Martin maxium & maxium Beamer Operating Instructions Table of Contents 1 Introduction....................6 2 Product Liability & Warranty..............7 General Information....................7 Scope of Delivery......................7 Warranty ........................8 Hotline........................8 3 Intended Use and Working Principles............9 Intended Use of the Martin maxium ................9 The Monopolar Working Principle................9 3.2.1...
Page 3
Martin maxium & maxium Beamer Operating Instructions Channel Fields ......................29 Neutral Electrode (NE) Status ................30 Argon Beamer Status .....................32 Menu Field .......................32 6 Operating the Unit .................33 Setting the Output Power..................34 Selecting a Current ....................35 Assigning a Footswitch to a Channel ..............36 Calling up, Storing and Deleting Programs ............37...
Page 4
10.2.1 Power Supply ......................64 10.2.2 Gas Supply......................64 10.3 Connecting the maxium Beamer to the maxium HF Surgical Unit ....66 10.4 Connecting Beamer Handles ................68 10.5 Installing the maxium Beamer on an Equipment Carrier (Trolley/Cart or Ceiling-Mounted Supply-and-Suspension Unit)............69 10.6...
Page 5
Martin maxium & maxium Beamer Operating Instructions 15.4 Performance Diagrams / Bipolar Coagulation Currents ........95 15.5 Voltage Diagrams / Monopolar Cutting Currents ..........96 15.6 Voltage Diagrams / Monopolar Coagulation Currents ........98 15.7 Voltage Diagrams / Bipolar Cutting Currents ..........100 15.8 Voltage Diagrams / Bipolar Coagulation Currents..........101...
Nevertheless, it should be pointed out that the user will only make full use of the Martin maxium’s capabilities by thoroughly familiarizing himself/herself with the unit and all of its features and work- ing principles.
Product Liability & Warranty General Information We thank you for having decided to buy a Martin product. This product carries the CE-mark, which means that it satisfies the essential requirements laid down in the EC Directive relating to medical devices.
Our service representatives are available Monday through Friday from 8 a.m. to 5 p.m. (CET). Should you have any questions concerning maintenance contracts or training courses, please con- tact our Technical Service Manager under +49 74 61 706-332, or send an e-mail to: msc@martin- med.com.
With the maxium, Gebrüder Martin provides you with an HF unit that incorporates the most ad- vanced technology, not least for the safety of the patient. The maxium HF unit is a highly versatile system with monopolar as well as bipolar cutting and co- agulation capability for use in micro- as well as macrosurgery.
Such sophisticated cuts would be impossible with a knife. The cutting mode is conventionally marked with the YELLOW color. The maxium offers a whole range of different currents for monopolar cutting, all of them optimized for specific applications. 3.2.2 Monopolar Coagulating There are basically two types of coagulation that need to be distinguished.
Description of the Unit The maxium HF surgical unit is microprocessor-controlled. It converts the mains voltage into a high-frequency alternating current for monopolar or bipolar applications. In monopolar mode, the unit can be activated either with a handle featuring switches/pushbuttons or via a footswitch pedal.
Martin maxium & maxium Beamer Operating Instructions Front Connectors Depending on the market situation, the Martin maxium can be delivered with one of three different connecting socket modules – the “m” version, “i” version or “e” version. 4.1.1 Monopolar Connectors In the case of the “m”...
Page 19
Martin maxium & maxium Beamer Operating Instructions The “e” socket module (maxium 80-042-04) features M1 monopolar (1) and M2 (4) sockets suitable for instruments having 5- mm plugs (coaxial circular connectors with 5-mm inner conductor). They can also be used for cables with US 3-pin plugs.
(e.g. bipolar forceps, bipolar HF forceps or bipolar scis- sors). The B2 socket (10) of the “m” socket module (maxium 80- bipolar 042-00) can be used for Martin standard instruments and special instruments.
Page 21
Martin maxium & maxium Beamer Operating Instructions With the “e” socket module (maxium 80-042-04), the bipolar sockets B1 (7) and B2 (10) are suitable for instruments hav- ing 4-mm plugs (coaxial circular connectors with 4-mm inner conductor). Besides, they can be used for US 2-pin flat con- nectors as well.
(13) is intended for connecting a neutral electrode cable fea- turing a symmetrical, rectangular plug that meets US standards. Warning • The maxium HF unit must not be operated with reusable neutral electrodes type TWIN- PAD! Connectors on the Unit’s Rear 4.2.1...
4.2.2 maxium Beamer Interface The maxium features a separate interface (28) for the maxium Beamer (item no. 80-044-00). This interface is not only used for communication between the two units, but it also serves for powering the maxium Beamer through the maxium unit.
When you switch on the unit for the first time, it will perform a self-test and then offer you the preset standard program. You can change this by adjusting the maxium’s settings so that it will offer the last-used program after turning it on (please refer to section 6, “Operating the Unit").
Martin maxium & maxium Beamer Operating Instructions 4.3.2 Channel Selector Buttons Two channel selector buttons – (3), (6), (9) or (12) – are assigned in pairs to each HF output socket. They are used to select the channel you want to con- figure.
No backlight: No settings can be made with the non-illuminated rotary switch because the maxium is in standby mode. After a period of time (timeout) that can be set via the “Setup” submenu, the system will automatically lapse into standby mode, returning from it as soon as you press either one of the channel selector buttons or the MENU button or activate an HF current.
Martin maxium & maxium Beamer Operating Instructions 4.3.5 Parametrization Once you have selected a parameter with the appropriate channel selector but- ton or with the MENU button, you can adjust it with the rotary switch. The output power is adjusted by changing the numerical value highlighted by the red frame.
Context Line Context line The Context line describes the maxium’s current status. This field is also used for explanations in connection with required user entries. During the selection process as well as during current activation, the respective type of current is indicated here.
The third field indicates the activation source. If this field remains empty (as is the case in the first example given above), the maxium can only be activated manually, i.e. via the buttons provided on a handpiece or instrument that has been connected. This manual activation option is available for both monopolar outputs (M1 and M2) and for the B2 bipolar output.
Note that this second type of monitoring (PCS) is available only for split neutral electrodes. In such a case (red status), the maxium automatically blocks monopolar output – no monopolar current can be activated. Instead, an alert is heard. However, bipolar currents can be activated nonetheless.
Page 31
MENU MENU In addition, the maxium features a special graphical display indicator that visually informs the user on how well the neutral electrode has been applied to the patient and whether it maintains good contact. If the NE is correctly attached, i.e. if it makes full contact with the patient’s skin across its entire surface so that good electric contact is ensured, the “slide”...
Martin maxium & maxium Beamer Operating Instructions Argon Beamer Status The maxium allows connection of the maxium Beamer, an argon beamer that is completely controlled through the maxium and therefore lacks a separate control panel and display. Consequently, all maxium Beamer- related status indicators are also seen in the maxium’s display.
(“axial click”) that has been termed “Quick Step con- trol” by Gebrüder Martin. We have made great efforts to give the maxium’s design maximum ease of use so the system can be handled effortlessly and intuitively – despite the fact that it offers much more functionality than its predecessors.
If you confirm the new value by pressing the rotary switch, the red frame will disappear. However, such confirmation is not really necessary be- cause the maxium automatically works with the output power currently selected and indicated in this field (even if the red frame is still dis- played).
Martin maxium & maxium Beamer Operating Instructions Selecting a Current To select a specific type of current, press a channel selector button of the channel of your choice. As the red frame will initially appear around the Power field, you must press the channel selector button a second time to move the red frame to the Current field (the frame now surrounds the cor- responding symbol).
The pedal symbol will now change position accordingly on the maxium’s display. If you try to activate a deselected channel with the handle button or a footswitch still assigned to it, the channel field will display an alert message that prompts you to select the channel first before it can be activated.
The maxium offers you no less than 100 storage positions (or memory locations): 99 of them can be assigned freely (although some of them have already been used for application-specific exam- ples created by Martin).
Martin maxium & maxium Beamer Operating Instructions 6.4.2 Calling up a Program m a ium m a ium MENU MENU To call up a program, press the MENU button (16) and select the “Programs” menu item with the rotary switch (item is displayed inversely when highlighting it: white lettering on blue background).
Martin maxium & maxium Beamer Operating Instructions 6.4.3 Overwriting Programs With the exception of the standard program (as already explained), you can overwrite any program if you have changed any settings and want to save them permanently (e.g. a different output power value).
Martin maxium & maxium Beamer Operating Instructions 6.4.4 Storing Settings Under a New Name (“Save under“) If you want to save a modified program but wish to retain the old settings, you can do so with the “Save under” function. In effect, a new program is created which must be given a new name.
To execute the command and delete the program for good, confirm by selecting “Delete”. If you select “Cancel”, the program is retained. Note • The "standard program" preset by Martin can neither be deleted nor overwritten! V 2.0...
Martin maxium & maxium Beamer Operating Instructions System Setup The “Setup” menu item enables you to set your maxium in accordance with your personal require- ments. You can select among the following setting options: • Interactive language: Selecting the language in which the text messages and preset program names will be displayed.
Martin maxium & maxium Beamer Operating Instructions Current Types and Their Properties Monopolar Cutting Currents Pure Cut Process-controlled current with a low eschar content. As the cutting edges are coagulated only slightly, the hemostatic effect is low as well. Thus, the result is a so-called “pure cut” that comes closest to the classic scalpel cut and supports fast wound healing.
Page 44
(plume) development. Apart from the electric parameters, the argon flow rates of the maxium Argon Beamer can also be easily con- trolled through the maxium’s operator panel when using this type of current.
Page 45
Martin maxium & maxium Beamer Operating Instructions Polyp II Like "Polyp I", this is a mixed type of current that automatically alternates between cutting and co- agulating. "Polyp II" should be preferably used for flat-base, sessile polyps. This current is also ideal for mucosectomy with the “piece-meal”...
Martin maxium & maxium Beamer Operating Instructions Monopolar Coagulation Currents Clamp Coag "Soft" contact coagulation current that is preferably applied indirectly through surgical instruments (such as vessel clamps, surgical forceps, etc.) to achieve hemostasis. In this case, a needle-, knife- or lancet-type electrode attached to the HF surgical handle is brought into contact with the surgical instrument.
Page 47
Martin maxium & maxium Beamer Operating Instructions Forced Coag Forced coagulation current that allows faster coagulation than the “Contact Coag” current, but the application technique is identical in both cases. If the application instrument or electrode is brought only slightly in contact with the tissue, some spark formation can be observed between the tissue and the electrode.
Page 48
Martin maxium & maxium Beamer Operating Instructions Macro Spray High-voltage coagulation current for non-contact surface coagulation with a low depth effect. This current allows you to maintain an extremely large distance between the electrode and the tissue during current activation, irrespective of the selected power setting (i.e. from the lowest power level, or thermal threshold, to the maximum output power of 150 W).
Page 49
Once the desired degree of tissue desicca- tion has been reached, the maxium automatically blocks energy output. Here again, the user can set the degree of coagulation via "MENU"/"Setup"/"Automatic mode"/"Coagulation degrees"/"Mono coag degree".
Page 50
Argon Beam This current is intended for use in open surgery. If a maxium Beamer is available, you can control the argon gas flow directly via the maxium’s control panel when working with this current. Argon gas flow rates between 0.1 l/min and 12 l/min can be selected. The hallmarks of this current are its excellent “ignition property”...
Page 51
Martin maxium & maxium Beamer Operating Instructions Pulsed Argon: fast repetition rate Due to the brightness of the argon plasma, it is not possible to assess the thermally induced tissue change during argon application. Therefore, to dose the power supply correctly, the user usually interrupts the HF power output with an appropriate control device such as the footswitch.
Bipo Blend Cut Just as for the monopolar cutting currents, the maxium offers different “mixed currents” for the bi- polar technique as well, i.e. currents in which the cutting process is coupled with different degrees of hemostasis.
This also applies when one of the last-used application programs includes an auto-start cur- rent, as may be offered by the maxium after switching it on. V 2.0...
Page 54
– the higher the degree of coagulation, the higher the adhesion ten- dency. Nonetheless, the maxium’s coagulation process has been optimized so as to minimize tis- sue adhesion even under conditions of strong tissue desiccation.
Page 55
This also applies when one of the last-used application programs includes an auto-start cur- rent, as may be offered by the maxium after switching it on. Seal Safe This current supports a fully automatic bipolar coagulation mode designed for sealing vessels or ...
Initial user instruction: The maxium may only be put into operation after a functional test has been performed at the place of use either by Gebrüder Martin or by a person authorized by Gebrüder Martin to carry out such work.
Page 57
Martin maxium & maxium Beamer Operating Instructions 6. Disconnect the neutral electrode from the maxium by pulling the plug from its socket, then try to activate the HF current. You should now hear an alert because the HF current cannot be acti- vated (output blocked).
Bipolar Automatic Mode Warning • Note that there is a hazard of unintentional activation if you use the maxium’s “bipolar automatic“ (auto-start) function. Be sure to prevent the bipolar instrument from accidental tissue contact as well as from any contact with electrically conductive (low-resistance) parts! •...
Martin maxium & maxium Beamer Operating Instructions Safety Instructions General Information Electrosurgical units are high-frequency generators that produce high voltages and high currents when being used for their intended purposes. To avoid any hazards to the patient, the operating staff or other persons, this surgical technique should be used carefully and all operating and safety instructions must be strictly observed.
Martin maxium & maxium Beamer Operating Instructions Never attach the neutral electrode over implants, other metal parts, bony protrusions/outgrowths or scar tissue. Circumstances may require the cleaning or degreasing of the attachment site; shave areas of abundant hair growth. Never employ agents that dry up the skin (such as alcohol).
Martin maxium & maxium Beamer Operating Instructions Further Safety Instructions • When working on body parts with low cross sections, the use of the bipolar technique may be indicated in order to prevent an unintended coagulation in other sites. •...
Increase the distance between the maxium and any equipment showing interference symp- toms. • In addition, install a commonly available mains filter on the PC or telephone system. If the problems cannot be fixed by these measures, please contact the Martin Hotline. V 2.0...
10.2 Installing the maxium Beamer 10.2.1 Power Supply A special interface (28) is provided for the maxium Beamer. It is used for communication between the maxium and the maxium Beamer as well as for powering the maxium Beamer through the maxium HF unit.
Page 65
The hose connected to the pressure reducer has a quick-action coupling that you simply push onto the maxium Beamer’s gas connection pin until it locks home. When disconnecting the coupling from the pin, the inlet is automatically locked to ensure that no gas can escape. If the hose is al- ready under pressure, more force is required to push it onto the pin than in unpressurized condition and a small amount of gas will escape during the process.
In the usual set-up (e.g. when installing both units on the maxium Cart), the two system compo- nents maxium HF generator (“m”, “i” or “e” version) and maxium Beamer are placed on top of each other and connected with each other by fixing rails and ball-head bolts (vertical latch pins).
Page 67
Martin maxium & maxium Beamer Operating Instructions Example for a type of current that activates the maxium Beamer: V 2.0...
The handle’s gas connector is the female component of a Luer-lock connection and must be con- nected to socket (1) on the front panel of the maxium Beamer. To drain the air from the applicator, an argon gas flow can be activated with the PURGE button (2). This does not activate the HF unit.
Martin maxium & maxium Beamer Operating Instructions 10.5 Installing the maxium Beamer on an Equipment Carrier (Trolley/Cart or Ceiling-Mounted Supply-and-Suspension Unit) To install the entire system – the maxium Beamer, the maxium HF-surgical unit, the argon gas cylinders and the required accessories –...
The gas cylinder symbol displayed gives you rough information on the current filling level. If the valve is closed or the gas used up, a red indicator will light up on the maxium Beamer, signaling that gas flow activation is no longer possible. In addition, the information “Argon Beamer warning: argon input pressure too low”...
• Pulsed Argon: fast repetition rate The maxium Beamer can be used with any of the instruments belonging to the MABS series (see Martin accessories catalog, “Electrosurgical Instruments”). The channel selector buttons (see section 4.3.2) can be used to select appropriate currents such as "Argon Cut"...
10.7.1 Intended Use The Martin maxium Beamer is a gas flow controller for generating a defined gas flow rate in the range of 0 to 12 l/min. It has been specially designed for use with the Martin maxium electrosurgi- cal unit. The gas flow is activated simultaneously with the high-frequency current. The system en- ables you to set separate flow rates for cutting and coagulating.
Note that while inert-gas coagulation systems using helium are also available on the market, he- lium cannot be used with the maxium Beamer because the gas flow control has been calibrated for argon! Although it would be technically possible to connect a helium gas cylinder, using he- lium would mean a much higher actual gas flow rate than indicated! •...
10.7.5 Additional Insufflation in Endosurgical Applications When using the maxium Beamer, argon gas is inevitably blown into the surgical field. If you work in body cavities, this may lead to an inadmissibly high internal pressure if the gas cannot escape.
The use of unapproved accessories made by other manufacturers may pose a hazard. In case of doubt, always contact the manufacturer. The accessories certified for use with Martin electrosurgical units can be found in our accessories catalog (“Electrosurgical Instruments”, item no. 90-767-08).
10.10 Technical Description 10.10.1 General Information The maxium Beamer is an accessory unit for generating a defined gas flow in the range of 0 to 12 l/min for use in high-frequency surgery. The gas flow is simultaneously activated with the HF cur- rent, with separate gas flow rates available for cutting and coagulating.
Beamer via the connecting cable (which also serves for power supply to the maxium Beamer). In case you prefer to use another type of argon beamer – say, Martin’s MB 181 or a third-party product –, you have two options of connecting the Beamer to the maxium HF generator: •...
Argon gas flow, COAG: 0.1 to 12 l/min ± 20%; can be switched off by setting a rate of 0.0 l/min LF leakage currents: acc. to IEC 601, Part 1 (checked together with maxium HF generator) Type of applied part: CF; defibrillation-proof...
If the maxium is used in conjunction with a maxium Beamer, then the Beamer must be checked as well. An appropriate report form can be obtained from Gebrüder Martin. Just contact the Martin Service hotline.
Page 80
NE indicator must now be in the range of the yellow field. 11. If a maxium Beamer is connected, switch off the maxium HF unit, then disconnect the argon gas supply from the maxium Beamer (if applicable) and turn on the maxium again. The stan- dard program (without argon current) must now be displayed and the Beamer indicator must remain dark.
Page 81
Martin maxium & maxium Beamer Operating Instructions not to the maxium HF unit! Now activate an argon-supported current at flow rates of 0.3 l/min, 1 l/min, 3 l/min and 10 l/min in this sequence and verify by ear (judging by the blow- ing noise) that the gas flow increases adequately from step to step.
Page 82
Martin maxium & maxium Beamer Operating Instructions 6. Housing leakage current, first fault, mains: Measure the current flowing from the maxium’s equipotential bonding pin to ground upon interrupting the ground-related phase N (this switches off the unit). As this current path constitutes a parallel path to the protective conductor, the measured value is normally very low but non-defined because it depends on the indeterminate relationship between the various grounding resistances involved.
In cases of doubt, please contact the manufacturer. For accessories especially certified for use with Martin’s electrosurgical units, please refer to our “Electrosurgical Instruments” accessories catalog, item/order number 90-767-08. Combinations of accessories not mentioned in these Operating Instructions may be used only if expressly intended for use for the application in question.
Martin maxium & maxium Beamer Operating Instructions 13 Care of the Unit Be sure to observe all local hygiene and processing (treatment-for-reuse) regulations. 13.1 Cleaning and Disinfecting Always disconnect the unit from the mains before cleaning and disinfecting it. When using cleaning agents and disinfectants, no liquid must be allowed to enter the unit, particularly when employing sprays.
Martin maxium & maxium Beamer Operating Instructions 13.2 Sterilization of Reusable Accessories The following sterilizing temperatures are permitted: Steam sterilization at 134°C Electrode handles Active electrodes (monopolar and bipolar) Reusable neutral electrodes Note • Parts/accessories marked as disposable may never be reprocessed or reused.
Martin maxium & maxium Beamer Operating Instructions 14 Technical Description The maxium is a microprocessor-controlled HF unit that can be used interdisciplinarily. It incorpo- rates the latest technology and offers a high degree of safety. The maxium’s most important features include: •...
Martin maxium & maxium Beamer Operating Instructions 14.1 Technical Specifications & Certificate Power requirements 100–240 V ± 10%; 50/60 Hz Line current max. 6.3 A Line fuse 6.3 A Nominal frequencies 300 / 400 / 600 kHz Power input without HF output 40 VA at max.
Page 88
Martin maxium & maxium Beamer Operating Instructions Current Type HF Power Crest Factor HF Voltage 1–100 W at 500 ohms (CF 18–5.4) max. 4,000 V max. 5,900 V Pulsed Argon: slow repetition rate* Pulsed Argon: fast repetition rate * 1–100 W at 500 ohms (CF 18–5.4) max. 4,000 V max.
Page 89
Martin maxium & maxium Beamer Operating Instructions Protection class I acc. to IEC 601-1 Classified acc. to MDD II b Leakage currents (LF/HF) in compliance with IEC 601, Type (of applied part) CF; defibrillation-proof Duty type intermittent 10 s / 30 s = duty factor of 25% Device fuses 2 x T 6.3 A (slow-blow)
16 Ecological Information 16.1 Packaging Gebrüder Martin will, as a matter of course, take back the full packaging if so desired, to recycle as many parts of the packaging as possible. If you do not wish to make use of this offer, you can dispose of the packaging material with the normal paper or domestic garbage.
Page 103
Martin maxium & maxium Beamer Operating Instructions V 2.0...
Page 105
Gebrüder Martin GmbH & Co. KG 01.05 · 90-169-52-22 · Printed in Germany Copyright by Gebrüder Martin GmbH & Co. KG Ludwigstaler Straße 132 · D-78532 Tuttlingen Alle Rechte vorbehalten. Postfach 60 · D-78501 Tuttlingen · Germany Technische Änderungen vorbehalten.
Need help?
Do you have a question about the maxium and is the answer not in the manual?
Questions and answers