After pressing the “MENU push button”, press the “Save Procedure button”
on the “Select Menu screen” (see figure 6.5).
The screen changes from the “Select Menu screen” to the “Save
Procedure screen” (see figure 6.5).

2. Save Procedure screen


Press the “New Procedure button” (see figure 6.5).
The “Save Procedure screen” changes to the “Keyboard screen
(uppercase)” (see figure 6.6).

Select Menu screen Save Procedure screen

Figure 6.5

3. Enter the procedure name (in alphanumeric characters)


Enter the name of the procedure.
 Enter the procedure name using the alphanumeric characters.
Switching between alphabetic / numeric characters
Press either the “Alphabetic button” or “Numeric button” to switch
between the “Keyboard screen (uppercase / lowercase)” and “Keyboard
screen (numeric)” (see figure 6.6).
Switching between uppercase / lowercase characters
Press the “Uppercase / lowercase button” to switch between the
“Keyboard screen (uppercase)” and “Keyboard screen (lowercase)”
(see figure 6.7).

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92 Chapter 6 Push Button Functions

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

Keyboard screen (uppercase) Keyboard screen (numeric)

Figure 6.6

Uppercase / lowercase button Backspace button

Keyboard screen (uppercase) Keyboard screen (lowercase)

Figure 6.7

4. Saving the procedure name


Once the desired procedure name has been entered, press the “OK
button” (see figure 6.8).
 An information window will appear for a few seconds confirming the
procedure is being saved.
 After the information window disappears, the “All screen” will be
displayed.

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Chapter 6 Push Button Functions 93

Information
window

Keyboard screen (e.g. uppercase) All screen

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

Confirmation window All screen

Figure 6.9

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94 Chapter 6 Push Button Functions

5. Cancellation of saving a procedure name


If a procedure should not be saved, press the “Cancel button”.
 The display returns to the “Save Procedure screen” (see figure 6.10).
 Press the “Cancel button” on the “Save Procedure screen” and the
display returns to the “Select Menu screen” (see figure 6.11).

Keyboard screen (e.g. uppercase) Save Procedure screen

Figure 6.10

Save Procedure screen Select Menu screen

Figure 6.11

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Chapter 6 Push Button Functions 95

Overwriting an existing procedure

1. Select Menu screen


After pressing the “MENU push button”, press the “Save Procedure button”
on the “Select Menu screen” (see figure 6.12).
The screen changes from the “Select Menu screen” to the “Save
Procedure screen” (see figure 6.12).

2. Save Procedure screen


Use the “Previous button” / “Next button” to switch to the screen where the
procedure to be overwritten is displayed. Press the button of the procedure
to be overwritten (see figure 6.12).
A confirmation window will appear and ask to overwrite the procedure.

Select Menu screen Save Procedure screen

Figure 6.12

3. Confirming the procedure name


If the procedure name to be overwritten is correct, press the “OK button”
(see figure 6.13).
 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 is selected by mistake, press the “Cancel
button”.
 The confirmation window disappears and the “Save Procedure screen”
is displayed.
 Select the correct procedure to be overwritten and proceed as
described above.

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96 Chapter 6 Push Button Functions

Information
window

Confirmation window All screen

Figure 6.13

Delete procedure: Deleting a procedure


1. Select Menu screen
After pressing the “MENU push button”, press the “Delete Procedure
button” on the “Select Menu screen” (see figure 6.14).
The screen changes from the “Select Menu screen” to the “Delete
Procedure screen” (see figure 6.14).

2. Delete Procedure screen


Use the “Previous button” / “Next button” to switch to the screen where the
procedure to be deleted is displayed. Press the button of the procedure to
be deleted (see figure 6.14).
A confirmation window will appear and ask to delete the procedure.

Select Menu screen Delete Procedure screen

Figure 6.14

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Chapter 6 Push Button Functions 97

3. Confirming the procedure name


If the procedure name to be deleted is correct, press the “OK button” (see
figure 6.15).
 An information window will appear for a few seconds confirming the
procedure is being deleted.
 After the information window disappears, the “Select Menu screen” will
be displayed.
If an incorrect procedure name is selected by mistake, press the “Cancel
button”.
 The confirmation window disappears and the “Delete Procedure screen”
is displayed.
 Select the correct procedure to be deleted and proceed as described
above.

Information
window

Confirmation window Select Menu screen

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).

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98 Chapter 6 Push Button Functions

Select Menu screen Select Language screen

Figure 6.16

2. Select Languages screen


Press the desired “Language button” (see figure 6.17).
 The “Select Language screen” is displayed, in which the currently
selected “Language button” is highlighted.
 After pressing the desired “Language button”, the confirmation window
 is displayed.

Select Language screen Confirmation window


Select Menu screen Select Language screen

Figure 6.17

3. Changing the language


When the selected language is correct, press the “OK button” on the
bottom
right of the screen (see Figure 6.24).
• The language is changed to the selected language.
• After the confirmation window disappears, the “Select Menu screen” is
displayed.

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Chapter 6 Push Button Functions 99

If the incorrect language is selected in error, press the “Cancel button”.


• The confirmation window disappears and the “Select Language screen”
is displayed.
• Select the correct language.

Confirmation window Select Menu screen

Figure 6.18

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100 Chapter 6 Push Button Functions

Touch tone
This function activates / deactivates an audible feedback tone when a touch-
screen button is pressed.

1. Select Menu screen


After pressing the “MENU push button”, press the “Touch Tone button” on
the “Select Menu screen” (see figure 6.19).
The screen changes from the “Select Menu screen” to the “Touch Tone
screen” (see figure 6.19).

Menu screen Touch Tone screen

Figure 6.19

2. Touch Tone screen


Press either the “On button” or the “Off button” (see figure 6.19).
 Selecting the “On button” enables the touch tone.
 Selecting the “Off button” disables the touch tone.
 The default setting is a disabled touch tone (“Off button” is in gray color).

3. Saving the touch tone setting


Press the “OK button” to save the current setting (see figure 6.19).
The display returns to the “Select Menu screen”.

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Chapter 6 Push Button Functions 101

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”).

1. Select Menu screen


After pressing the “MENU push button”, press the “Next button” on the
“Select Menu screen” (see figure 6.20).
The “Select Menu screen” switches to the next page.
Press the “Autostart Setup button” on the “Select Menu screen”.
The screen changes from the “Select Menu screen” to the “Autostart
Setup screen” (see figure 6.21).

Select Menu screen

Figure 6.20

2. Autostart Setup screen


Press the “Plus button” or “Minus button” (see figure 6.21).
 The “Plus button” increases the time delay (in seconds).
 The “Minus button” decreases the time delay (in seconds).
 The time delay range is from 0.0 to 9.9 seconds.
 The default setting is 1.0 second.

3. Saving the autostart setting


Press the “OK button” to save the current setting (see figure 6.21).
The display returns to the “Select Menu screen”.

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102 Chapter 6 Push Button Functions

Select Menu screen Autostart Setup screen

Figure 6.21

Software version
This function displays the current installed software version of the
electrosurgical generator.

1. Select Menu screen


After pressing the “MENU push button”, press the “Next button” on the
“Select Menu screen” (see figure 6.22).
The “Select Menu screen” switches to the next page.
Press the “Software Version button” on the “Select Menu screen”.
The screen changes from the “Select Menu screen” to the “Software
Version screen” (see figure 6.23).

Select Menu screen

Figure 6.22

2. Software Version screen


The current installed software version of the electrosurgical generator is
displayed on the screen. Press the “OK button” (see figure 6.23).
The display returns to the “Select Menu screen”.

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Chapter 6 Push Button Functions 103

Select Menu screen Software Version screen

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

If the “Relays On button” will be pressed, the


electrosurgical generator remains in this mode until
the “Relays Off button” or “Cancel button” has
been pressed again. This enables a measurement
required by the periodic safety check.

1. Select Menu screen


After pressing the “MENU push button”, press the “Next button” on the
“Select Menu screen” (see figure 6.24).
The “Select Menu screen” switches to the next page.
Press the “Safety Test button” on the “Select Menu screen”.
The screen changes from the “Select Menu screen” to the “Safety Test
screen” (see figure 6.25).

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104 Chapter 6 Push Button Functions

Select Menu screen

Figure 6.24

2. Safety Test screen


Press either the “Relays On button” or the “Relays Off button” (see figure
6.25).
 Selecting the “Relays On button” closes the relays.
 Selecting the “Relays Off button” opens the relays.
 The default setting is opened relays (“Relays Off button” is in gray color).

3. Return to normal operation


Press the “Cancel button” to return to the normal operation of the
electrosurgical generator (see figure 6.25).
The display returns either to the “Select Menu screen” or to the “All
screen”.

Select Menu screen Safety Test screen

Figure 6.25

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Chapter 6 Push Button Functions 105

Service
This function can be accessed by Olympus staff and service technician only. It
is password protected and not intended for customer use.

Output volume control


This function controls the volume of the output tone.

WARNING

Because the output tones play an important role of


noticing the output, do not lower the volume to an
inaudible level. If the output tone is inaudible,
output may not be detected by the user. This could
cause patient injury.

NOTE

 The volume can be controlled either on the


touch-screen or using the volume control on the
rear panel of the electrosurgical generator.
 The volume control on the touch-screen is not
available during output.
 To control the volume during output, use the
volume control on the rear panel of the
electrosurgical generator.
 The volume of the error tones (low, medium
and high priority errors) are not adjustable.
Refer to chapter 8, “Troubleshooting” for error
information and to “Alarm information” and
“Tone information” in the Appendix.
After pressing the “MENU push button”, press the “Plus button” or “Minus
button” in the “Volume” section of the “Select Menu screen” (see figure
6.26).

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106 Chapter 6 Push Button Functions

Common area

Select Menu screen

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.

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Chapter 6 Push Button Functions 107

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

Select Menu screen

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.

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108 Chapter 7 Care, Storage and Disposal

Chapter 7 Care, Storage and Disposal


7.1 Care
WARNING

 After cleaning the electrosurgical generator, dry


it thoroughly before storage or using it again. If
it is used while still wet, there is a risk of electric
shock.
 Tissue debris and reprocessing chemicals are
hazardous. During cleaning and disinfection,
always wear appropriate personal protective
equipment, such as eye wear, face mask,
moisture-resistant clothing and surgical gloves
that fit properly so that your skin is not exposed.
Always remove contaminated protective
clothing before leaving the reprocessing area.

CAUTION

 Never immerse the electrosurgical generator in


water, clean or disinfect by immersion, gas
sterilization or autoclaving. It may cause
equipment damage.
 Do not clean the output sockets or the AC
power socket, the footswitch sockets or the
LINK-IN / LINK-OUT sockets. Cleaning them
can deform or corrode the contacts, which
could damage the electrosurgical generator.
 Do not wipe the external surface with hard or
abrasive wiping material. The surface will be
scratched.
After each use, perform the following cleaning procedures immediately. If
cleaning is delayed, debris encrustation may become a source of infection.
Encrustation may also result in malfunction of the electrosurgical generator. For
maintenance and storage of other items than those described below, refer to
the respective instruction manual.

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.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 7 Care, Storage and Disposal 109

2. Disconnecting the accessories


Disconnect the accessories, footswitches and cables from the
electrosurgical generator.
3. Disconnecting the power cord
Disconnect the power cord from the grounded wall outlet.
4. Cleaning
To remove dust, dirt and non-patient debris, wipe the electrosurgical
generator (including the touch-screen) and footswitch using a soft, lint-free
cloth moistened with 70 % ethyl or isopropyl alcohol.
If the equipment and / or accessories are contaminated with blood or other
potentially infectious materials, first wipe off all gross debris using neutral
detergent, and then wipe its surface with a lint-free cloth moistened with a
surface disinfectant.
5. Drying
After wiping with disinfecting alcohol, be sure to dry the electrosurgical
generator completely prior to use.

7.2 Storage
CAUTION

 Do not store the electrosurgical generator in a


location exposed to direct sunlight, x-rays,
radioactivity, liquids or strong electromagnetic
radiation (e.g. near microwave medical
treatment equipment, short-wave medical
treatment equipment, magnetic resonance
imaging equipment, radio or mobile phones).
Damage to the electrosurgical generator may
result.
 Do not subject the electrosurgical generator to
strong impacts during storage. Doing so will
damage the electrosurgical generator.

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.

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110 Chapter 7 Care, Storage and Disposal

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.

Waste electrical and electronic equipment


In accordance with European Directive 2002/96/EC on Waste Electrical and
Electronic Equipment (WEEE), the product must not be disposed of as unsorted
municipal waste, but should be collected separately.
Refer to Olympus or your distributor for return and / or collection systems
available in your country.

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Chapter 8 Troubleshooting 111

Chapter 8 Troubleshooting
CAUTION

Repairs must only be carried out by Olympus or a


firm authorized by Olympus.

1. If the electrosurgical generator does not functioning properly, immediately


stop the procedure.
2. Check if any error window is displayed.
3. If an error window is displayed, use the information in section “What to do
when an error code is displayed” of chapter 8.2, “Error screen, codes and
measures” to identify and correct the malfunction.
4. If no error window is displayed, use the information in section “What to do
when no error code is displayed” of chapter 8.2, “Error screen, codes and
measures” to identify and correct the malfunction.
5. If the problem cannot be resolved by the above described remedial action,
stop using the electrosurgical generator and contact Olympus for repair.

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112 Chapter 8 Troubleshooting

8.1 Neutral electrode operation


Check the following table, to identify or correct failures regarding the neutral
electrode operation.

Contact quality monitor Mode Indication


Bipolar application Standby and activation

A neutral electrode is not


required. Contact quality monitor
indicator for split neutral
electrode illuminates red.

Monopolar application A non-split neutral electrode is


connected. Activation is possible.
Contact quality monitor detects
connection of neutral electrode. Contact quality monitor indicator
If a split neutral electrode is for non-split neutral electrode
connected, it has a short circuit. illuminates green.
Immediately replace the neutral
electrode!

A split neutral electrode is


connected. Activation is possible.
Contact quality monitor detects
connection of neutral electrode and Contact quality monitor indicator
contact to patients’ skin. for split neutral electrode
illuminates green.

During standby: A split or a non-


split neutral electrode is not
connected or a split neutral
electrode detaches. Activation is Contact quality monitor indicator
disabled. for split neutral electrode
During activation: A split or a non- illuminates red.
split neutral electrode has During activation an alarm signal
disconnected or a split neutral can be heard and the touch-
electrode detaches. The activation screen will display an error
is stopped. window (E202).

Legend: Red illumination of the indicator

Green illumination of the indicator

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 8 Troubleshooting 113

8.2 Error screen, codes and measures


Follow the troubleshooting advices in this chapter, to identify or correct failures.
The error window is configured as shown in figure 8.1.

Error code Caution symbol Error title

Remedial actions

Error window
(Example: E002 Short circuit)

Figure 8.1

If an error occurs (see figure 8.1):


 An error window will appear and an alarm signal is audible.
 A short message with the error code, error title and a description of the
remedial action will be displayed.
 The error code consists of an error number shown under the “caution”
symbol.
 Depending on the error priority, the condition of the audible signal and the
“caution” symbol are different (see table 8.1).
 Proceed with the described remedial action.
 The error window disappears after a few seconds, if the error is cleared.
 If the error window is still displayed, the error is not cleared. Proceed with
the next remedial action if available.

Table 8.1: Error priorities and the corresponding indicator symbol condition

Error category Error condition priority Indicator (“caution”)


symbol condition

High priority Immediate user response Flashes in red color


is required

Medium priority Prompt user response Flashes in yellow color


is required

Low priority Awareness of the user Constant on in yellow


is required color

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114 Chapter 8 Troubleshooting

NOTE

The electrosurgical generator is equipped with an


intelligent alarm system which determines alarm
conditions on the base of multiple variables.
Depending on the risk potential, alarms are
classified in “high priority”, “medium priority” and
“low priority” alarms. An alarm of higher priority
overrides an existing alarm of lower priority. If more
than one alarm situation of equal priority is
determined, the one that occurred first is displayed
only. This electrosurgical generator complies with
the IEC 60601-1-8: 2006.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 8 Troubleshooting 115

What to do when no error code is displayed


Perform the indicated remedial actions below. If the problem cannot be resolved
by the described remedial action, contact Olympus.

Situation Possible cause Remedial action


The electrosurgical Improper connection of the power Check the power cord and the
generator does not cord to the AC power socket on the grounded wall outlet for correct
respond after rear panel of the electrosurgical connection.
pressing the power generator or to the grounded wall
switch. outlet.

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.

Malfunction of the electrosurgical Contact Olympus.


generator.

The touch-screen Malfunction of the touch-screen. Contact Olympus.


remains dark after
switching the
electrosurgical
generator on
(sound is audible
after switching on).

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.

Malfunction of the touch-screen. Stop using the electrosurgical


generator and press the power switch
to turn off the electrosurgical
generator. Contact Olympus.

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.

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116 Chapter 8 Troubleshooting

Situation Possible cause Remedial action


No sound is audible The volume is set to an inaudible Increase the volume either on the
during activation. level (e.g. due to high environmental touch-screen within the “Menu screen”
noise). or use the volume control on the rear
panel of the electrosurgical generator.

Malfunction of the electrosurgical Stop using the electrosurgical


generator. generator and press the power switch
to turn off the electrosurgical
generator. Contact Olympus.

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 incorrect footswitch pedal or Press the correct footswitch pedal or


handswitch button is pressed. handswitch button of the HF
instrument.

The electrosurgical generator is not Switch on the electrosurgical generator


switched on. with the power switch.

Another footswitch pedal or To activate the intended output,


handswitch button of the HF release the current pressed footswitch
instrument is pressed. pedal or handswitch button of the HF
instrument.

The output is activated by the If the output of the peripheral


peripheral equipment. equipment is activated, the output of
the electrosurgical generator cannot be
activated simultaneously. Stop using
the peripheral equipment.

A window is displayed on the touch- Press the “OK button” or “Cancel


screen. button” to close the window or wait
until the window disappears
automatically after a few seconds.

The “All screen” or “Set screen is not Return to the “All screen” or “Set
displayed on the touch-screen. screen”.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 8 Troubleshooting 117

Situation Possible cause Remedial action


The corresponding output mode has Select an output mode in the “Mode
been deactivated in the “Mode screen” or increase the power level via
screen” (“Off” is displayed) or the the “Set screen” (refer to chapter 5.4,
power level has been set to “--“. “Output setting”).

Malfunction of the electrosurgical Contact Olympus.


generator.

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.

If an HF instrument Improper connection of the Olympus Check the Olympus HF instrument


is connected to the HF instrument plug with the plug for correct connection.
UNIVERSAL socket, UNIVERSAL socket on the front
the electrosurgical panel of the electrosurgical
generator does not generator.
recognize the
The HF instrument does not support Confirm the use of an Olympus HF
connected HF
Olympus HF instrument recognition. instrument with HF instrument
instrument.
recognition capabilities.

The Olympus HF instrument and / or Replace the Olympus HF instrument


the connection cable is damaged. and / or the connection cable.

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.

Malfunction of the electrosurgical Contact Olympus.


generator.

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118 Chapter 8 Troubleshooting

Situation Possible cause Remedial action


No output power is The electrode has no contact with the Check that the electrode has contact
delivered when tissue. with the tissue.
RFCoag mode with
Improper connection of the HF Check the HF instrument plug for
or without RCAP is
instrument plug with the output correct connection.
selected and end of
socket on the front panel of the
activation signal is
electrosurgical generator.
audible.
Damaged HF instrument connection Replace the HF instrument connection
cable. cable.

Malfunction of the electrosurgical Contact Olympus.


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.

Malfunction of the electrosurgical Contact Olympus.


generator.

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)”.

The connection of the communication Reconnect the communication cable.


cable is erroneous. Refer to Section 3.5, “Automatic mist &
smoke evacuation system/function
(when using the compatible high flow
insufflation unit)”.

Compatible high flow insufflation unit Contact Olympus.


malfunction.

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Chapter 8 Troubleshooting 119

What to do when an error code is displayed


If an error code is displayed, perform the indicated remedial actions below. If
the problem cannot be resolved by the described remedial action, contact
Olympus.

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.

E002 Short circuit


1. Ensure the instrument Electrodes of the HF Ensure that the electrodes of the
electrodes do not come into instrument may touch each HF instrument do not touch each
contact with each other. other. other.
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.

E006 Non-conductive fluid


1. Ensure conductive fluid Use of non-conductive fluid Ensure that conductive fluid is
is used for bipolar during a bipolar cutting used during bipolar resection
resection. procedure. procedure.
The active and / or neutral Always immerse the active
electrode is within an air and / or neutral electrode within
environment. the conductive fluid.

The bipolar Olympus HF Check the connection of the


instrument has not been bipolar Olympus HF instrument
properly connected to the to the connection cable and the
UNIVERSAL socket or connection of the connection
damaged connection cable. cable to the UNIVERSAL socket
and / or replace the connection
cable.

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.

Malfunction of the If the problem persists, contact


electrosurgical generator. Olympus.

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120 Chapter 8 Troubleshooting

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.

E103 Push button pressed


1. Release the push button A push button is pressed Release the push button.
to continue. while switching on.
2. If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.

E104 Footswitch pedal pressed


… 1. Release the footswitch The footswitch pedal is Release the footswitch pedal.
E107 pedal to continue. pressed while switching on.
2. If the problem persists, Malfunction of the Replace the footswitch.
contact Olympus. footswitch.

Malfunction of the If the problem persists, contact


electrosurgical generator. Olympus.

E108 Handswitch pressed


… 1. Release the handswitch The handswitch of the HF Release the handswitch of the
E113 of the instrument to instrument is pressed while HF instrument.
continue. switching on.
2. If the problem persists, Malfunction of the HF Replace the HF instrument.
contact Olympus. instrument.

Malfunction of the If the problem persists, contact


electrosurgical generator. Olympus.

E114 Touch-screen pressed


1. Do not touch the screen. The screen is touched Release the finger from the
while switching on. screen.
2. If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.

E115 Application time limit


exceeded
1. Release the footswitch or The maximum time limit for Release the footswitch or
handswitch and reactivate the application has been handswitch and activate again
to continue. exceeded. by repressing the footswitch or
handswitch.

2. If the problem persists, Malfunction of the If the problem persists, contact


contact Olympus. electrosurgical generator. Olympus.

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Chapter 8 Troubleshooting 121

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.

E136 Double pedal footswitch


not assigned
1. Assign the double pedal The double pedal Assign the double pedal
footswitch to the footswitch has not assigned footswitch via the “Assign
designated output socket. to 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.

E140 No mode selected


1. Select a mode. No mode has been Select a mode via the “Mode
selected while activating. screen” (refer to chapter 5.4,
“Output setting”).
2. If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.

E141 Power set to zero (--)


1. Set a valid power level. The power level for the Increase the power level via the
chosen mode is set to zero. “Set screen” (refer to chapter
5.4, “Output setting”).
2. If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.

E131 Unknown instrument


E147 1. Reconnect the An Olympus HF instrument Check the connection of the
… instrument to the has not been properly Olympus HF instrument to the
E149 UNIVERSAL socket. connected to the UNIVERSAL socket.
E151 UNIVERSAL socket.

E154 2. If the problem persists, Malfunction of the HF Replace the HF instrument
E159 replace the instrument. instrument and / or the and / or the connection cable.
E166 connection cable.
E167 3. If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.

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122 Chapter 8 Troubleshooting

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.

E180 Temperature above limit


E182 1. Switch off the ESG-400 The maximum temperature Switch off the electrosurgical
E397 and wait until it has cooled has been exceeded. generator and wait until it has
E399 down. cooled down or reached the
specified operating 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.

E187 Increased HF leakage


current
1. Check if an instrument, The high frequency leakage Check if the electrosurgical
the neutral electrode or current has exceeded the generator or the patient is
patient is unintentionally limit of 150 mA for grounded unintentionally.
grounded. monopolar application or
100 mA for bipolar
application.
2. If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.

E188 Excessive HF leakage


current
1. Check if an instrument, The high frequency leakage Check if the electrosurgical
the neutral electrode or current has exceeded the generator or the patient is
patient is unintentionally limit of 300 mA for grounded unintentionally.
grounded. monopolar application or
200 mA for bipolar
application.
2. If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 8 Troubleshooting 123

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.

3. If the problem persists, Malfunction of the If the problem persists, contact


contact Olympus. electrosurgical generator. Olympus.

E214 Low battery


If the problem persists, Malfunction of the If the problem persists, contact
contact Olympus. electrosurgical generator. Olympus.

E390 Communication error


E394 1. Check all communication Improper connection of the Check the connection of the
E409 cables are connected communication cables to communication cables to the
E411 correctly. the LINK-OUT / LINK-IN electrosurgical generator
E490 socket on the rear panel of and / or to the peripheral
E515 the electrosurgical equipment for correct
E516 generator or to the connection.
peripheral equipment.
2. Check all cables for Malfunction or damage of Check the cables for damages
damage. If necessary, the communication cables. and, if necessary, replace the
replace the cables. cables.

3. If the problem persists, Malfunction of the Contact Olympus.


contact Olympus. electrosurgical generator.

E438 Procedure data error


1. One or more procedures One or more saved Press the “OK button” to close
have been deleted. procedures have been the error window and to
Press OK to continue. deleted. continue.

2. If the problem persists, Malfunction of the Contact Olympus.


contact Olympus. electrosurgical generator.

E441 Device setting error


Device settings have been All settings of the The electrosurgical generator is
set to default. electrosurgical generator ready to use after the error
have been set to default. window disappeared.
If the problem persists, Malfunction of the Contact Olympus.
contact Olympus. electrosurgical generator.

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124 Chapter 8 Troubleshooting

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.

3. If the problem persists, Malfunction of the If the problem persists, contact


contact Olympus. electrosurgical generator. Olympus.

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.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Chapter 8 Troubleshooting 125

8.3 Periodic safety check


The electrosurgical generator and the footswitch must undergo a periodic safety
check in yearly intervals in accordance with the national statutory regulations.
Preventive maintenance (inspection / periodic safety check) must only be
carried out by a qualified person / technician.

8.4 Returning the electrosurgical generator for repair


CAUTION

 Before returning the electrosurgical generator


for repair, disinfect it as described in chapter 7,
“Care, Storage and Disposal”. Otherwise cross-
contamination of the surrounding environment
may result.
 Olympus will not assume any liabilities for
human injuries or equipment damage caused
as a result of servicing or repairs by a person
other than the Olympus qualified service
personnel.
When returning the electrosurgical generator for repair, contact Olympus. With
the electrosurgical generator, include a description of the malfunction or
damage and the name and the telephone number of a contact person.
Repairs must only be carried out by Olympus or a firm authorized by Olympus.
Service documents such as circuit diagrams, parts lists, equipment descriptions
and setting instructions are available from Olympus for technicians who are
authorized to carry out maintenance and repair.

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


126 Appendix

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

If combinations of equipment other than those


shown below are used, the full responsibility is
assumed by the medical treatment facility.

Electrosurgical
generator
(ESG-400)

Bipolar / Monopolar
instruments

Neutral electrode Docking Fixture Communication cable


Communication 10 m (MAJ-1872)
with cord (MAJ-1876)
cable 0.25 m
(MAJ-1871) Communication cable
0.25 m (MAJ-1871)
„P-cord“
(MAJ-814)
Energy Cart
Neutral electrode (TC-E400)
without cord
Ultrasonic Generator
(USG-400) Adaptor for UHI-2/3
(MAJ-1873)

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)

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 127

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]

Monopolar PureCut N/A 180 10 300 2 3 500 740 Continuous


cut sinusoidal
alternating
current

Blend 3.0…4.5 150 10 200 2 3 500 1400 Modulated (15


Cut kHz) sinusoidal
alternating
current

Pulse N/A 80 20 150 2 3 500 800 Intermittent


Cut slow sinusoidal
Pulse alternating
Cut fast current
PulseCut slow:
t1 = 800 ms
pulse delay time
(see figure 9.1)
PulseCut fast:
t1 = 550 ms
pulse delay time
(see figure 9.1)

Monopolar Soft N/A 80 5 200 2 3 50 220 Continuous


coagulation Coag sinusoidal
alternating
current

Forced 5.0…6.5 80 5 120 2 3 500 2000 Modulated (15


Coag kHz) sinusoidal
alternating
current

Spray 7.5…9.0 60 5 120 2 3 500 4300 Modulated (15


Coag kHz) sinusoidal
alternating
current

Power 4.0…6.0 120 5 120 2 3 500 2500 Modulated (15


Coag kHz) sinusoidal
alternating
current

Bipolar cut Bipolar N/A 40 5 100 2 3 500 700 Continuous


Cut sinusoidal
alternating
current

Saline N/A 200 10 320 2 3 75 700 Continuous


Cut sinusoidal
alternating
current

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


128 Appendix

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

Auto N/A 50 1 120 2 3 75 220 Continuous


Coag sinusoidal
alternating
current

Saline N/A 120 10 200 2 3 75 230 Continuous


Coag sinusoidal
alternating
current

Hard N/A 50 1 120 2 3 25 220 Continuous


Coag sinusoidal
alternating
current

RFCoag N/A 30 1 50 w/o w/ 75 220 Continuous


RCAP RCAP sinusoidal
alternating
current

Fine N/A 40 1 40 1 1 50 220 Continuous


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.

Example: High Power Cut Support during PulseCut fast / slow


(t1 is the pulse delay time)

P
HPCS

Spark Spark
CUT

C O AG

t1 time

Figure 9.1

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 129

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.

Full output power setting

Effect 3

Effect 2

Effect 1

Half output power setting

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.

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


130 Appendix

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

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 131

Monopolar BlendCut

250

200

Power [W]
150

100

50

0
10 100 1000 10000
Load [Ohm]

200

Load = 500 Ohm


150
Power output [W]

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

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


132 Appendix

Monopolar PulseCut slow / fast

160

140

120

100
Power [W]
80

60

40
During „cut phase“
20

0
10 100 1000 10000
Load [Ohm]

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 133

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

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


134 Appendix

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

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 135

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

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


136 Appendix

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

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 137

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

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


138 Appendix

Bipolar SalineCut

350

300
During „cut phase“
250

Power [W] 200

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

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 139

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

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


140 Appendix

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

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 141

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

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


142 Appendix

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

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 143

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

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


144 Appendix

Bipolar RFCoag (w/o RCAP)

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

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 145

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

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


146 Appendix

220
200
180

High frequency voltage [Vp]


160
140
120
100
80
60
40
20
0
0 10 20 30 40
Power level

Transportation, storage and operating environment


Operation Temperature + 10…+ 40°C
environment (+ 50…+ 104°F)

Relative humidity 30…85%, non-condensing

Atmospheric pressure 70…106 kPa

Transportation Temperature - 25…+ 60°C


and storage (- 13…+ 140°F)
environment
Relative humidity 10…85%, non-condensing

Atmospheric pressure 50…106 kPa

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 147

Specifications
Electrosurgical generator ESG-400

Power supply Voltage range 100…120 V~ / 220…240 V~

Frequency 50 / 60 Hz

Maximum input power 1500 VA

Power fuse 10 A (only FST-series from


Schurter)

Power connection line IEC 60320-1 / C13


Maximum length: 4.5 m

Terminal for potential Yes


equalization

Size, weight and Width x Depth x Height 370 × 465 × 156 mm


packaging
Volume 25752 cm³

Weight of generator 12.5 kg

Weight of packaging 2.3 kg

Type of packaging Cardboard and expanded


polypropylene material

Classification Protection class CF, Class I


according to IEC 60601-1

Classification according IIb


to MDD 93/42/EEC

Output High frequency functions Monopolar / Bipolar

High frequency 430 kHz ±20%

Maximum high frequency


320 W
power

All modes 25% duty cycle


(e.g. 10 s activated / 30 s
deactivated)

RFCoag (with or without 100% duty cycle


RCAP)

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


148 Appendix

Sockets MONOPOLAR 1 3-pin (∅ 4 mm),


Valleylab standard;
coaxial (∅ 8 mm),
Bovie standard

MONOPOLAR 2 3-pin (∅ 4 mm),


Valleylab standard;
coaxial (∅ 5 / 9 mm),
Erbe standard

BIPOLAR 2-pin (∅ 4 mm,


pin spacing 28.8 mm),
Valleylab standard;
coaxial (∅ 4 / 8 mm),
Erbe standard

UNIVERSAL 7-pin, Olympus standard

Neutral electrode Single or split, 10 mm plug

Contact quality Allowable resistance 10...155 Ω ±15 Ω


monitor (CQM) range for split type
neutral electrodes

Allowable resistance < 10 Ω ±5 Ω


range for non-split type
neutral electrodes

Power cords (4.5 m, angled plug)

Power cords WA95621A Many European countries


Type E/F

WA95622A USA, Canada and other


countries
Type B

WA95623A United Kingdom and other


countries
Type G

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 149

Footswitch (REF: WB50402W, double pedal)

Classification Protection class IPX8 (except the plug


according to IEC 60529 section)

Size, weight and Width x Depth x Height 350 × 185 × 65 mm


packaging
Weight of footswitch 1.9 kg

Length of cord 4m

Weight of packaging 0.5 kg

Type of packaging Cardboard material

Footswitch (REF: WB50403W, single pedal, optional)

Classification Protection class IPX8 (except the plug


according to IEC 60529 section)

Size, weight and Width x Depth x Height 175 × 185 × 50 mm


packaging
Weight of footswitch 1.6 kg

Length of cord 4m

Weight of packaging 0.5 kg

Type of packaging Cardboard material

Neutral electrode cable “P-cord”


(REF: MAJ-814, optional)

Size Weight 0.14 kg

Length of cord 3.1 m

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


150 Appendix

Compatible neutral electrodes

Neutral electrode Olympus MAJ-897 Patient weight > 15 kg,


split type, white foam

Olympus WA90006A Patient weight 0… 15 kg,


split type, safety ring, soft
backing

3M 1180 Patient weight > 15 kg,


split type, white foam

3M 1179 Patient weight > 15 kg,


split type, white foam, with
cable

3M 8180 Patient weight > 15 kg,


split type, teal foam, soft
conductive adhesive

3M 9160 Patient weight 0… 15 kg,


split type, safety ring, soft
backing

3M 9165 Patient weight 0… 15 kg,


split type, safety ring, soft
backing, with cable

Valleylab E7509 Patient weight > 15 kg,


split type, soft conductive
adhesive

Valleylab E7507 Patient weight > 15 kg,


split type, soft conductive
adhesive, with cord

Valleylab E7510-25 Patient weight 0… 15 kg,


split type, soft conductive
adhesive

Conmed SureFit Patient weight 0… 15 kg,


410-2000 / 410-2100 split type, with cable

Conmed SureFit Patient weight 0… 15 kg,


410-2200 / 410-2400 split type

Gyrus ACMI Patient weight > 15 kg, split


type, conductive adhesive,
with cord

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 151

Communication cable 0.25 m (REF: MAJ-1871, optional)

Size Weight 0.05 kg

Length of cord 0.25 m

Communication cable 10 m (REF: MAJ-1872, optional)

Size Weight 0.5 kg

Length of cord 10 m

Adapter for UHI-2/3 (REF: MAJ-1873, optional)

Size Width x Depth x Height 100 × 77 × 42 mm

Weight 0.35 kg

Compatible MAJ-1871, MAJ-1872


cables

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


152 Appendix

Electromagnetic compatibility (EMC) information


The electrosurgical generator is intended for use in the environment specified
below. The user of the electrosurgical generator should assure that it is used in
such an environment.

Guidance and manufacturer’s declaration –


electromagnetic emissions

Emission test Compliance Electromagnetic environment – guidance

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.

Length of power cord: ≤ 4.5 m

CAUTION

 The electrosurgical generator should not be


used adjacent to or stacked with other electrical
equipment, except devices which are intended
for this purpose and tested by the manufacturer.

 The use of accessories which are not approved


by the manufacturer may result in an increase
of electromagnetic emissions and the
compliance with the stipulated limit values are
not guaranteed anymore.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 153

Guidance and manufacturer’s declaration –


electromagnetic immunity
Immunity test IEC 60601-1-2 Compliance level Electromagnetic
test level environment - guidance
Electrostatic ± 6 kV ± 6 kV Floors should be wood, concrete or
discharge (ESD) contact discharge contact discharge ceramic tile. If floors are covered with
according to synthetic materials, the relative
± 8 kV ± 8 kV
IEC 61000-4-2 humidity should be at least 30%.
air discharge air discharge

Electrical fast ± 2 kV ± 2 kV The quality of the power supply


transient / burst for power supply voltage should comply with a typical
according to lines commercial or hospital environment.
IEC 61000-4-4 ± 1 kV
± 1 kV
for input/output lines

Surges according to ± 1 kV ± 1 kV The quality of the power supply


IEC 61000-4-5 for differential mode voltage should comply with a typical
commercial or hospital environment.
± 2 kV
for common mode ± 2 kV

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.

Magnetic fields of 3 A/m 3 A/m Magnetic fields of mains frequency


mains frequency should comply with typical levels
(50 / 60 Hz) characteristic of commercial or
according to hospital environment. Portable and
IEC 61000-4-8 mobile high frequency communication
equipment should be used not closer
to any part of the electrosurgical
generator, including cables, then the
recommended separation distance
calculated from 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 and d is the
recommended separation distance in
meters (m).

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


154 Appendix

Immunity test IEC 60601-1-2 Compliance level Electromagnetic


test level environment - guidance
Conducted high 3 Veff 3V 1.2 * Square root (P)
frequency according 150 kHz to 80 MHz
to IEC 61000-4-6

Radiated high 3 V/m 3 V/m 1.2 * Square root (P)


frequency according 80 MHz to 2.5 GHz for 80…800 MHz
to IEC 61000-4-3
2.3 * Square root (P)
for 800 MHz…2.5 GHz

The field strength from fixed high


frequency transmitters, as determined
by survey, should be less than the
compliance level.

Interference may occur in the vicinity of equipment marked with the symbol “non-ionizing radiation“.

NOTE

This guideline may not apply in all situations.


Electromagnetic propagation is affected by
absorption and reflection from structures, objects

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.

To assess the electromagnetic environment due to fixed high frequency


transmitters, a site survey should be considered. If the measured field strength
at the location, where the electrosurgical generator is used, exceeds the above
applicable compliance level, the electrosurgical generator should be observed
to verify normal operation.

If unusual performance characteristics are observed, additional procedures may


be necessary, such as reorientation or relocating of the electrosurgical
generator.

Over the frequency range 150 kHz to 80 MHz, the field strength should be less
than 3 V/m.

The electrosurgical generator is intended for use in an electromagnetic


environment where the radiated high frequency disturbances are controlled.
The user of the electrosurgical generator can help to prevent electromagnetic
interference by maintaining a minimal distance between portable and mobile
high frequency communication equipment (transmitters) and the electrosurgical
generator, according to the maximum output power of the communication
equipment, as recommended below.

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 155

Recommended separation distances between portable


and mobile high frequency communication equipment
and the electrosurgical generator
Rated output
Separation distance (d) according to frequency of the transmitter
power of the
in meters (m)
transmitter
P in W 150 kHz…80 MHz 80…800 MHz 800 MHz…2.5 GHz

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

This guideline may not apply in all situations.


Electromagnetic propagation is affected by
absorption and reflection from structures, objects
and people.

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


156 Appendix

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.

Error priorities, frequencies, duty cycles and pressure


levels of error tones

Error priority Error codes Duty cycle / frequency /


volume

High E004, E007…E011, E018, E024…E031, E033…E037, Intermitting signal


E039…E043, E048, E052, E054, E056…E061, (number of burst = 10) /
E063…E067, E074, E075, E081…E102, E116…E119, 200 / 300 Hz /
E122…E130, E132, E133, E137, E142…E145, E150, ≥ 65 dB (A)
E165, E168…E178, E197, E198, E203…E211, E213,
E216, E217, E220…E387, E395, E400…E408, E410,
E412, E415, E419…E437, E439, E440, E443…E456,
E458…484, E490, E505…E514, E518…E538

Medium E012, E016, E017, E019…E023, E032, E038, Intermitting signal


E044…E047, E049, E051, E053, E055, E062, (number of burst = 3) /
E068…E073, E078…E080, E103…E114, E120, E121, 200 / 300 Hz /
E131, E134…E136, E138…E141, E147…E149, ≥ 65 dB (A)
E151…E154, E159, E166, E167, E179…E186,
E188…E196, E199…E201, E212, E215, E218,
E390…E394, E396…E399, E413, E414, E438, E457,
E488…E490; E515; E516

Low E001…E003, E006, E013…E015, E115, E187, E202, Intermitting signal


E214, E409, E411, E416…E418, E441, E486 (number of burst = 2) /
200 / 300 Hz /
≥ 65 dB (A)

ELECTROSURGICAL GENERATOR ESG-400 W7.091.601


Appendix 157

Tone information
Frequencies, duty cycles and pressure levels of output
tones

Type Mode Frequency Duty cycle / volume

Volume tone PureCut 587 Hz Continuous signal / 40…65 dB (A)

BlendCut 587 Hz Continuous signal / 40…65 dB (A)

PulseCut slow 494 / 440 Hz Alternating signal / 40…65 dB (A)

PulseCut fast 494 / 440 Hz Alternating signal / 40…65 dB (A)

SoftCoag 440 Hz Continuous signal / 40…65 dB (A)

ForcedCoag 554 Hz Continuous signal / 40…65 dB (A)

SprayCoag 554 Hz Continuous signal / 40…65 dB (A)

PowerCoag 554 Hz Continuous signal / 40…65 dB (A)

BipolarCut 587 Hz Continuous signal / 40…65 dB (A)

SalineCut 587 Hz Continuous signal / 40…65 dB (A)

BiSoftCoag 440 Hz Continuous signal / 40…65 dB (A)

AutoCoag 440 Hz Continuous signal / 40…65 dB (A)


Alternating end signal (0.3 s)
End signal:
1200 / 800 Hz

SalineCoag 440 Hz Continuous signal / 40…65 dB (A)

HardCoag 440 Hz Continuous signal / 40…65 dB (A)


Intermitting end signal (1.1 s)
End signal:
980 Hz

RFCoag 469 Hz < f < 1231 Hz Continuous signal / 40…65 dB (A)


depending on the
resistance of the tissue
If without RCAP:
469 Hz Alternating end signal (0.3 s)
End signal:
1200 / 800 Hz

FineCoag 250 / 500 Hz Alternating signal / 40…65 dB (A)

Touch tone 500 Hz 0.09 s / ≥ 65 dB (A)

Start tone 500 / 1000 / 2000 Hz 0.375 s / ≥ 65 dB (A)

W7.091.601 ELECTROSURGICAL GENERATOR ESG-400


––––––––––––––––––– Manufacturer –––––––––––––––––––

Olympus Winter & Ibe GmbH


Kuehnstr. 61, 22045 Hamburg, Germany
Fax: +49 40 6 69 66 2109, Phone: +49 40 6 69 66 0
http://www.olympus-oste.eu

–––––––––––––––––––– Distributors ––––––––––––––––––––

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/

OLYMPUS AMERICA INC.


3500 Corporate Parkway, P.O. Box 610 Center Valley, PA 18034-0610, U.S.A.
Fax: +1 484 896 7128, Phone: +1 484 896 5000
http://www.olympusamerica.com/

OLYMPUS AUSTRALIA PTY. LTD.


31 Gilby Road, Mount Waverley VIC 3149, Australia
Fax: +61 3 9543 1350, Phone: +61 3 9265 5400
http://www.olympus.com.au/

OLYMPUS EUROPA HOLDING GMBH


Wendenstrasse 14-18, 20097 Hamburg, Germany
Fax: +49 40 237 73 4656, Phone: +49 40 237 73 0
http://www.olympus-europa.com/

OLYMPUS KOREA CO., LTD.


4F, 5F, Gyeongam Building, 157-27 Samseong-Dong, Kangnam-Gu, Seoul 135-090, Korea
Fax: +82 262 55 32 99, Phone: +82 262 07 32 00
http://kr.olympus.com/

OLYMPUS LATIN AMERICA, INC.


6100 Blue Lagoon Drive, Suite 290, Miami, FL 33126-2097, U.S.A.
Fax: +1 305 266 9168, Phone: +1 305 266 2332
http://www.olympusamericalatina.com/

OLYMPUS MEDICAL SYSTEMS CORPORATION


2951 Ishikawa-cho, Hachioji-shi, Tokyo 192-8507, Japan
Fax: +81 426 46 2429, Phone: +81 426 42 2111
http://www.olympus.co.jp/en/

OLYMPUS MOSCOW LIMITED LIABILITY COMPANY


Ulitsa Malaya Kaluzhskaya 19, Building 1, Floor 2, 117071 Moscow, Russia
Fax: +7 495 958 2277, Phone: +7 495 720 9332
http://www.olympus.com.ru/

OLYMPUS (BEIJING) SALES & SERVICE CO. LTD.


Rm. 1202, NCI Tower, A12 Jianguomenwai Avenue, Chaoyang District, Beijing 100022, China
Fax: +86 10 6569 3555, Phone: +86 10 6569 3535
http://cn.olympus.com/

OLYMPUS SINGAPORE PTE LTD.


491B River Valley Road #12-01/04, Valley Point Office Tower, Singapore 248373
Fax: +65 6834 24 38, Phone: +65 6834 00 10
http://www.olympus.com.sg/

W7.091.601 3.0_2011-10-26 © Copyright 2010 Olympus Winter & Ibe GmbH

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