HEBU medical HBS x-touch 200i Mode D'emploi page 54

EN
HBS x-touch 200i
In patients connected to monitoring devices (ECG), the monitoring electrodes must be
attached at the greatest possible distance to the application areas of the electrosurgical
electrodes.
The use of highly flammable narcotic substances and oxidizing gases (N20 or O2) should
be avoided. Should this be necessary, take particular precautions.
Exclusively non-flammable disinfectants must be used. If alcohol-based solutions are
required, wait before performing surgery until these have completely evaporated. Bear in
mind that disinfectants can flow down and collect in recesses of the body. A spark from
the active electrode can cause combustion of the fluid in normal use.
Sparks from the active electrode can set bandages (textiles), metabolic gases and
combustible fluids alight.
In the case of procedures involving high-frequency current applied to body parts with a
minimal cross-section, the bipolar technique should be used in order to prevent the risk of
unintentional coagulation.
In the case of procedures on body parts with a close link to the remainder of the body,
the bipolar technique should be used for safety reasons.
The frequently used indirect coagulation mode should only be used with well insulated
forceps. We recommend forceps with specially insulated grip areas (ask your
HEBUmedical contact).
Surgical gloves do not afford the surgeon sufficient protection from burns!
During surgery, pacemakers are at risk of destruction. We recommend consulting the
treating cardiologist and/or an authorized representative of the pacemaker manufacturer.
As a rule, in such cases bipolar application technology is advisable. Electrosurgical
procedures are prohibited on outpatients with pacemakers.
A marked drop in power at a normal setting can be an indication of incorrect application
of the neutral electrode.
Soiled electrodes can bring about a drop in the quality of the unit. This applies particularly
to gentle and bipolar coagulation. To prevent the tissue adhering to the active electrode
(monopolar or bipolar), it is advisable to wait for a moment after coagulation of the tissue
and to interrupt the current flow to allow the active tip to cool before separating the
electrode from the tissue.
High-frequency creep currents can cause burns in areas distant from the application site
through conductive connections.
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