Bovie Aaron 1250 User Manual page 12

Cut mode, associated equipment and active accessories should be selected that have a rated
accessory voltage equal to or greater than 1250 Vpeak max.
When using Blend mode, associated equipment and active accessories should be selected that
have a rated accessory voltage equal to or greater than 1850 Vpeak max.
When using Coagulation mode, associated equipment and active accessories should be selected
that have a rated accessory voltage equal to or greater than 3300 Vpeak max.
When using Fulguration mode, associated equipment and active accessories should be selected
that have a rated accessory voltage equal to or greater than 3900 Vpeak max.
When using Bipolar mode, associated equipment and active accessories should be selected that
have a rated accessory voltage equal to or greater than 1200 Vpeak max.
Use electrosurgery with caution in the presence of internal or external devices such as pacemak-
ers or pulse generators. Interference produced by the use of electrosurgical devices can cause
devices such as pacemakers to enter an asynchronous mode or can block the pacemaker effect
entirely. Consult the device manufacturer or hospital Cardiology Department for further information
when use of electrosurgical appliances is planned for patients with cardiac pacemakers or other
implantable devices.
If the patient has an Implantable Cardioverter Defibrillator (ICD), contact the ICD manufacturer
for instructions before performing an electrosurgical procedure. Electrosurgery may cause
multiple activation of ICDs.
The entire area of the neutral electrode should be reliably attached to the patient's body and as
close to operating field as possible. Refer to instructions for use.
The PATIENT should not come into contact with metal parts which are earthed or which have an
appreciable capacitance to earth (for example operating table supports, etc.).
In some circumstances, potential exists for alternate site burns at points of skin contact
(e.g., between the arm and the side of the body). This occurs when electrosurgical current
seeks a path to the patient return electrode that includes the skin-to-skin contact point.
Current passing through small skin-to-skin contact points is concentrated and may cause
a burn. This is true for grounded, ground referenced, and isolated output generators.
When HF SURGICAL EQUIPMENT and physiological monitoring equipment are used simultane-
ously on the same PATIENT, any monitoring electrodes should be placed as far as possible from
the surgical electrodes. In all cases, monitoring systems incorporating HIGH FREQUENCY current
limiting devices are recommended.
To reduce the potential for alternate site burns, do one or more of the following:
• Avoid skin-to-skin contact points, such as fingers touching leg, when positioning the patient.
• Place 5 to 8 cm (2 to 3 in.) of dry gauze between contact points to ensure that contact does
not occur.
• Position the patient return electrode to provide a direct current route between the surgical
site and the return electrode which avoids skin-to-skin contact areas.
• In addition, place patient return electrodes according to the manufacturer's instructions.
Potential for alternate site burns increases if the return electrode is compromised. Bovie Medical
recommends the use of split patient return electrodes and Bovie Medical generators with a
contact quality monitoring system.
Do not wrap the accessory cords or patient return electrode cords around metal objects. This
may induce currents that could lead to shocks, fires, or injury to the patient or surgical team.
The PATIENT leads should be positioned in such a way that contact with the PATIENT or other
leads is avoided.
Minor neuromuscular stimulation is possible when arcs between the ACTIVE ELECTRODE and
tissue occur. The generator has been designed to minimize the possibility of neuromuscular
stimulation.
Accessories must be connected to the proper receptacle type. In particular, bipolar accessories
must be connected to the Bipolar Instrument output jack only. Improper connection may result in
inadvertent generator activation.
Some accessories have multiple buttons that can deliver different surgical effects. Verify
accessory features and proper mode settings prior to activation.
User's Guide • Aaron 1250 ™ 1-5