Bf type evis exera ii ultrasonic bronchofibervideoscope (183 pages)
Summary of Contents for Olympus SonoSurg-T2L-GE
Page 1
INSTRUCTIONS Ultrasonic Surgical System SonoSurg SonoSurg Transducer SonoSurg-T2L-GE SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU USA: CAUTION: Federal law restricts this device to sale by or on the order of a physician.
Inspection and connection of the irrigation/suction tube for SonoSurg (MAJ-1099) ..............Connection of the hand piece plug ..........Preparation and inspection of the electrosurgical unit ....Inspection of compatibility with the trocar tube ....... SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 4
Troubleshooting ............119 Troubleshooting guide ..............When the ultrasonic output warning lamp is lit........ Returning the equipment for repair ..........Appendix..................128 System chart .................... Operating environment................Specifications ................... EMC compliance information ..............SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Labels and Symbols Labels and Symbols Safety-related labels and symbols are attached to the instrument at the locations shown below. If labels are missing or illegible, contact Olympus. Electrical rating plate The product name and rated voltage are displayed. Caution plate Shows the proper tubing connection.
Page 6
Labels and Symbols Back cover of this instruction manual Manufacturer Authorised representative in the European Community SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
These devices may also be combined with electrosurgery using Olympus electrosurgical Units. Do not use these instrument for any purpose other than its intended use.
Problems that appear to be malfunctions may be correctable by referring to Chapter 8, “Troubleshooting”. If the problem cannot be resolved using the information in Chapter 8, contact Olympus. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Otherwise, an explosion or fire may occur. • These devices are not intended to be used for dissection, fragmentation, emulsification, or aspiration of fatty cells for liposuction. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 10
• Electromagnetic interference may occur on this instrument near a portable device and a mobile RF communications equipment such as a cellphone marked with the following symbol: SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 11
Current flowing through the heart or the low-frequency current generated by rectification during spark discharge may cause ventricular fibrillation, even when this instrument is used in combination with a TYPE CF electrosurgical unit. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Before using them for the first time, reprocess them according to the instructions given in Chapter 7, “Reprocessing and Storage”. This instruction manual is shipped with the SonoSurg Transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C) and the SonoSurg Irrigation Unit (SonoSurg-IU). SonoSurg Transducer (SonoSurg-T2L-GE)
Page 13
Chapter 1 Checking the Package Contents SonoSurg Irrigation Unit (SonoSurg-IU) SonoSurg Communication Cable (MAJ-1103) SonoSurg Irrigation Unit (SonoSurg-IU) Instruction manual Power cord SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 14
Chapter 1 Checking the Package Contents The following Olympus items are optional and may be purchased separately: Foot Switch for SonoSurg Irrigation Unit (MAJ-1102) Foot Switch for SonoSurg Irrigation Unit (MAJ-1102) SonoSurg Connection Cable (MAJ-1121) SonoSurg Connection Cable (MAJ-1121) Probe (Straight) (MH-112)
Page 15
Chapter 1 Checking the Package Contents The following Olympus items are optional and may be purchased separately: Probe (15 Angled) (MH-113) Probe (15 Angled) (MH-113) Probe (Tapered, Long) (MH-125) Probe (Tapered, Long) (MH-125) SonoSurg GE Straight Sheath (T3310) SonoSurg GE Sheath Attachment (T3300), ×...
Page 16
Chapter 1 Checking the Package Contents The following Olympus items are optional and may be purchased separately: SonoSurg GE Sheath (15 Angled) (T3320) SonoSurg GE Sheath SonoSurg GE Sheath Attachment (T3300), × 3 (15 Angled) (T3320) SonoSurg GE Tapered Sheath (T3330) SonoSurg GE Sheath Attachment (T3300), ×...
Page 17
Chapter 1 Checking the Package Contents The following Olympus items are optional and may be purchased separately: Irrigation/Suction Tube for SonoSurg (MAJ-1099) (disposable, sterile) SonoSurg Irrigation/Suction Tube for SonoSurg (MAJ-1099), × 6 SonoSurg GE Hand Switch (MAJ-1100) SonoSurg GE hand switch (MAJ-1100)
Page 18
Chapter 1 Checking the Package Contents The following Olympus items are optional and may be purchased separately: Cleaning Brush (MH-140) Cleaning Brush (MH-140) Cleaning Brush (NSG-BW) Cleaning Brush (NSG-BW) Brush (MH-507) Brush (MH-507) SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 19
Chapter 1 Checking the Package Contents The following Olympus items are optional and may be purchased separately: 6 mm Torque Wrench (MAJ-1117) 6 mm Torque Wrench (MAJ-1117) SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Chapter 2 Instrument Nomenclature Chapter 2 Instrument Nomenclature Symbols and Descriptions Warning section Communication error Power switch Power OFF Power ON Front panel Flush Irrigation Suction mode select Normal suction Laparoscopic suction SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 21
Chapter 2 Instrument Nomenclature Rear panel Serial number Fuse Potential equalization terminal Foot Switch Foot switch Ultrasonic output Variable steps Maximum output level Irrigation Suction SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 22
Chapter 2 Instrument Nomenclature Irrigation/suction tube package Refer to instructions. Single use only Use by (expiration date) Sterilized using ethylene oxide Sterilization lot number Lot number Keep away from sunlight Keep dry SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 23
Chapter 2 Instrument Nomenclature SonoSurg Transducer (SonoSurg-T2L-GE) 8. Suction fitting Handpiece cord 7. A-cord mounting pin Model name (back side) Red mark Serial number 6. Seal TYPE CF symbol 5. Sheath connecting section 4. Probe connecting section 3. Suction channel 2.
Page 24
The A-cord mounting pin is connected to the active cord (A-cord), which is connected to the electrosurgical unit. 8. Suction fitting Connects to the suction tube of the irrigation/suction tube for SonoSurg (MAJ-1099). SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 25
Chapter 2 Instrument Nomenclature SonoSurg Transducer (SonoSurg-T2L-GE-C) Handpiece cord 8. Suction fitting 7. A-cord mounting pin Model name (back side) Serial number (back side) 6. Seal Red triangle 5. Sheath connecting section 4. Probe connecting section 2. Contacts 1. Plug 3.
Page 26
The A-cord mounting pin is connected to the active cord (A-cord), which is connected to the electrosurgical unit. 8. Suction fitting Connects to the suction tube of the irrigation/suction tube for SonoSurg (MAJ-1099). SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 27
4. Water-proof cap When cleaning, the hand piece plug is covered with the water-proof cap to prevent water entering the plug. 5. Contacts The contacts conduct the ultrasonic energy from generator to the probe tip. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 29
10. Irrigation level setting switches Press “ ” to increase the irrigation level setting, and press “ ” to decrease the irrigation level setting. 11. Flush switch When pressed, irrigation fluid is supplied to the irrigation/suction tube. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 30
Chapter 2 Instrument Nomenclature Rear panel 3. Fuse holder 1. Foot switch connector 2. Potential equalization Electrical rating plate terminal 4. AC power inlet 6. System connector B Serial number 5. System connector A SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 31
The AC power inlet accepts the power cord. 5. System connector A Accepts a 25-pin type system connector for system expansion. 6. System connector B Accepts a 9-pin type system connector for system expansion. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 32
The plugs are connected to system connector B of the SonoSurg generator and the SonoSurg irrigation unit. 2. Lock knob Secure the plugs into the connectors of the SonoSurg generator and the SonoSurg irrigation unit. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 33
1. Ultrasonic maximum output pedal The ultrasonic maximum output pedal applies ultrasonic output of 100% regardless of the level set on the SonoSurg generator. This pedal does not function when the SonoSurg-T2L-GE/SonoSurg-T2L-GE-C transducers are used. 2. Ultrasonic variable output pedal...
Page 34
Emulsified tissue is aspirated through the channel. 3. Notch When connecting the probe to the transducer, the torque wrench (MAJ-1117) is attached here. 4. Tip section Emulsified tissue is aspirated through the channel. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 35
1. Irrigation fitting Connects to the irrigation tube of the irrigation/suction tube for SonoSurg (MAJ-1099). 2. Transducer connecting section The SonoSurg transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C) is inserted here. 3. Screw section The screw section is connected to the SonoSurg GE sheath attachment (T3300).
The suction bottle cap is attached to the “PATIENT” fitting of a suction bottle. 5. Needle Used to pierce a saline solution bag. 6. Irrigation tube Connects to the irrigation fitting of the transducer. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 37
This switch applies to the coagulation output from the electrosurgical unit. 6 mm Torque Wrench (MAJ-1117) Model name Tightening section Attach to the probe’s notch to tighten Grip section the probe and the screw section of the transducer. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Should the slightest irregularity be suspected, do not use the equipment and see Chapter 8, “Troubleshooting”. If the irregularity is still suspected after consulting Chapter 8, contact Olympus. Prepare and inspect other equipment to be used with the unit as instructed in their respective instruction manuals.
Install the unit on a stable bench or cart. Install the SonoSurg generator (SonoSurg-G2) on top of the irrigation unit. If they are placed on a cart, take proper measures to ensure that the unit will not fall. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Connect the power cord to the AC power inlet on the unit’s rear panel. Connect the cord to a hospital grade 3-pin receptacle that meets the power requirements indicated on the electrical rating plate. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
With the indicator on the plug facing upward, align the plug with the foot switch connector on the rear panel of the SonoSurg irrigation unit (see Figure 3.2). Insert the plug into the connector until it clicks. Indicator Figure 3.2 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 42
Chapter 3 Preparation and Inspection of the SonoSurg Irrigation Unit How to disconnect the foot switch Pull out the ring on the foot switch plug, and disconnect the plug from the foot switch connector (see Figure 3.3). Ring Figure 3.3 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Connect the SonoSurg communication cable (MAJ-1103) to system connector B of both the SonoSurg generator and the SonoSurg irrigation unit. Secure the lock knobs tightly (see Figure 3.4). Plug Lock knob SonoSurg communication cable Figure 3.4 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
• If the SonoSurg irrigation unit is not supplied with power, the fuses may have blown. Do not replace or attempt to repair the fuses; contact Olympus. Otherwise, patient or user injury and/or equipment damage can result. • For additional information on the SonoSurg generator’s stand-by mode, refer to Section 4.2, “Inspection of the hand...
Page 45
The safety circuit has been activated, because of an error in the pump drive system. If any of these conditions exists, refer to Chapter 8, “Troubleshooting”. If the problem cannot be solved using the information in Chapter 8, contact Olympus. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 46
Confirm that the irrigation level setting indicator displays the type of transducer, which is connected to the SonoSurg generator (see Figure 3.7). This example shows the indicator when a SonoSurg-T2L-GE/SonoSurg-T2L-GE-C transducer is connected. Figure 3.7 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 47
(see Figure 3.8). Figure 3.8 When the socket of the SonoSurg connection cable (MAJ-1121) and the transducer plug (SonoSurg-T2L-GE-C) are not connected, the generator is still in stand-by mode and ultrasonic output and the setting operations are disabled, even if the plug of the cable is connected to the SonoSurg generator.
The suction setting mode is set to the normal suction mode (indicated by illumination of the normal suction mode lamp), and the pinch valve is closed. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Should the slightest irregularity be suspected, do not use this instrument and see Chapter 8, “Troubleshooting”. If the irregularity is still suspected after consulting Chapter 8, contact Olympus. Damage or irregularity may compromise patient or operator safety and may result in more severe equipment damage.
If the suction pressure is not set within the range shown below, it will not be possible to cool the probe sufficiently, and patient burns or probe damage may result. Suction pressure range: 8 to 85 kPa SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 51
• For more details on the SonoSurg generator and its ancillary equipment, refer to the instruction manual for the SonoSurg generator set (SonoSurg-G2 set). SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
• If the sheath connecting section of the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C) is deformed or damaged, do not use the transducer and contact Olympus. If the connection between the transducer and the sheath is not complete, connect them securely. Otherwise, insufficient cooling due to a leakage of irrigation fluid may cause patient burns or probe damage.
Page 53
Otherwise, abnormal output and/or detachment of the tip may result. • If the sheath connecting section of the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C) is deformed or damaged, never connect it to the sheath. Otherwise, it may be impossible to remove the sheath from the transducer. •...
Page 54
This is a positive cleaning action, to be undertaken when a foreign substance has hardened on the contacts. Confirm that the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C) and the connection cable (MAJ-1121) are free from rust, dislocation, cracks rattling or looseness, and that the hand piece cord is not damaged. If the contacts inside of the transducer’s plug or the connection cable’s socket are...
Page 55
Insert the screw section of the probe into the probe connecting section of the transducer. Then, rotate the probe with your fingers until it stops (see Figure 4.2). Transducer Screw section Probe Probe connecting section Figure 4.2 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 56
When the transducer must be replaced during a procedure, inspect the new transducer as described in this section, and connect the new transducer to the probe as described in steps 1. and 2. above. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 57
Otherwise, abnormal flow of cooling water may cause insufficient probe cooling, which in turn could cause burns and/or further equipment damage. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 58
Insert the transducer to which the probe is attached into the proximal end of the sheath and push it all the way in until it stops (see Figure 4.6). Sheath Transducer Figure 4.6 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 59
Align the red triangle on the plug of the transducer with the red triangle on the socket (see Figure 4.8). Plug Socket Red triangle Red triangle Figure 4.8 Insert the plug into the socket until it clicks. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
• Never use any tubing with this instrument other than the irrigation/suction tube for SonoSurg (MAJ-1099). Otherwise, the normal functionality of the product cannot be maintained and burns or equipment damage may result. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 61
• When fixing the irrigation/suction tube to an operating table, etc., do not clamp it using forceps. Otherwise, the hand piece cord may be damaged and/or its wires disconnected. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 62
When connecting the irrigation tube of the irrigation/suction tube for SonoSurg (MAJ-1099) to the sheath, always hold the sheath firmly. Make sure to push the tube completely over the irrigation fitting (see Figure 4.9). Sheath Irrigation fitting Irrigation tube Figure 4.9 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 63
When connecting the suction tube of the irrigation/suction tube to the transducer, push the tube on until it covers the two ridges of the suction fitting (see Figure 4.11). Suction fitting Suction tube Figure 4.11 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 64
Take care that the pump head cover does not pinch the irrigation tube. Otherwise, the cooling water flow will be impaired, which could lead to in sufficient cooling of the probe and cause burns. In addition, the irrigation tube could become damaged. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 65
In this case, the irrigation level setting indicator of the SonoSurg irrigation unit displays “OPE”. Rotate the pump head cover upward to open the head cover (see Figure 4.13). Pump head cover Figure 4.13 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 66
Guide grooves Figure 4.14 Confirm that the irrigation tube is in both guide grooves of the pump head, then close the pump head cover (see Figure 4.15). Pump head cover Guide grooves Figure 4.15 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 67
Prepare a sufficient quantity of cooling water. If the cooling water is depleted, an insufficiently cooled probe could cause burns. When the quantity of cooling water is likely to be insufficient, prepare additional water prior to the procedure. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 68
Remove the seal from a saline solution bag, remove the cap from the needle of the irrigation/suction tube and insert it into the bag (see Figure 4.17). Saline solution bag Needle Figure 4.17 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 69
This will open the pinch valve. Attach the suction tube of the irrigation/suction tube to the pinch valve (see Figure 4.18). To the transducer To the suction Pinch valve bottle Figure 4.18 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 70
Connect the bottle cap of the irrigation/suction tube for SonoSurg (MAJ-1099) to the “PATIENT” fitting of a suction bottle (see Figure 4.19). Suction bottle cap “PATIENT” fitting Suction bottle Figure 4.19 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
(SonoSurg-G2) or to detach the water-proof cap. Otherwise, the cord or the wires inside of it may be damaged. Detach the waterproof cap from the transducer plug (SonoSurg-T2L-GE) or the plug of the connection cable (MAJ-1121). Align the red mark on the transducer plug with that on the hand piece connector of the generator (see Figure 4.20).
Preparation and inspection of the electrosurgical unit • This instrument should be used in combination with Olympus electrosurgical unit UES-40. It has been tested and found to be safe in combination with the instrument. Generally, since an electrosurgical unit can be hazardous, its safety should be checked.
Page 73
Confirm that the A-cord’s connector is free of scratches and cracks. Attach the A-cord (A0355, A0358) to the A-cord mounting pin on the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C), and confirm that it is secure (see Figure 4.21). A-cord mounting pin A-cord Figure 4.21...
Page 74
Confirm that no foreign substances or liquids are adhering inside the plug and the receptacle. If a foreign substance and/or liquid is present, point the plug downward and wipe the inside with a clean, lint-free cloth. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 75
Attach the A-cord mounting pin of the transducer into the connection receptacle of the GE hand switch (see Figure 4.22). Connection A-cord mounting pin receptacle Transducer Figure 4.22 Fit the holder onto the sheath (see Figure 4.23). Receptacle holder Sheath Figure 4.23 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 76
GE hand switch. Take care not to twist or bend the cord or the tube while doing this (see Figure 4.24). Irrigation/suction tube Cord Cord holder Figure 4.24 Attach the monopolar hand piece plug to the hand piece connector of the electrosurgical unit. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Confirm that the sheath tip and the probe extend from the distal end of the trocar tube. Make sure that the insertion section of the sheath moves smoothly in the trocar tube. After inspecting the compatibility, carefully remove the insertion section from the trocar tube. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Inspection of the generator and the irrigation unit • After the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C) has been connected to the generator (SonoSurg-G2) and the generator has been turned ON, “HP2” must be displayed on the ultrasonic output setting indicator of the generator. If this is not displayed, the generator and/or the transducer may not be working properly.
Page 79
Figure 5.1 When the hand piece plug of the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C) is not connected properly, “HP” flashes on the ultrasonic output setting indicator of the generator, and “Irr” is displayed on the irrigation level setting indicator of the irrigation unit (see Figure 5.2).
Suction pressure range: 8 to 85 kPa Press the suction mode switch so that the normal suction mode lamp lights up (see Figure 5.3). Normal suction mode lamp Suction mode switch Figure 5.3 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
If the cooling water leaks, current may also be conducted through it during electrosurgical operation and could cause burns. In addition, the probe may not be cooled sufficiently and could cause burns. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 82
When the flush switch is pressed, the flashing “Irr” is illuminated continuously and the high-irrigation pedal of the foot switch (MAJ-1102) can be activated. Now press the high-irrigation pedal and confirm that cooling water flows out of the attachment on the sheath’s tip. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Olympus. The ultrasonic maximum output pedal of the foot switch (MAJ-1102) is disabled when a hand piece of type “HP1” or “HP2” is used. In this case, use the variable output pedal instead. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 84
(see Figure 5.7). Figure 5.7 Set the output level to “10%” by pressing the ultrasonic output setting switches on the SonoSurg generator (see Figure 5.8). Ultrasonic output setting switch Figure 5.8 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 85
While stepping on the ultrasonic maximum output pedal of the foot switch (MAJ-1102) as shown in Figure 5.10, confirm that the warning tone is generated and the output is disabled. Ultrasonic maximum output pedal Figure 5.10 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
• If abnormalities occur, immediately stop using the instrument and refer to Chapter 8, “Troubleshooting”. If the trouble persists or a malfunction is suspected, contact Olympus. • Before activating output, be sure that the probe is not in contact with the surrounding tissue. Otherwise, ultrasonic output may cause perforation, bleeding, burns or tissue damage.
Page 87
If the instrument is dropped or subjected to a strong shock, do not use it, and replace it with a spare one. • This instrument is delicate. Take care when inspecting, preparing and operating it. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 88
When disconnecting the transducer’s plug, make sure that the connection cable is not twisted. • Do not touch the pins inside the hand piece plug of the transducer. Static discharge from the pins can cause an electric shock. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 89
To prevent patient burns, make sure that the patient’s clothes are dry. • To prevent patient burns, make sure that the patient is not in contact with any metal objects (e.g., metal parts of the operating table, etc.). SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 90
If an attempt is made to activate high frequency output while ultrasonic output is active, the SonoSurg generator will detect it and suspend the ultrasonic output. • For more details on the electrosurgical unit, refer to its instruction manual. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
The effects of ultrasonic treatment on the tissue do not only depend on the ultrasonic output setting but also on the suction pressure setting and the way in which the probe comes in contact with the tissue. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 92
Suction is activated only during ultrasonic output and when the suction pedal on the foot switch (MAJ-1102) is pressed. Activate the suction device and set the suction pressure within the following range: 8 to 85 kPa SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
While pressing the flush switch of the irrigation unit, confirm that cooling water is fed to the sheath tip. Set the output level by pressing the ultrasonic output setting switches (see Figure 6.1). Ultrasonic output setting switches Figure 6.1 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
(see Table 6.1). When it is necessary to change the quantity, press the irrigation level setting switches on the SonoSurg irrigation unit (see Figure 6.2). Ultrasonic (%) Irrigation (%) Table 6.1 Irrigation level setting switches Figure 6.2 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
• During ultrasonic treatment, the SonoSurg irrigation unit generates an output tone. The SonoSurg generator does not generate an output tone simultaneously. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 96
Adjust the ultrasonic output setting, suction pressure and/or cooling water quantity as required. To clean the tissue, advance the probe tip toward the tissue and press the high-irrigation pedal of the foot switch (MAJ-1102) (see Figure 6.4). High-irrigation pedal Figure 6.4 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 97
Section 7.3, “Compatible reprocessing methods and chemical agents”. Then remove any blockages from the suction channel by inserting the cleaning rod (MAJ-1178) into both ends of the channel. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
SonoSurg generator (see Figure 6.7). While the electrosurgical unit is generating the output, ultrasonic output from the SonoSurg generator is inactivated for safety purposes. When performing ultrasonic output, stop the high-frequency output from the electrosurgical unit. Figure 6.7 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 99
Just before the beginning of the procedure, push the A-cord (A0355, A0358) onto the A-cord mounting pin of the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C) until it stops. Before turning the electrosurgical unit ON, make sure that the target area is clearly visible in the field of view.
Clean and sterilize this instrument as described in Chapter 7, “Reprocessing and Storage”. When the equipment will not be used for a long period of time after the procedure is completed, disconnect all power cords from the wall-mains outlet. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
If error codes “E0.A” or “E0.C” are displayed during the procedure or when the irrigation unit is turned ON (see Figure 6.9), it is possible that the irrigation pump is overloaded. Take appropriate measures as described in Chapter 8, “Troubleshooting”. Figure 6.9 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
If the communication warning lamp lights (see Figure 6.10), there may be an improper connection between the communication cable (MAJ-1103) and the generator (SonoSurg-G2) or irrigation unit (SonoSurg-IU). Take appropriate measures as described in Chapter 8, “Troubleshooting”. Communication warning lamp lights. Figure 6.10 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
your institution’s reprocessing procedures occupational health and safety regulations national and local hospital guidelines and policies the instructions in this manual the mechanical aspects of this equipment pertinent germicide labeling SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
• For effective cleaning and sterilization, disassemble this instrument into its components (the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C), the connection cable (MAJ-1121), the sheath and the probe) before cleaning. If the instrument is not disassembled, it cannot be cleaned or sterilized effectively.
Page 105
For information on the durability against each method, please contact Olympus. If cleaning and sterilization methods not stated in this instruction manual are performed, Olympus cannot guarantee the effectiveness, safety and durability of this instrument.
Use a medical-grade, low-foaming, neutral pH detergent with no abraside or enzymatic detergent and follow the manufacturer’s dilution and temperature recommendations. Contact Olympus for the names of specific brands that have been tested for compatibility with this instrument. Do not reuse detergent solutions.
Attaching • Before cleaning the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C) or the connection cable (MAJ-1121), be sure to attach the waterproof cap to the hand piece plug. If the waterproof cap is not attached, water will enter the hand piece plug, which could result in equipment damage.
Page 108
Doing so may result in infection, tissue inflammation and/or equipment damage. • After using the tube, dispose of it in accordance with hospital and local guidelines. Otherwise, infection may result. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 109
Detach the hand piece cord from the cord holder of the tube (see Figure 7.2). Cord holder Hand piece cord Figure 7.2 Disconnect the irrigation tube from the irrigation fitting of the sheath (see Figure 7.3). Irrigation tube fitting Sheath Irrigation tube Figure 7.3 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 110
Disconnect the suction tube from the suction fitting of the sheath (see Figure 7.5). Suction fitting Suction tube Figure 7.5 Detach the suction tube from the pinch valve (see Figure 7.6). Suction tube Pinch valve Figure 7.6 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 111
Remove the needle of the irrigation/suction tube from the saline solution bag (see Figure 7.8). Saline solution bag Needle Figure 7.8 Rotate the pump head cover upward to open it (see Figure 7.9). Pump head cover Figure 7.9 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 112
Disassembly of the transducer, the probe and sheath • When detaching the sheath from the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C), be careful not to come in contact with residual liquids inside the sheath. These liquids may pose an infection control risk. •...
Page 113
While holding both the sheath and transducer, pull the sheath out from the transducer (see Figure 7.12). Sheath Transducer Figure 7.12 While holding the sheath and the sheath attachment, remove the attachment by turning it counterclockwise (see Figure 7.13). Sheath GE sheath attachment Figure 7.13 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 114
Loosen the screw section by attaching the torque wrench (marked “This side up”) to the notch of the probe and turning it counterclockwise. Then detach the probe from the transducer (SonoSurg-T2L-GE/SonoSurg-T2L-GE-C) manually (see Figure 7.14). The side marked “THIS SIDE UP”...
40 cm (16” by 16”), and 15 cm (6”) height) • Clean, lint-free cloths • Chemical-resistant gloves • Soft-bristled brush • Syringe (more than 20 mL) • Cleaning brush (MH-140) • Cleaning brush (NSG-BW) • Cleaning rod (MAJ-1178) • Brush (MH-507) SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 116
Use a sufficiently large basin so that all components may be fully immersed. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 117
When cleaning the inside of the plug or the socket, do not try to push or rub the contacts with the metallic tip of the brush. Otherwise, the contacts may become deformed or damaged, and ultrasonic output may be impaired. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 118
(6) times to flush at least 120 ml of detergent solution. Gently clean the gaps inside the plug of the transducer (SonoSurg-T2L-GE-C) using a cleaning brush such as the MH-507. Do not press against or rub the contacts with the metallic tip of the brush. Clean inside the socket of the connection cable (MAJ-1121) in the same manner.
Use a medical-grade ultrasonic cleaner with a frequency range of 38 – 47 kHz, and with a sufficient size and depth to allow complete immersion of all components of the instrument. Contact Olympus for information on compatible ultrasonic cleaners. Immerse all the components in the ultrasonic cleaner.
Page 120
Steam sterilize the instrument according to the parameters given in “Steam sterilization (autoclaving)” on page 116, and the sterilizer manufacturer’s instructions. Following steam sterilization, allow all components to gradually cool down to room temperature. Sudden changes in temperature may damage the components. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Make sure that each of these products is completely dry before use and storage. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Otherwise, the instrument could be damaged. Store this instrument in a clean, dry, well-ventilated environment. Disposal When disposing of this product or any of its components, follow all applicable national and local laws and guidelines. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
• SonoSurg GE sheath attachment (T3300) • Cleaning brush (MH-140) • Cleaning brush (NSG-BW) • Brush (MH-507) • 6 mm torque wrench (MAJ-1117) If these parts become damaged, contact Olympus to purchase a replacement. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
The power cord is not Securely connect the power cord securely plugged into into the unit. the unit. The SonoSurg irrigation Turn the SonoSurg irrigation unit unit is not turned ON. The fuses have blown. Contact Olympus. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 125
MH-507. Clean the contacts inside the connection cable’s the socket in the same manner. socket. Then connect and disconnect the socket and the plug about 10 times. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 126
Replace the damaged transducer damaged. with a new one. The communication Securely connect the cable to the cable is not connected system connector B of both the securely. generator and the irrigation unit. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 127
(“E0.4” is displayed on to a receptacle which wall-mains outlet that meets the the ultrasonic output does not meet the power requirements indicated on setting indicator.). required specifications. the generator’s electrical rating plate. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 128
Ultrasonic output cannot The pump head cover is Close the cover securely. be activated not closed securely. (“OPE” is displayed on the irrigation level setting indicator.). SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 129
Eliminate the bending or crushing. bent, crushed or broken. If suction is still impossible, replace the tube with a spare one. If the tube is broken, simply replace it with a new one. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Reassemble the probe and the transducer as described in Section 4.2, “Inspection and connection of the transducer, probe and sheath”. Reassemble the sheath and the transducer with the probe as described in Section 4.2, “Inspection and connection of the transducer, probe and sheath”. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Olympus. Returning the equipment for repair Olympus is not liable for any injury or damage which occurs as a result of repairs attempted by non-Olympus personnel. When returning the equipment for repair, include a description of its malfunction or damage and the name and telephone number of the individual at your location who is most familiar with the problem.
New products released after the introduction of this instrument may also be compatible for use in combination with this instrument. For further details, contact Olympus. If combinations of equipment other than those shown below are used, full responsibility is assumed by the medical treatment facility.
Page 133
Probe (tapered, long) sheath (T3330) (MH-125) Cleaning rod (MAJ-1178) Cleaning brush (MH-140) Cleaning brush (NSG-BW) Brush (MH-507) 6 mm torque wrench (MAJ-1117) A-cord (A0355, A0358) Electrosurgical unit (UES-40) SonoSurg GE hand switch (MAJ-1100) SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Size Diameter of the Outer diameter 27.4 mm transducer Length 135 mm Length of the hand 3400 mm (SonoSurg-T2L-GE) piece cord 850 mm (SonoSurg-T2L-GE-C) Sterilization Steam sterilization (autoclaving). See Chapter 7, “Reprocessing and method Storage” for more information. Output cycle 30 sec.ON/15 sec.OFF...
Page 135
When a short-circuit of the foot switch is switch detected, the warning lamp lights and the alarm sounds. Pump head cover When the pump head cover is not closed open securely, the safety mechanism is activated to prevent operation. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Weight 140 g SonoSurg GE straight sheath (T3310) Length 145 mm Outer diameter 26.4 mm Sterilization method Steam sterilization (autoclaving). See Chapter 7, “Reprocessing and Storage” for more information. Weight 18 g SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 137
Probe (15 Angled) (MH-113) Ultrasonic Frequency 23.5 kHz output Maximum amplitude 200 µm Length 129 mm Outer diameter 7 mm Sterilization method Steam sterilization (autoclaving). See Chapter 7, “Reprocessing and Storage” for more information. Weight SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 138
Ultrasonic Frequency 23.5 kHz output Maximum amplitude 290 µm Length 430 mm Outer diameter 7 mm Sterilization Steam sterilization (autoclaving). See method Chapter 7, “Reprocessing and Storage” for more information. Weight 22 g SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 139
Electronic Equipment, this symbol indicates that the product must not be disposed of as unsorted municipal waste, but should be collected separately. Refer to your local Olympus distributor for return and/or collection systems available in your country. Year of 9412345...
Voltage fluctuations/flicker Complies This instrument stabilizes own radio variability and has no affect such emissions as flicker of a lighting apparatus. IEC 61000-3-3 SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 141
(50/60 Hz) magnetic left-mentioned at levels characteristic of a typical location in field a typical commercial or hospital environment. IEC 61000-4-8 is the a.c. mains voltage prior to application of the test level. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 142
However, under the electromagnetic environment that exceeds its noise level, electromagnetic interference may occur on this instrument. • Electromagnetic interference may occur on this instrument near high-frequency electrosurgical equipments and/or other equipments marked with the following symbol: SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 143
1.2 P 1.2 P 2.3 P 0.01 0.12 0.12 0.23 0.38 0.38 0.73 These guidances may not apply in situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 144
Appendix SonoSurg Transducer SonoSurg-T2L-GE/SonoSurg-T2L-GE-C SonoSurg Irrigation Unit SonoSurg-IU...
Page 148
A8F, Ping An International Financial Center, No. 1-3, Xinyuan South Road, Chaoyang District, Beijing, 100027 P.R.C. Fax: (86)10-5976-1299 Telephone: (86)10-5819-9000 Olympus-Tower, 114-9 Samseong-Dong, Gangnam-Gu, Seoul 135-090 Korea Fax: (02)6255-3494 Telephone: (02)6255-3210 491B, River Valley Road #12-01/04, Valley Point Office Tower, Singapore 248373...
Need help?
Do you have a question about the SonoSurg-T2L-GE and is the answer not in the manual?
Questions and answers