With Instant Response Technology Frank S (055 109)
With Instant Response Technology Frank S (055 109)
With Instant Response Technology Frank S (055 109)
Resistance Graphs
Figure 3-23.
140
Output power versus impedance for
Spray coag mode
120
120 W
100
60
60 W
40
20
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
Load Resistance (ohms)
Figure 3-24.
Spray coag mode—
output power vs. peak voltage
Open Circuit Peak Voltage (volts)
Technical Specifications
Output Power (watts)
Principles of Operation
4
This section provides detailed information about how the Force FX-8C
Electrosurgical Generator functions and how the internal components
interact.
The circuitry resides on four printed circuit boards: the Control board, the
Display board, the Footswitch board, and the Power Supply/RF board.
Block Diagram
Functional Overview
The Force FX-8C generator is specifically designed to cut and coagulate
(desiccate and fulgurate) tissue during bipolar or monopolar
electrosurgery.
During electrosurgery, radio frequency (RF) current flows from the
generator to an active electrode, which delivers the current to the patient.
The resistance to the current, provided by the patient’s tissue and/or the
air between the active electrode and the tissue, produces the heat that is
necessary for the surgical effect. The RF current flows from the active
electrode, through the patient’s body tissue to the return electrode, which
recovers the current and returns it to the generator.
Ultrasonic Electrosurgery
The Force FX-8C generator works in conjunction with the Valleylab CUSA
System 200 and CUSA EXcel for procedures where ultrasonic
electrosurgery is desirable. When you connect a CUSA handpiece with
CEM nosecone to the generator for ultrasonic electrosurgery, the generator
limits the monopolar output power automatically.
• The maximum power setting for monopolar cut is 100 watts.
• The maximum power setting for monopolar coag is 70 watts.
When you activate the handpiece for cut or coag output, the Low cut
mode or the Desiccate 1 coag mode is in effect automatically. The
remaining cut modes and coag modes are not available.
For more information, refer to CEM Mechanism Switch and CEM Switch
Circuit later in this section.
Simultaneous Coag
When you simultaneously activate two monopolar instruments for coag
output, each receives a percentage of the coag power setting set for the
selected mode. The amount of power each instrument receives depends
Principles of Operation
Control Board
Refer to Section 9 for components and the Schematics Supplement for
Board Drawings and Schematics.
The Control board contains the circuitry that controls the generator,
including the indicators and switches on the Display board and the RF
output stage on the Power Supply/RF board. Firmware on the Control
board performs many diagnostic and initialization routines. Errors are
reported as alarm numbers on the front panel.
The Control board interfaces with the Power Supply/RF board through a
96-pin card edge connector. It interfaces with the Display board through a
64-pin ribbon cable.
Microcontrollers
Two microcontrollers on the Control board control the Force FX-8C
generator. These microprocessors communicate with each other through a
shared RAM. The main microcontroller (U5) performs all system
functions, except the time-critical real time feedback control of generator
RF output. The feedback microcontroller (U11), which is a separate,
dedicated microcontroller, handles the time-critical real time feedback
control of generator RF output. All system analog signals are available to
these microcontrollers.
A third microcontroller (U9) functions as an application-specific
integrated circuit, or ASIC. It generates the RF drive waveforms (T_ON\)
for the RF output stage.
Main Microcontroller
The main microcontroller (U5) is an 80C562 that incorporates an 8-input
multiplexed 8-bit A/D converter. The main microcontroller is responsible
for overall system control. It monitors all dosage error functions and
safety circuits. It implements the user interface, including activation
Principles of Operation
• Audio control
• Memory control and storage (system alarms with time stamps;
calibration values)
• Real-time clock control and interface
• Internal self-tests
• Communicating with the feedback microcontroller.
Battery-Backed RAM
A socket on the Control board contains a 3.0 V lithium button cell battery
(BT1) that provides backup power for the 2K x 8 external RAM on the
PSD413 device (U3) used by the main microcontroller. The battery-backed
RAM stores calibration constants, last setup parameters, and temporary
data.
Feedback Microcontroller
The feedback microcontroller (U11), like the main microcontroller, is an
80C562. It receives commands from the main microcontroller and, when
the generator is activated, establishes the appropriate relay closures and
activates RF output. It continually adjusts the output signal of the
generator by controlling the high voltage DC power supply and the RF
clock circuitry. It is primarily responsible for these functions:
• Scaling relay control and output relay control
• T_ON ASIC waveform control
• Leakage control (coag)
• Constant voltage, current, and power feedback control
• ECON initialization
• Real-time information update (actual voltage, current, power,
impedance, effect mode)
• Memory tests
• Communicating with the main microcontroller.
Shared RAM
The 4K x 8 external shared static RAM is provided by an IDT 713425A
device (U4) with semaphore flags. The shared RAM allows the main
microcontroller (U5) and the feedback microcontroller (U11) to share
common variables. It functions as a communications interface between the
main and feedback microcontrollers. It also provides additional general
purpose RAM to these microcontrollers.
I/0 Expansion
Three devices provide I/O expansion capabilities:
• One PSD412 programmable peripheral (U6)
• One PSD413 programmable peripheral (U3)
• One 82C55 expansion port (U2).
Each programmable peripheral device incorporates forty individually
programmable I/O pins divided into five 8-bit ports. Twenty-four of the
general I/O pins can alternatively be used as I/O for two PLDs, featuring
a total of 59 inputs, 126 product terms, and 24 macrocells. Each device also
contains EPROM (64K x 8 for the PSD412; 128K x 8 for the PSD413), 2K x 8
of static RAM, and a power management unit for battery backup. The I/O
expansion capabilities of both devices are configured as outputs for relay
control, lamp control, keyboard scanning, and chip selects.
The expansion port 82C55 (U2) is a generic I/O expander that
incorporates twenty-four I/O pins divided into three 8-bit ports. It is
configured as all inputs. It reads the keyboard, activation signals,
accessory switches, and system status flags.
Audio Alarm
The audio alarm circuit is located on the Footswitch board. The audio
alarm is controlled by software and hardware.
• Software control is provided by the UP_TONE\ (microcontroller tone)
and LO_TONE signals generated by the main microcontroller in
response to activation inputs, alarms, and at power-up. These signals
connect from the Control board to the Power Supply/RF board
through the 96-pin connector and then from the Power Supply/RF
board to the Footswitch board through the 16-pin footswitch ribbon
connector.
• Hardware control is provided by the RF_TONE\ signal generated in
the RF output stage by RF sensing circuitry on the Power Supply/RF
board.
Principles of Operation
Serial Interface
The RS-232 serial port is a software-polled interface to the main
microcontroller (U5). It is used for diagnostics and calibration.
Transmission and receipt of command strings do not stop real time
processing, except as single characters are read from or written to the
serial port. The serial port is configured to 9600 baud, 8 data bits, 1 stop
bit, with no parity. This timing is derived from the main microcontroller
oscillator frequency of 11.0592 MHz.
The control board serial port signals connect to the Power Supply/
RF board through the 96-pin connector. The signals are then connected to
the 9-pin serial port connector on the Power Supply/RF board.
Front Panel
The front panel consists of an injection molded plastic bezel with a
membrane keyboard, power switch, CEM mechanism switch, and REM
connector with switch. These front panel components interface with the
Display board and the Power Supply/RF board.
Membrane Keyboard
The membrane keyboard is attached to the bezel with a high strength
adhesive. It is not removable. The membrane contains 16 metal dome
push-button switches. Six of these switches control the up and down
sequencing of the power seven-segment LEDs (light-emitting diodes).
One switch controls the previous settings Recall function and nine
switches control each of the nine output modes of the generator.
The membrane also contains nine LEDs, one for each mode. A 25-pin flat
ribbon cable connects the membrane keyboard switches and LEDs to the
Display board.
Power Switch
A double pole single throw switch snaps into the front of the bezel. This
switch supplies the AC mains current to the generator.
REM Connector/Switch
An internal REM connector and sense switch connects to the inside of the
bezel with two screws. Two cables leave this assembly. One cable is the
actual REM connector; the other cable is the output of the internal switch
that senses the presence or absence of the center pin on the REM plug.
Display Board
Refer to Section 9 for components and the Schematics Supplement for
Board Drawings and Schematics.
The Display board is located in the front panel assembly. It contains RF
indicator lamps, seven-segment LED power setting displays, REM alarm
LEDs, and a CEM indicator LED. The display board switch circuitry
includes the LED and lamp driver circuitry, power selection switches,
mode selection switches, the REM switch circuit, and the CEM switch
circuit.
RF Indicator Lamps
The RF indicator lamps illuminate during RF activation to visually
indicate the presence of RF power. Each of the three indicator bars
(Bipolar, Cut, and Coag) on the front panel is illuminated by four
incandescent bulbs (LP1–LP12).
• LP1–LP4 illuminate the blue Bipolar bar, indicating bipolar activation.
• LP5–LP8 illuminate the yellow Cut bar, indicating cut activation.
• LP9–LP12 illuminate the blue Coag bar, indicating coag activation.
The RF indicator lamps are controlled by the BIP_LMP, CUT_LMP, and
COAG_LMP signals. These signals originate from port A of the main
microcontroller programmable peripheral (U3) on the Control board.
Buffers in U1 turn the RF indicator lamps on and off. Resistors R1–R12 set
the amount of current flowing through the lamps when they are turned
on. The value of these resistors varies for each indicator bar, depending on
the color of the bar, to make the different colors of the bars illuminate with
equal intensities.
REM Indicators
The REM indicator consists of two bicolor LED arrays incorporating one
red and four green LEDs per array. The LEDs are controlled by the
REM_RED and REM_GREEN signals originating from port A of the main
microcontroller programmable peripheral (U3) on the Control board. The
signals are buffered on the Display board by driver U1. Both the red and
green LEDs are current limited by 100 ohm resistors (R13, R14, R15, and
R16).
This circuit contains three display drivers for the LEDs and the seven-
segment displays. The LEDs indicate modes of operation, and the REM
condition. The seven-segment displays indicate bipolar, cut, and coag
power settings.
Each display driver (U6, U10, and U14) can drive up to eight banks of
eight LEDs by multiplexing the time that each bank is turned on. The
banks can be wired together to increase the time that a group of LEDs is
on, effectively increasing the brightness of that group.
U10 drives the discrete LEDs and the CEM LED. These include green
indicators for the bipolar modes (Precise, Standard, and Macro), the cut
modes (Low, Pure, and Blend), and the coag modes (Desiccate, Fulgurate,
and Spray). The anode of the mode selection LEDs are tied to driver U10.
By using pairs of the driver digit lines, the duty ratio for these LEDs is
effectively 1/4.
U6 drives the seven-segment displays that indicate power settings. U4
and U5 indicate the bipolar power setting, U7–U9 indicate the cut power
setting, and U11–U13 indicate the coag power setting. The anodes of these
displays are each tied to only one digit line of the driver. The effective
duty cycle is 1/8 for each seven-segment display.
Some filtering components are associated with U6, U10, and U14. Bypass
capacitors C3, C4, C7, C8, C9, and C10 are connected between + 5V and
DGND. C3, C4, and C10 have a relatively small capacitance value of
0.1 µF to filter higher frequency noise. C7, C8, and C9 have a relatively
large capacitance value of 47 µF to supply the large spikes of current for
the LEDs generated by the multiplexing action of the drivers, which
typically occurs at 250 Hz.
Resistor array R18 reduces the input impedance of the display driver
inputs as seen by the main microcontroller on the Control board. This
rounds off the edges of these digital signals, reducing high frequency
emissions. The lowered impedance also reduces the susceptibility of the
circuit to noise from other circuits.
Footswitch Board
Refer to Section 9 for components and the Schematics Supplement for
Board Drawings and Schematics.
The Footswitch board is mounted inside the rear panel. It contains
circuitry accepting and decoding footswitch keying inputs and an audio
circuit for announcing generator keying and various alarm tones. The
Footswitch board interfaces with the Power Supply/RF board.
Audio Circuit
The audio system consists of an audio oscillator, tone control signals, a
volume control potentiometer, an audio amplifier, and a speaker. A
reference voltage (Vref) is used throughout the audio circuit and is
generated by dividing the +12 V power supply down to about 2 V by R9
and R8.
The audio circuit annunciates the presence of RF output and provides an
auditory indication of alarm conditions. A potentiometer adjusts the
volume of RF output activation tones. The speaker volume cannot be
turned off entirely. The volume of the tone issued during alarm conditions
is not adjustable.
The audio oscillator is enabled when UP_TONE\ or RF_TONE\ is pulled
low. Diodes D1 and D2 provide a wired OR function for the two signals.
Since UP_TONE\ and RF_TONE\ are +5 V (logic level) signals, resistors
R4 and R6 divide the +12 V audio power supply down to about 4.85 V to
prevent D1 and D2 from sourcing current into the output pin of U3 on the
Control board. When either UP_TONE\ or RF_TONE\ is enabled low, the
voltage at the noninverting input of U1B is pulled below the Vref
threshold present at U4B’s inverting input, the open collector output of
U4B is turned on, grounding R31 and allowing U6A to oscillate.
U6A is a relaxation oscillator whose frequencies are determined by the RC
time constants of R30, C35, and C18. This design allows the oscillator to
produce two distinct frequencies that can be selected by the state of the
LO_TONE signal.
• When LO_TONE is not asserted, R30 and C35 determine the frequency
of operation of the oscillator (approximately 900 Hz).
• When LO_TONE is asserted (+5 V), the voltage at the noninverting
input of U4A exceeds the 2 V Vref signal at the inverting input, turning
on its output transistor. This effectively connects C18 in parallel with
C35 to produce a higher RC time constant for the oscillator, which
results in a lower audio frequency of approximately 700 Hz.
The ALARM signal selects the user-controlled audio volume or the fixed
alarm level volume. U1C and U1D are configured in an exclusive OR
arrangement in which the state of the output transistors of U1C or U1D is
complementary. In other words, the output transistor of one of these two
devices is always on, but both cannot be on simultaneously. Under normal
operating conditions, the ALARM signal is low, allowing the U1C output
to float while the U1D output transistor is turned on. The output of U1D
creates a voltage divider through R11, R12 (the volume control
potentiometer), and R32 to attenuate the audio signal to levels acceptable
for input to the audio amplifier. R32 determines the maximum audio
volume and R11 determines the minimum audio volume. R10 determines
the audio alert volume level. R34 provides an alternate audio signal path
in the event of an open volume control potentiometer.
When the ALARM signal is high, the U1C output transistor is turned on
while the output of U1D floats. When the U1C output transistor is on, R10
is pulled to ground and creates a fixed voltage divider with R32 to
produce the alarm volume level at the input to audio amplifier U7.
Meanwhile, the output of U1D is allowed to float, thus removing the
variable resistor divider from the circuit. In this case, the volume control
potentiometer becomes a small resistance in series with the high
impedance input from the audio amplifier, negating the effect of the
volume setting.
Audio amplifier U7 and speaker SP1 comprise the final stage in the audio
system. The audio signal is AC coupled to the amplifier by C25 to
eliminate the need for well-controlled input biasing. The voltage gain of
U7 is set to about 20 by floating its gain select pins. Because the U1 output
signal is internally biased to Vcc/2, it is necessary to AC couple the
speaker through C2 to prevent the amplifier from DC biasing the speaker.
The high voltage power supply section contains the power entry circuitry,
auto mains switching circuitry, AC/DC conversion circuitry, and a
DC/DC switching regulator.
input line voltage. Since the voltage at pin 8 varies with the line, it can
sense the line voltage zero crossing as well as the peak voltage. Pins 2 and
3 are inputs to an oscillator used for triac triggering timing. R7 and C1 set
the oscillator frequency. Pin 7 is tied to Vss, which places the circuit in the
fail-safe mode. Thus, once the circuit enters full bridge mode, it remains in
that mode until input power is recycled. A power dropout cannot cause
the circuit to accidentally act as a doubler when the higher input voltage
range is used.
AC/DC Converter
The AC/DC converter uses CR80 as either a doubler or full wave rectifier,
depending on the input voltage. In either case, an unregulated nominal
300 Vdc is provided to the DC/DC switching regulator. Thermistors R32
and R33 provide inrush current limiting, and fuse F4 provides protection
against faults in the DC/DC switcher.
Capacitors C3, C10, C11, and C22 are an energy storage reservoir for the
DC/DC switcher. C29 is a high frequency bypass filter. Bleeder resistors
R5 and R6 discharge the capacitors when the AC line is disconnected or
the power switch is turned off.
1 +5 Vdc TP8
4 GROUND TP9
RF Output Stage
Warning
High frequency, high voltage signals that can cause severe burns are present in
the RF output stage and in the associated mounting and heat sink hardware
described in this manual. Take appropriate precautions when testing and
troubleshooting this area of the generator.
output L-C-C filter, output directing relays, and topology selecting relays.
Also included in this section are the RF voltage and current sense circuits
and a switched damping network for certain operational modes.
The MOSFET gets its gating signal from the T_ON ASIC on the control
board. The T_ON ASIC also provides the gating signal for the switched
damping network.
When the topology selecting relays (K2 and K14) are unenergized, the RF
stage is in the Fulgurate and Spray coag modes; when both are energized,
the RF stage is in the cut and bipolar modes. For the Desiccate coag mode,
K2 is unenergized and K14 is energized.
Cut Modes
In the cut modes, K2 is set so that diode CR2 is in parallel with the
MOSFET body drain diode, C34 and C41 are across the MOSFET, and the
transformer primary consists of windings 1-2 and 3-4 in series. K14 is
closed so the series capacitor bank (C150–C152, C158, and C159) is across
the output.
In the Low and Pure cut modes, the T_ON\ signal is a continuous pulse
train with a pulse width of 846 ns and a frequency of 390 kHz. In this case,
essentially two resonant circuits operate in tandem. The output L-C filter
Bipolar Modes
The circuit topology for the bipolar modes is essentially the same as the
cut modes, except the output voltage is tapped off C152 and the switching
frequency is 470 kHz. These differences allow for the higher currents and
lower voltages required in bipolar surgery while still maintaining the
advantages of zero voltage switching in the MOSFET. The T_ON\ signal
is a continuous pulse train with a 423 ns pulse width.
Coag Modes
In the Fulgurate and Spray coag modes, K2 is set so that diode CR2 blocks
reverse current in the power MOSFET, C40 as well as C34 and C41 are
across the MOSFET, and the transformer primary consists of winding 1-2
only. K14 is open, keeping the series capacitor bank (C150–C152, C158,
and C159) out of the circuit.
In the LCF Fulgurate coag mode, the T_ON\ signal is a continuous pulse
train with a pulse width of 1.69 µs and a frequency of 57 kHz. When the
MOSFET turns on, some energy is delivered to the output and some is
stored in the T4 core. When the MOSFET is turned off, the energy stored in
the core rings out with a frequency of 591 kHz. The frequency is set by
C34, C40, C41, and the inductance of winding 1-2 of T4. CR2 blocks
reverse current in the body drain diode of the MOSFET so that the power
waveform can ring negative. This allows high peak voltages to be
achieved at the output. In most cases, all the energy stored in the
transformer core during one switching cycle is delivered to the load before
the next cycle begins. The Fulgurate mode works the same as the LCF
Fulgurate mode, except the T_ON\ signal is a continuous pulse train with
Principles of Operation
Output Relays
In all monopolar modes, K13 is closed and routes patient return current
through the Patient Return Electrode receptacle. K15 routes active current
through the Monopolar 1/CEM Instrument receptacle. K16 routes the
active current through the Monopolar 2 Instrument receptacle.
In bipolar mode, the Patient Return Electrode receptacle relay is open.
Relays K12 and K17 route bipolar current to the Bipolar Instrument
receptacle.
All output relays are open when the generator is not being activated.
REM Circuit
Components U17 along with R95, R96, R97, and C79 form a precision
oscillator. R96 is adjusted for the frequency that will produce maximum
voltage amplitude (80 ± 10 kHz) at the REM connector (J17). R98 is a
temperature compensating thermocouple that cancels temperature drift
from the components forming the oscillator.
The REM transformer (T10) provides isolated reflected impedance sensing
for tissue impedance across the REM patient return electrode terminals
(connected to J17, pins 1 and 2). In addition to tuning the REM circuit,
capacitors C155, C156, C169, and C170 provide a return path for high
frequency RF signals through C157 to the RF output transformer. The
REM transformer (T10) and capacitors C155, C156, C169, and C170 form a
resonant circuit with a nominal operating frequency of 80 kHz.
Pin 1 of T10 clocks the active synchronous rectifier formed by CMOS
switch U28A. This device is closed during the positive period of the
REM_AC signal and open during the negative period. When the switch is
closed, C122 is charged to the peak positive value of REM_AC. Then,
U31B amplifies, filters and buffers the charge on C122 to produce the
R_SEN signal. The microcontrollers monitor the R_SEN signal (which is a
DC voltage proportional to impedance) to determine the patient return
electrode status.
Principles of Operation
IsoBloc Circuit
The IsoBloc circuit provides a means of detecting a switch closure in an
output accessory while maintaining electrical isolation between the
generator output and ground referenced circuitry. The IsoBloc circuit
consists of an isolated DC power supply, a comparator to detect switch
closure, and an optoisolator link from the output connected circuitry to
Oscillator
The oscillator circuit consists of a 4060 CMOS oscillator/divider (U30)
using a 5 MHz ceramic resonator (XT1) as the frequency determining
element. The output of the oscillator is connected internally to the input of
a counter/divider chain. The output of the divider yields a 78.125 kHz
square wave that is applied to the input of three 4081 buffers (U29).
Power Supply
The three 4081 buffers (U29) drive three VN0808L FETs connected to
transformers which are operated in a quasi-resonant flyback mode with
their associated 6800 pF capacitors. The voltages at the secondaries of the
three transformers are half-wave rectified and referenced to three separate
isolated grounds to provide -8 V for operating the isolated activation
circuitry.
Optoisolators
The isolated power supply voltages produced by the IsoBloc power
supplies are connected to the active output terminals of the generator.
Handswitch activation is accomplished by sensing active to CUT or active
to COAG switch closure in a handheld accessory. Switch closure is
detected by comparing the voltage across the switch to a divider reference
with comparators U32, U33, and U34. Current limiting resistors, in series
with the LEDs in the optoisolators, cause the LEDs to light. The
phototransistor in the optoisolator detects this light. The phototransistor,
which is connected to an input on the 82C55 expansion port in the main
microcontroller circuit, turns on, pulling the associated input low. This is
interpreted by the software as an activation request, and the generator is
activated accordingly.
Principles of Operation
After unpacking or after servicing the Force FX-8C generator, set it up and
verify that it functions correctly.
Caution
Do not stack equipment on top of the generator or place the generator on top of
electrical equipment (except a Force GSU unit, a Force Argon unit, a CUSA
System 200, or a CUSA EXcel unit). These configurations are unstable and/or do
not allow for adequate cooling.
Notice
If required by local codes, connect the generator to the hospital equalization
connector with an equipotential cable.
Connect the power cord to a wall outlet having the correct voltage. Otherwise
product damage may result.
1. Verify the generator is off by pressing the power switch off (O).
Provide at least four to six inches of space from the sides and top of the
generator for cooling. Normally, the top, sides, and rear panel are
warm when the generator is used continuously for extended periods
of time.
Ensure that the generator rests securely on the cart or platform. The
underside of the generator contains four rubber feet and additional
holes that allow you to reposition the feet to ensure stability. Use a
Phillips screwdriver to remove the rubber feet from the generator.
Then, reinstall the feet in the preferred location.
3. According to the procedures used by your institution, connect an
equipotential grounding cable to the grounding lug on the rear panel
of the generator. Then, connect the cable to earth ground.
4. Plug the generator power cord into the rear panel receptacle.
6. Turn on the generator by pressing the power switch on (|). Verify the
following:
• All visual indicators and displays on the front panel illuminate.
Warning
Electric Shock Hazard
• Do not connect wet accessories to the generator.
• Ensure that all accessories and adapters are correctly connected and that no
metal is exposed.
Caution
Accessories must be connected to the proper receptacle type. In particular,
bipolar accessories must be connected to the Bipolar receptacle only. Improper
connection may result in inadvertent generator activation or a REM Contact
Quality Monitor alarm.
Figure 5-1.
Bipolar or macrobipolar
connections—footswitch activation
and a handswitching or
footswitching instrument
Bipolar
footswitch
Footswitching or handswitching
instrument
Figure 5-2.
Bipolar or macrobipolar connection—
Handswitching instrument
2. To set the Bipolar mode, press the Precise, Standard, or Macro button.
The corresponding indicator illuminates green.
3. To increase the power for the selected mode, press the white up arrow
( ∆ ) button. To decrease the power, press the white down arrow ( ∇ )
button. The maximum power setting is 70 watts.
Warning
Electric Shock Hazard
• Do not connect wet accessories to the generator.
• Ensure that all accessories and adapters are correctly connected and that no
metal is exposed.
The instrument receptacles on this generator are designed to accept only one
instrument at a time. Do not attempt to connect more than one instrument at a
time into a given receptacle. Doing so will cause simultaneous activation of the
instruments.
Figure 5-3.
Monopolar connection—footswitch
activation and a footswitching or
handswitching instrument using
Monopolar 1 Footswitch receptacle
and Monopolar 1/CEM Instrument
receptacle
Footswitching or
handswitching
instrument
Monopolar
footswitch
Figure 5-4.
Monopolar connection—footswitch
Footswitching or
handswitching
instrument
Monopolar
footswitch
Figure 5-5.
Monopolar connection—handswitch
activation and a monopolar
handswitching instrument using either
Monopolar Instrument receptacle
Handswitching
instrument
2. To select a cut mode, press the Low, Pure, or Blend button. The
corresponding indicator illuminates green.
3. To increase the power for the cut mode you selected, press the yellow up
arrow ( ∆ ) button. To decrease the power, press the yellow down
arrow ( ∇ ) button. The maximum power setting for Low and Pure is
300 watts. The maximum power setting for Blend is 200 watts.
4. To select a coag mode, press the Low (Desiccate), Med (Fulgurate), or
High (Spray) button. The corresponding indicator illuminates green.
To select the LCF Fulgurate mode, press the Med button and hold for
two seconds. A tone sounds and an "L" appears on the left side of the
Coag display. To return to the standard Fulgurate mode, press the Med
button and hold for two seconds. A tone sounds and the "L"
disappears from the left side of the Coag display.
5. To increase the power for the selected coag mode, press the blue up arrow
( ∆ ) button. To decrease the power, press the blue down arrow ( ∇ )
button. The maximum power setting for each coag mode is 120 watts.
In the LCF Fulgurate mode, an "L" appears on the left side of the Coag
display. When the LCF Fulgurate power setting is above 95 watts, the
power setting display alternates between the power setting (for
example, 110 watts) and "L--".
Simultaneous Coag
Connect two monopolar instruments for simultaneous coag. Each receives
a percentage of the overall power setting. The amount of power provided
to each instrument depends on the tissue resistance sensed by the
generator at each surgical site. Generally, the site with lower resistance
receives proportionately more power. The combined total output power
does not exceed the overall power setting for the coag mode selected.
Figure 5-6.
Connections for simultaneous coag—
Monopolar
instrument or
CUSA handpiece
with CEM
nosecone
Monopolar
instrument
Figure 5-7.
Connection for simultaneous coag—
two footswitching instruments
Monopolar
instrument or
CUSA handpiece
with CEM
nosecone
Monopolar
Patient return electrode footswitches
Monopolar
instrument
Figure 5-8.
Connections for combined CEM indicator If you choose to use
monopolar/ultrasonic surgery illuminates green a monopolar
footswitch, you
must connect it to
the Monopolar 1
Footswitch
When you use the CUSA handpiece with CEM nosecone for ultrasonic
electrosurgery, only Low cut or Desiccate 1 coag are available when you
activate the handpiece.
To verify or change the Low cut power setting:
To increase the power, press the yellow up arrow ( ∆ ) button. To
decrease the power, press the yellow down arrow ( ∇ ) button. The
maximum cut power is 100 watts.
To verify or change the Desiccate 1 coag power setting:
To increase the power, press the blue up arrow ( ∆ ) button. To decrease
the power, press the blue down arrow ( ∇ ) button. The maximum
coag power is 70 watts.
To decrease the power, press the down arrow (∇) button for the selected
mode.
When you press and release the power button, the power changes by one
setting (1, 5, or 10 watts), based on the settings available for the selected
mode. The available power settings are listed in Section 3, Technical
Specifications.
To reach the maximum or minimum power setting for the selected mode,
press and hold the up arrow (∆) or down arrow (∇) button. The setting
changes slowly at first, then more rapidly. Release the button when the
desired setting is displayed. If you try to set the power above the
maximum setting or below the minimum setting for the selected mode, a
tone sounds.
Bipolar Close forceps tines firmly Press pedal Activation tone sounds – Bipolar
indicator illuminates blue
Monopolar Press Cut or Coag button Press Cut or Coag pedal Activation tone sounds – Cut indicator
or illuminates yellow or Coag indicator
Close forceps tines firmly illuminates blue
CUSA handpiece with Press Cut or Coag button Press Cut or Coag pedal Activation tone sounds – Cut indicator
CEM nosecone on CEM nosecone illuminates yellow or Coag indicator
illuminates blue – CEM indicator on front
panel illuminates green when handpiece
is properly connected
Rear Panel
1. Check the rear panel footswitch receptacles for obstructions or
damage. Check for a secure fit by inserting the bipolar footswitch or
monopolar footswitch connector into the appropriate receptacle.
2. Remove the fuse and verify correct voltage and current rating. Refer to
Performance Characteristics in Section 3.
If either connection is loose, replace the footswitch board assembly. Refer
to Footswitch Board Replacement in Section 7.
Front Panel
1. Check the Footswitch receptacle for obstructions or damage. Check for
a secure fit by inserting the monopolar footswitch connector into the
receptacle.
If any of the connections are loose, replace the front panel assembly.
Refer to Front Panel Replacement in Section 7.
4. Check the Patient Return Electrode receptacle for a broken pin or an
obstruction. If the receptacle is damaged or obstructed, replace the
front panel assembly. Refer to Front Panel Replacement in Section 7.
Footswitch
Power Cord
1. Remove the power cord from the unit and ensure that it is unplugged
from the wall receptacle.
2. Inspect the power cord for damage.
3. Reconnect the power cord to the generator and wall receptacle.
Caution
The generator contains electrostatic-sensitive components. When repairing the
generator, work at a static-control workstation. Wear a grounding strap when
handling electrostatic-sensitive components, except when working on an
energized generator. Handle circuit boards by their nonconductive edges. Use an
antistatic container for transport of electrostatic-sensitive components and circuit
boards.
2. Loosen the five screws that secure the cover to the chassis. Lift the
cover off the chassis. Set the cover aside for reinstallation.
3. Verify that all connectors are firmly seated.
Warning
Use the generator only if the self-test has been completed as described.
Otherwise, inaccurate power outputs may result.
1. Turn on the generator by pressing the front panel On (|) switch. Verify
the following:
• All visual indicators and displays on the front panel illuminate.
• Activation tones sound to verify that the speaker is working
properly.
Important
If the coag mode has been 2. If the self-test is successful, a tone sounds. Verify the following:
optionally changed to default to
Desiccate or Spray, that • Indicators above the default mode buttons (Standard bipolar, Pure
corresponding indicator cut, and Fulgurate coag) illuminate green.
illuminates after the self-test is
• Each display shows a power setting of one watt.
performed successfully
• The REM Alarm indicator illuminates red.
If the self-test is not successful, an alarm tone sounds. A number may
momentarily appear in the Cut display and, in most cases, the
generator is disabled. Note the number and refer to Responding to
System Alarms in Section 6.
If you removed and/or replaced the battery, alarm number 212 may
appear in the Cut display when you turn on the generator. If this
happens, calibrate the generator.
1. Set the resistance substitution box to 120 ohms. Connect the resistance
box to the generator and confirm that the REM indicator illuminates
green.
2. Slowly increase the resistance and verify that the REM alarm sounds at
135 ± 5 ohms.
3. Decrease the resistance to 60 ohms and verify that the REM indicator
illuminates green.
4. Increase the resistance to 100 ohms and verify that the REM alarm
sounds.
5. Decrease the resistance to 30 ohms and verify that the REM indicator
illuminates green.
6. Decrease the resistance to 10 ohms and verify that the REM indicator
illuminates green.
7. Decrease the resistance to 3 ohms and verify that the REM alarm
sounds.
8. Switch to a connector without the pin, and increase the resistance from
3 to 24 ohms. Verify that the REM alarm sounds.
Confirming Outputs
Use this procedure to ensure the accuracy of the generator. Always
confirm the output
• After calibrating the generator
• Every six months.
Equipment required:
• Two small test cables (less than 61 cm [24 in.] long) with banana plugs
• Current transformer
• True RMS voltmeter (such as the Fluke 8920 or equivalent)
• 100, 300, and 500 ohm 1% noninductive power resistors
• Bipolar footswitch and monopolar footswitch.
b. Pass one test cable through the current transformer and connect the
current transformer to the voltmeter.
c. Connect the 100 ohm power resistor across the output jacks at the
end of the test cables.
d. Connect the bipolar footswitch to the Bipolar Footswitch receptacle
on the rear panel.
3. Press the Precise button and set the bipolar power to 10 watts.
a. Press the footswitch pedal and, while activating the generator, note
the output on the voltmeter.
b. Release the footswitch pedal.
c. Based on the voltmeter setting and the current transformer you are
using, calculate and record the output current.
5. Press the Standard button and repeat step 4.
7. Verify that the generator output for each mode is 316 ± 17 mA rms.
If the output is outside the specified range, calibrate the bipolar output
as described in calibration steps 5, 6, 7, and 8. Then repeat this
procedure. If the output for one or more modes remains outside the
specified range, call the Valleylab Service Center.
(1) Connect one test cable to the left jack in the Monopolar 1/CEM
Instrument receptacle. Pass the test cable through the current
transformer and connect the current transformer to the
voltmeter.
(2) Use a test cable to short the two pins on the Patient Return
Electrode receptacle.
(3) Connect the second test cable from the voltmeter to both pins of
the Patient Return Electrode receptacle.
(4) Connect the 300 ohm resistor across the output jacks at the end
of the test cables.
(5) Connect the monopolar footswitch to the Monopolar 1
Footswitch receptacle on the rear panel of the generator.
C. Press the Pure button.
D. Press the Cut up (∆) or down (∇) arrow buttons to set the cut power to
80 watts.
E. Test the monopolar cut output.
(1) Press the footswitch cut pedal and, while activating the
generator, note the output on the voltmeter.
(2) Release the footswitch pedal.
(3) Based on the voltmeter setting and the current transformer you
are using, calculate and record the output current.
F. Press the Low cut button and repeat step 1.E.
G. Press the Blend button and repeat step 1.E.
H. Verify that the generator output for each mode is 516 ± 37 mA rms.
C. Press the Coag up (∆) or down (∇) arrow buttons to set the coag power
to 80 watts.
D. Test the monopolar coag output.
(1) Press the footswitch coag pedal and, while activating the
generator, note the output on the voltmeter.
(2) Release the footswitch pedal.
(3) Based on the voltmeter setting and the current transformer you
are using, calculate and record the output current.
E. Press the Fulgurate button and repeat step 2.D.
F. Press the Med (Fulgurate) button and hold for two seconds. After the
tone sounds and the "L" appears on the left side of the Coag display,
repeat step 2.D.
G. Press the Spray button and repeat step 2.D.
H. Verify that the generator output for each mode is 400 ± 28 mA rms.
5. Verify the leakage current is less than or equal to 20 µA. If the leakage
current is greater than 20 µA, call the Valleylab Service Center.
Equipment required:
• 200 ohm, 250 watt, noninductive resistor
• Current transformer
• True RMS voltmeter (Fluke 8920 or equivalent)
• Bipolar and monopolar footswitches
• Leakage table - per IEC 601-2-2, Figure 104.
Notice
After completing any calibration step, proceed to the next step to save the values
from the completed calibration step.
2 Calendar
Month Yes
Day of the month Yes
Year Yes
3 Clock
Hour Yes
Minute Yes
If you removed and/or replaced the battery, alarm number 212 will
appear in the Cut display the first time you turn on the generator. Turn
off, then turn on the generator to clear the number. Then calibrate the
generator.
If any other number appears, calibrate the generator before taking the
appropriate action to respond to the number.
2. To enter calibration mode, simultaneously press the Recall, Pure, and
Desiccate buttons.
The first calibration step number (1) appears in the Bipolar display. For
instructions on completing this step, refer to Calibration Step 1 – Verify
the generator data.
If an error occurs during calibration, an alarm number will appear in the
Cut display. Note the number and refer to Responding to System Alarms in
Section 6.
Notice
After completing any calibration step, proceed to the next step to save the values
from the completed calibration step.