Olympus Winter & Ibe GmbH ESG200 Manuel D’Utilisation

16

Safety information

Current may flow to the monitoring electrodes and can cause thermal injury where the 

monitoring electrodes are attached. Especially, the use of needle electrodes can result in 

burns to the patient.

 

• Place the physiological monitoring electrodes as far away as possible from the electrodes 

of the HF instrument.

 

• Do not use needle monitoring electrodes.

 

• Use physiological monitoring equipment with HF current limiting measures.

During operation, HF current, especially leakage current, could flow via the user and the 

assistant. This could result in burns to the user and the assistant.

 

• The user and the assistant must wear surgical gloves.

Unintended current flow and HF leakage current may cause thermal injury to the patient. 

The patient must be insulated against all electrically conductive parts.

 

• Ground the operating table.

 

• Make sure that the patient does not come in contact with metal parts, e.g. the operating 

table.

 

• Place the patient on a dry, electrically insulating surface.

 

• Make sure that the patient’s clothes are dry.

 

• Prevent any contact between different skin surfaces (arms, legs) of the patient. Place dry 

gauze between the body and arms and between the legs to prevent such contact.

 

• Prevent any skin contact between the patient and the user.

 

• Remove any metallic items from the patient, e.g. wristwatches, jewelry.

 

• Route all connecting cables so that they are not in direct contact with the patient.

 

• Route all connecting cables so that they are not in contact with other cables.

Using HF equipment on patients with implanted electronic devices, e.g. cardiac pacemakers 

or cardioverter defibrillators, can cause failure of the implanted electronic device. Failure of 

the implanted electronic device will affect the heart and could result in cardiac arrest.

 

• Prior to the HF procedure, confirm its safety with a cardiologist or the manufacturer of the 

implanted electronic device.

 

• For monopolar procedures, position the neutral electrode so that the current pathway does 

not pass through or near the implanted electronic device and its lead system.

 

• Do not apply the HF instrument in close proximity to the implanted electronic device.

When using the electrosurgical generator for procedures in the vicinity of the heart, note that 

spark discharge can affect the heart and could result in cardiac arrest.

 

• Make sure to use the lowest necessary output power for procedures in the vicinity of the 

heart.

DRAFT 

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2017-01-17