Olympus THUNDERBEAT ESG-400 System Reference Manual

Olympus THUNDERBEAT ESG-400 System Reference Manual

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System Reference Guide

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Summary of Contents for Olympus THUNDERBEAT ESG-400

  • Page 1 System Reference Guide...
  • Page 2: Table Of Contents

    Table of Contents SECTION 1: THUNDERBEAT & SONICBEAT PREPARATION SECTION 1: THUNDERBEAT & SONICBEAT PREPARATION THUNDERBEAT/SONICBEAT System Components ..........3 Connecting the Communication Cable ..............4 THUNDERBEAT Footswitch (Optional) ..............5 SONICBEAT Footswitch (Optional) ..............6 Powering ON ....................7 THUNDERBEAT/SONICBEAT Assembly ..............9 Connecting THUNDERBEAT Transducer ............11 Connecting SONICBEAT Transducer ..............12 THUNDERBEAT &...
  • Page 3: Thunderbeat/Sonicbeat System Components

    THUNDERBEAT/SONICBEAT System Components ESG-400 Generator USG-400 Generator Transducer Handpiece Footswitch Communication Cable...
  • Page 4: Connecting The Communication Cable

    Connecting the Communication Cable Connect the communication cable (MAJ-1871) to the ESG-400 and USG. Plug one end of the communication cable into the LINK-IN socket and the other to the LINK-OUT (circled in red). It does not matter which way, as long as the generators are connected, the system will operate properly.
  • Page 5: Thunderbeat Footswitch (Optional)

    THUNDERBEAT Footswitch (optional) If using foot activation, attach the THUNDERBEAT Footswitch to the back of the USG-400 Generator and finger tighten. THUNDERBEAT Footswitch Socket Purple pedal activates SEAL & CUT mode Blue Pedal activates SEAL mode...
  • Page 6: Sonicbeat Footswitch (Optional)

    SONICBEAT Footswitch (optional) If using foot activation, attach the SONICBEAT Footswitch to the back of the USG-400 Generator and finger tighten. SONICBEAT Footswitch Socket Light Grey pedal activates VAR mode Dark Grey Pedal activates MAX mode...
  • Page 7: Powering On

    Powering ON Power Buttons Communication Indicators To confirm that the generator was properly installed, press the power button and observe the following:  The periphery of the power button illuminates green  The push buttons to the right of the touch screen illuminate ...
  • Page 8 Open Handpiece Packaging Torque Wrench Stabilizer Handpiece Carefully open the THUNDERBEAT/SONICBEAT Packaging and verify all the components are present: b Handpiece b Torque Wrench b Stabilizer...
  • Page 9: Thunderbeat/Sonicbeat Assembly

    THUNDERBEAT/SONICBEAT Assembly Stabilizer Torque Wrench Rotation Knob Transducer Handle Insert the THUNDERBEAT While holding the Mount the stabilizer or SONICBEAT transducer transducer, turn the on the transducer. into the handle. rotation knob clockwise until it stops. Do not rotate the transducer handle. Attach the head of the While holding only the For disassembling the...
  • Page 10 Confirm Correct Transducer To verify that the correct transducer is being used for THUNDERBEAT and SONICBEAT match up the number on the transducer to the correct handpiece: b L ocate the number ‘1’ on THUNDERBEAT transducers and handpieces b L ocate the number ‘2’ on SONICBEAT transducers and handpieces...
  • Page 11: Connecting Thunderbeat Transducer

    Connecting THUNDERBEAT Transducer to Generator THUNDERBEAT Transducer Socket The THUNDERBEAT transducer plugs into the left socket on the USG-400 Generator. Align the ‘1’ on the Transducer with the ‘1’ on the Transducer Socket, and insert the transducer into the socket. Once the transducer is connected properly, the THUNDERBEAT user...
  • Page 12: Connecting Sonicbeat Transducer

    Connecting SONICBEAT Transducer to Generator SONICBEAT Transducer Socket The SONICBEAT transducer plugs into the right socket on the USG-400 Generator. Align the ‘2’ on the Transducer with the ‘2’ on the Transducer Socket, and insert the transducer into the socket. Once the transducer is connected properly, the SONICBEAT user...
  • Page 13: Thunderbeat & Sonicbeat Probe Check

    THUNDERBEAT & SONICBEAT Probe Check The PROBE CHECK function initiates output while the probe is outside the human body to verify the probe is functioning properly and to confirm a secure connection of the transducer to the THUNDERBEAT or SONICBEAT instrument. PROBE CHECK 1.
  • Page 14 THUNDERBEAT SEAL Settings There are three SEAL mode settings. The higher the setting, the longer bipolar energy is applied to the tissue. Pressing the ‘+’ will increase the SEAL mode level Pressing the ‘-’ will decrease the SEAL mode level b S EAL mode Level 3 provides the longest minimum SEAL time.
  • Page 15: Thunderbeat Settings

    THUNDERBEAT SEAL & CUT Settings There are three SEAL & CUT mode settings. The lower the setting, the faster the cutting speed. Pressing the ‘+’ will increase the SEAL & CUT mode level Pressing the ‘-’ will decrease the SEAL &...
  • Page 16: Sonicbeat Settings

    SONICBEAT Settings There are three SONICBEAT mode settings. The lower the setting, the slower the cutting speed. Pressing the ‘+’ will increase the cutting speed Pressing the ‘-’ will decrease the cutting speed b T he MAX mode always outputs at Level 3 (it is not adjustable) b T he VAR mode can be adjusted to Level 1, Level 2, or Level 3 b L evel 1 provides the slowest cutting speed...
  • Page 17: Esg-400 Components

    ESG-400 Components ESG-400 Generator Double Footswitch Single Footswitch...
  • Page 18: Connecting The Footswitch

    ESG-400 Connecting the Footswitch b T he ESG-400 has two footswitch connectors. Each will accommodate either one Single Footswitch and/or one Double Footswitch. b Y ou may connect both a Single Pedal and Double Pedal at the same time. It is not possible to connect two Single Pedals or two Double Pedals simultaneously.
  • Page 19: Socket Guide

    ESG-400 Bipolar Socket b C ompatible with International Standard 2-Pin Plugs b C ompatible with Erbe Standard 1-Pin Coaxial Plugs International standard 2-pin plug Erbe standard 1-pin coaxial plug...
  • Page 20 ESG-400 Monopolar 1 Socket b C ompatible with International Standard 3-Pin Plugs (4 mm Diameter) b C ompatible with Bovie Standard 1-Pin Plugs (8 mm Diameter) b C ompatible with Banana Plug 1-Pin plug (4 mm Diameter) International standard 3-pin plug (4 mm diameter)
  • Page 21 ESG-400 Monopolar 2 Socket b C ompatible with International Standard 3-Pin Plugs (4 mm Diameter) b C ompatible with Erbe Standard 1-Pin Plugs (5 mm Diameter) b C ompatible with Banana Plug 1-Pin plug (4 mm Diameter) International standard 3-pin plug (4 mm diameter)
  • Page 22 ESG-400 Olympus Universal Socket b F or Olympus Cystoresection (TURis/TCRis) Saline Cable b I ncludes instrument recognition capability Saline cable For OES Pro resectoscope. Presettings are stored: SalineCut 200 W, Effect 2, w 120 W, Effect 2...
  • Page 23 ESG-400 Neutral Electrode Socket b T he Neutral Electrode socket is compatible with Split Type and Non-Split Type Electrodes/Grounding Pads Split Type Grounding Pad Non-Split Type Grounding Pad...
  • Page 24 ESG-400 Neutral Electrode Socket CQM b T he Contact Quality Monitor (CQM) determines if the neutral electrode/grounding pad has adequate patient contact Split Type The Right side of the CQM will display green when adequate patient contact is achieved with Split-Type Neutral Electrodes. With Split-Type neutral electrodes, the ESG-400 monitors resistance levels to ensure the neutral electrode is properly attached to the patient.
  • Page 25: Assigning A Footswitch

    Assigning a Footswitch 1. Once a footswitch is attached to the ESG-400, it may be assigned to control any of the four energy outputs. Press the FOOTSWITCH button to enter the Assign Footswitch screen. Double Footswitch Assigned Single Footswitch Assigned AutoStart Assigned Assign Footswitch Screen...
  • Page 26: Esg-400 Mode Cross Reference

    ESG-400 Mode Cross Reference VIO 300D ESG-400 Force Triad System 5000 Force FX UES-40 Auto Cut/High Cut PureCut Pure PureCut Pure Pure Dry Cut BlendCut Blend BlendCut Blend Blend EndoCut Q PulseCut Slow EndoCut Q PulseCut Fast Soft Coag SoftCoag Pinpoint Coag Coag1 Forced Coag...
  • Page 27: Setting The Output: Cut & Coag Modes

    Setting the Output: Cut and Coag Modes 1. Select the energy output you 2. Adjust the wattage and/or would like to adjust. effect levels as desired. Cut Mode Menu Coag Mode Menu 3. Select the current CUT mode (yellow) or Coag mode (blue) to adjust the mode.
  • Page 28: Save Energy Output Settings As A Procedure

    Save Energy Output Settings as a Procedure 1. Once preferred mode and effect settings have been chosen, press the Menu button to bring up Select Menu screen to begin saving the current settings. 2. The Save Procedure button allows the user to store and label the current energy output settings.
  • Page 29: Select Procedure

    Select Procedure 1. Pressing the Select Procedure button will display all previously customized energy output settings. 2. The user can then select the desired 3. After selecting the desired procedure, custom procedure. press the return button. 4. The selected procedure name is displayed in the headline of All Screen and Set Screen.
  • Page 30: Delete Saved Procedure

    Delete Saved Procedure 1. Press the Menu button to bring up the Select Menu screen. 2. The Delete Procedure button allows the user remove previously stored energy output settings. 3. Page through the customized procedure list and select the procedure to be deleted. 4.
  • Page 31: Common Usg-400 Errors

    Common USG-400 Errors b E rror U504: Probe Damage Error (THUNDERBEAT and SONICBEAT) b Errors U508 & U511: Short Circuit Error (THUNDERBEAT) b Error U512: Open Circuit Error (THUNDERBEAT) b Errors U509 & U510: Ultrasonic Level Error (THUNDERBEAT and SONICBEAT) Error U504: Probe Damage Error (THUNDERBEAT and SONICBEAT) Error Code...
  • Page 32 Error U504: Probe Damage Error (THUNDERBEAT and SONICBEAT) THUNDERBEAT or SONICBEAT probe has been damaged or broken. This may happen if instrument is activated while in contact with a metallic object or hard tissue (bone, calcified tissue, or ligament). If this error occurs, the THUNDERBEAT or SONICBEAT handpiece must be replaced, followed by a probe check to ensure that the new handpiece is functioning properly.
  • Page 33 Errors U508 & U511: Short Circuit Error (THUNDERBEAT) Error Code Irregularity Description Possible Causes Remedial Actions 1. Confirm no metal object is grasped U508 SEAL & CUT Output is generated while a between jaw and probe, then confirm short circuit error metallic object is grasped.
  • Page 34 Errors U508 & U511: Short Circuit Error (THUNDERBEAT) A short circuit has occurred in SEAL mode or SEAL & CUT mode. This may happen if the instrument is activated while: in contact with a metallic object, a top jaw is in contact with tissue other than intended tissue treated, or in a pool of blood or saline.
  • Page 35 THUNDERBEAT socket to the THUNDERBEAT on the front panel of the ultrasonic socket properly. generator. If not, connect it properly. Transducer malfunction. 4. Replace the transducer. 5. Replace the THUNDERBEAT instrument. The THUNDERBEAT instrument malfunction Ultrasonic generator 6. Contact Olympus malfunction...
  • Page 36 Error U512: Open Circuit Error (THUNDERBEAT) A bipolar open circuit at the tip of the instrument has occurred if the instrument has been activated without tissues in the jaws or with the jaws open. This error can be cleared by either following the touchscreen instructions or by activating the handpiece, once it has been confirmed that there is only tissue between the jaws.
  • Page 37 SONICBEAT socket properly. or SONICBEAT socket on the front panel of the ultrasonic generator. If not, connect it properly. Probe damage 5. Replace the THUNDERBEAT or malfunction. or SONICBEAT instrument. Transducer malfunction. 6. Replace the transducer. Ultrasonic generator 7. Contact Olympus. malfunction.
  • Page 38 Errors U509: Ultrasonic Level Error (THUNDERBEAT & SONICBEAT) Abnormal ultrasonic vibration has occurred. Possible causes are instrument activation: on calcified tissue, bone, or ligament; with tissue stuck in sheath; with excessive force on probe; or after probe has been damaged. This error can be cleared by either following the touchscreen instructions or by activating the handpiece, once it has been confirmed that there is only tissue between the jaws.
  • Page 39 Transducer temperature is too high due to continuous output. Transducer malfunction. 6. Replace the transducer. Probe damage 7. Replace the THUNDERBEAT or malfunction or SONICBEAT instrument. Ultrasonic generator 7. Contact Olympus. malfunction.
  • Page 40: Usg-400 Troubleshooting

    ON. The power cord is defective. Replace the power cord. The power is not switched ON. Press the power switch to ON. Contact Olympus. Ultrasonic generator malfunction. The transducer is not connected. The transducer is abnormal. Immediately Energy output cannot withdraw the THUNDERBEAT and/or be generated.
  • Page 41 The footswitch is defective. Withdraw the THUNDERBEAT and/or SONICBEAT from the body cavity and press the power switch to OFF. Replace the footswitch. Ultrasonic generator malfunction. Withdraw the THUNDERBEAT and/or SONICBEAT from the body cavity and press the power switch to OFF. Contact Olympus.
  • Page 42 Withdraw the object. be controlled. the touch-screen. Touch-screen malfunction. Withdraw the THUNDERBEAT and/or SONICBEAT from the body cavity and press the power switch to OFF. Contact Olympus. The touch-screen remains Touch-screen malfunction Contact Olympus. dark after switching the ultrasonic generator ON (start tone is audible after switching ON).
  • Page 43 Withdraw the THUNDERBEAT and/or Ultrasonic generator, communication cable or adapter SONICBEAT from the body cavity and press the power switch to OFF. Contact Olympus. for UHI-2/3 malfunction. Cutting/sealing/coagulating Operation is not appropriate. Operate the instrument properly refer- does not work properly.
  • Page 44: Esg-400 Troubleshooting

    / or the the connection cable. connection cable 3. If the problem persists, Malfunction of the If the problem persists, contact Olympus. contact Olympus. electrosurgical generator. E002 Short circuit 1. Ensure the instrument Electrodes of the HF...
  • Page 45 The power cord is damaged. Check the power cord for damages and, if necessary, replace the power cord. Malfunction of the electrosurgical Contact Olympus. generator. The touch-screen An object is in contact with Remove the object.
  • Page 46 “Mode screen” screen” or increase the power level via (“Off” is displayed) or the power level the “Set screen” (refer to chapter 5.4, has been set to “--“. “Output setting”). Malfunction of the electrosurgical Contact Olympus. generator.
  • Page 47 Malfunction of the footswitch Immediately switch off the electrosurgical or handswitch. generator by pressing the power switch. Replace the footswitch or HF instrument with handswitch. Malfunction of the Contact Olympus. electrosurgical generator.
  • Page 49: Disconnecting The Transducer

    Disconnecting the Transducer After surgery, disconnect transducer cord from USG generator. Slide the stabilizer onto the transducer. Attach the torque wrench to the rotation knob; turn knob with torque wrench counter clockwise. Remove torque wrench. Unscrew rotation knob counter clockwise by hand until transducer is disconnected from handpiece.
  • Page 50: Disposing Single-Use Items

    Disposing Single-Use Items Discard the handpiece, torque wrench, and stabilizer. Never reuse or reprocess these single-use items. Transducer The THUNDERBEAT & SONICBEAT transducers are reusable and are guaranteed to maintain performance for 100 surgeries or 1 year (whichever occurs first).
  • Page 51: Compatible Reprocessing Methods

    Compatible Transducer Reprocessing Methods Cycle Temperature Exposure Time Prevacuum 134ºC (273ºF) 3 minutes Prevacuum 132ºC (270ºF) 4 minutes Prevacuum 132ºC (270ºF) 5 minutes Prevacuum 135ºC (275ºF) 20 minutes The sterilization methods that have been tested and verified to provide both biological efficacy and material compatibility with THUNDERBEAT and SONICBEAT transducers are shown above.
  • Page 52: Transporting The Transducer

    Transporting the Transducer After use, transport transducer to a suitable location for cleaning and handling. It is critical that transducer cleaning begin within one hour of completion of use to allow proper cleaning of blood, fluids, and other bioburdens.
  • Page 53: Cleaning Brushes & Detergents

    Cleaning Brushes & Detergents AO451 Cleaning Brush MH-507 Cleaning Brush To clean a THUNDERBEAT or SONICBEAT transducer, use the A051 and MH-507 cleaning brushes. Use only detergents that have been certified for use in the cleaning and disinfection of endoscopic surgical instruments. WARNING: The use of incompatible detergents may cause considerable damage to the transducer.
  • Page 54: Manual Cleaning

    Manual Cleaning Clean all surfaces of transducer with detergent solution using A0451 cleaning brush. Ensure that all visible dirt has been completely removed. Do not use a sharp tool or the electrical contacts on the transducer may be damaged. Gently clean gaps inside transducer connector with MH-507 brush.
  • Page 55: Sterilization

    Sterilization To ensure effectiveness of sterilization, clean the transducer thoroughly by removing all microorganisms and organic materials. Seal transducer in packaging appropriate for steam sterilization according to hospital protocol. After autoclaving, allow transducer to cool gradually to room temperature before using.
  • Page 56: Storage

    Storage Store transducer in clean place under normal (room) temperature and humidity, and protected from direct sunlight and moisture.
  • Page 58 © 2014 Olympus America Inc. All rights reserved. Printed in USA. ™ & ® Trademark or Registered Trademark of Olympus or its affiliated entities in the U.S. and/or other countries of the world. Subject to change without notice. OAIENE0414QRG12823 For more information or order inquiries, 136 Turnpike Road, Southborough, MA 01772 please call 800.848.9024 or visit us at...

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