STEP 5: Start the saline flow and allow passage of saline through the tubing
and device.
• Note: In order to reduce set-up time, the device and tubing can be
primed with a 60 ml syringe filled with sterile saline (0.9% NaCl).
After priming the tubing, using aseptic technique, connect the saline
delivery system line to the saline line provided with the device.
Assure that the luer connection is secure.
STEP 6: Wait for saline to fill the device, and then invert the device so that
the-distal end faces the floor (tip end down).
STEP 7: Check flow of saline. Adjust the saline flow using the flow control
on the I.V. set, or if using an infusion pump, set it to deliver 240
ml/hr. The saline should drip regularly from the end of device at
approximately one to two drops per second.
STEP 8: Stop or pause the saline delivery until the device is ready to be
used, using the pinch clamp provided with the device.
STEP 9: Connect the device cable to the monopolar receptacle on the
generator. (Reference generator manufacturer's instructions.)
• Note: For some generators, activation of the foot pedal will also
activate coagulation. To use footswitch activation, some generators
require that the device be connected to a footswitch controllable
output. Some generators, particularly older ones, may not allow
activation of the device with the footswitch at all. (Recommended
generators are listed in Appendix 1, Recommended Generator
Settings, document 70-10-1353.)
Set RF Power
Warning:
Use the lowest setting possible to achieve the desired tissue effect.
STEP 1: Set generator to desired power setting. Start with the lowest
recommended power setting and increase as needed to achieve the
desired effect.
Activating and Operating the Monopolar Device
STEP 1: Initiate saline flow and verify that saline is flowing from the tip of
the device.
STEP 2: Place tip of device on the tissue to be treated.
STEP 3: Activate device by depressing button or foot pedal (see previous
note) continuously for length of treatment, release button or foot
pedal to cease treatment.
STEP 4: Repeat as necessary by positioning the device over next area to be
treated.
STEP 5: Ensure that the tip is only in contact with tissue to be treated.
STEP 6: For optimum performance, the tip must be kept free of debris.
STEP 7: If saline flow stops during the electrosurgical procedure, stop using
the device and attempt to resume saline flow. Ensure that the saline
source is adequate and the saline delivery system is functioning
properly. If unable to resume saline flow, discontinue use and
obtain a new device and return the used device to Salient.
Disposing of the Monopolar Device
1. Firmly clamp the saline delivery tubing.
2. Turn off the generator.
3. Remove the used saline bag from the I.V. pole.
4. Disconnect the device from the generator.
5. Dispose of the device and the used saline bag according to the procedures
for your institution.
Precaution:
• The device and the saline bag will contain unused saline following use of
the device. Take precautions to prevent the unused saline from flowing
onto OR surfaces.
Technical Description
General Description:
Monopolar electrosurgical device.
Employs RF energy and saline for hemostatic sealing, coagulation and, with
the exception of the Endo FB3.0, blunt dissection of soft tissue.
RF energy source:
Disposal:
Dispose of used devices as a biohazard.
External electrosurgical generator, not supplied.
Recommended generators and generator settings
are listed in Appendix 1, Recommended Generator
Settings, document 70-10-1353.
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