Anesthesia; Odor Control - coltene/whaledent PerFect TCS II Manual De Usuario

Owner's Guide
CAUTION
1.
Do not tamper with the PerFect TCS II or any of
its components.
2.
For safe operation, be certain the PerFect TCS II is plugged into
a three-wire grounded power source. Do not use plug adaptors
that eliminate ground.
3.
Electrosurgery should not be used within approximately 4.5
meters of persons with active implantables, such as pacemakers,
cochlear implants, or nerve stimulators.
4.
Do not use PerFect TCS II in the presence of flammable
anesthetics or explosive gases.
5.
Metal conducts radio frequency energy just as it conducts
electricity. Remove partial dentures if removable and check the
area for fixed partial dentures. Metal restorations can conduct
energy beyond the anesthetized area and cause discomfort to
the patient.
6.
Take care that metal restorations, bone, or teeth do not come
into contact with active electrodes. While fleeting contact will
not be detrimental, extended contact may result in damage.
All instruments used during electrosurgery should be made
of a non-conducting plastic material. Cotton rolls or gauze
pads used in the patient's mouth should be kept moist during
electrosurgery. Remember to deactivate the electrode each
time the electrode sheath is removed from the operative site
and before it is cleaned or changed. Skin-to-skin contact (for
example between the arms and body of the patient) should be
avoided by insertion of dry gauze for example.
7.
When high frequency surgical equipment and physiological
monitoring equipment is used simultaneously on the same
patient, all monitoring electrodes should be placed as far
as possible from the surgical electrode. Needle monitoring
electrodes are not recommended. In all cases, monitoring
systems incorporating high frequency, current limiting devices
are recommended.
8.
Position cables to the surgical electrodes in such a way that
contact with the patient or other leads is avoided.
9.
Store electrodes out of reach of the patient.
10.
Apparent low output or failure to function correctly at the
normal operating settings may indicate faulty application of
the neutral electrode or poor contact at its connections.
11.
The use of flammable anesthetics or oxidizing gases such as
nitrous oxide and oxygen should be avoided. Non-flammable
agents should be used for cleaning or disinfecting. Solvents
of adhesives should be allowed to evaporate before the
application of high-frequency electrosurgery. Some material
may be ignited by sparks produced in normal use of the
equipment (for example, cotton wool and gauze when
saturated with oxygen). Endogenous gases may be ignited
by electrosurgery.
12.
Interference produced by the operation of the high frequency
surgical equipment may adversely influence the operation of
other electrical equipment. In case of interference, de-energize
or increase distance to susceptible equipment. Connection to
a different power circuit may also reduce interference.
13.
Regularly inspect the accessories, particularly the electrode
sheaths and cables, for possible insulation damage.
14.
Allow a 10–15 second cool down period between cuts in the
same area for heat to dissipate safely.
15.
The electrode sheaths used with the electrosurgical device
have a limited life expectancy and should be replaced after
twenty (20) autoclave cycles or sooner, upon the appearance
of any signs of wear or erosion.
16.
Use only accessories supplied by Coltène/Whaledent intended
for use with this equipment. The active electrode and handle
is 100% hi-pot tested to 3000 VAC. Peak voltage to the active
electrode may reach 450V and must be rated to 675V at
3.68 MHz. The dispersive electrode normally does not receive
significant voltage but must be insulated to 4000 VAC.
17.
Failure of HF (high frequency) surgical equipment or excessive
electrical interference could result in an unintended power
output increase, decrease or activation. In the case of
electrical interference, de-energize or increase distance to the
equipment causing interference. Connection to a different
power circuit may also reduce interference.
18.
Where HF (high frequency) current could flow through a
relatively small cross section of the body it may be desirable
to use bipolar techniques not available with this equipment.

Anesthesia

Local or general anesthesia must be used with all electrosurgical
procedures. As with any other surgical device, the patient may
experience temporary post-operative pain from the use of
electrosurgery after the anesthetic effect has diminished.

Odor control

Odors caused by electrosurgery can be minimized by using a high
volume evacuator between the patient's mouth and nose, such as
Coltène/Whaledent's VacEjector System.
®
9