By varying the pulse to an intermediate duration, it is possible to get a clinical effect that combines,
or "blends", the clinical characteristics of CUT and COAG, yielding the effect referred to as
"BLEND", where tissue is divided with a desirable amount of hemostatis along the margins of the
divided tissue.
The electrosurgical effect may vary throughout the procedure, requiring the operator to adjust the
relative power setting of the Electrosurgical Generator.
6.1.3 Select the Output Mode (i.e., "CUT", "BLEND" or "COAG", by Pushing the Corresponding Buttons
Output Mode Waveform Description
CUT
BLEND
COAG
6.1.4 Set the level of Output Power (confirmed on the digital display) by using the Output Power
Selector Buttons as Desired
The degree and speed of electrosurgical effect is largely dependent on Current Density
at the point of contact of the active electrode. Loop electrosurgical excision procedure
electrodes from other manufacturers may vary in the diameter thickness, size and
configuration of the cutting wire. This may result in SIGNIFICANT changes in the
electrosurgical effect at a given output power level setting. The use of CooperSurgical
LEEP Electrodes is recommended.
6.2 Guidelines for Power Settings
The following guidelines for power settings may vary due to the technique, clinical circumstances,
accessory style, cutting wire diameter, size, configuration and user preference.
Recommended Power Settings (Watts) for the CooperSurgical LEEP System 1000
Style
Loop Width (cm)
1.0
*
—
CUT
BLEND
22–36
COAG
—
Wattage Suggestions for Fischer Cone Biopsy Excisor™
Part
Number
900-150
900-151
900-154
900-155
The above settings are for reference only and can be varied based on specific situations and the
experience of the operator.
®
LEEP System 1000
Workstation • Model KH1000A • Operating Manual • English
Continuous 450 kHz sinusoid
with minimal modulation
Interrupted 450 kHz sinusoid
intermediate-duty cycle
Bursts of 450 kHz sinusoid
short-duty cycle
Ball
Electrodes
1.5
2.0
—
—
—
30–40
34–46
—
—
—
40–56
Size
Wattage Rating
Small
30-35 Watts
Medium
40-45 Watts
Medium
40-45 Watts
Extended
Large
40-45 Watts
Shallow
General Effect
Cutting without Hemostatis
Cutting with minimal
Hemostatis
Coagulation without Cutting
WARNING
Needle
Electrodes
Macro
Micro
—
14–24
—
—
+
30–36
—
Part
Size
Number
900-152
Large
900-157
Small Wide
Small Wide
900-158
Extended
(continued)
®
Electrodes
NOTE
* If the cut mode is desired,
use the recommended
settings for the blend mode.
+ The power setting can be
increased beyond 56 to
coagulate any bleeding points
as required.
Wattage Rating
45-50 Watts
40-45 Watts
40-45 Watts
17