OBJ_DOKU-187066-008.fm Seite 21 Dienstag, 17. Dezember 2019 11:28 11
5.6
Selecting a suitable application site
Apply the return electrode as closely as possible to the surgical
field, preferably the thigh or upper arm. In any case, the appli-
cation site must be a convex skin surface which is either muscu-
lar or has good circulation.
The activated electrosurgical unit can impair the performance of,
or damage, active implants (e.g. cardiac pacemakers, internal
defibrillators). In the case of patients wearing active implants,
consult the manufacturer of the implant or the relevant specialist
department of your hospital prior to surgery. Do not position the
return electrode above cardiac pacemakers, internal defibrilla-
tors, or other active implants.
The return electrode should be closer to the site of intervention
than ECG electrodes.
The return electrode must not be applied on or over the follow-
ing locations:
• on scars
• on inflamed skin
• on bony parts of the body
• over metal implants
• over severely adipose subcutaneous tissue
• over sacrum, hip, buttocks, shoulder blade
5.7
Preparing the application site
Shave the selected skin surface. Clean the skin thoroughly (e.g.
of skin lotions). Dry the skin surface.
5.8
Attaching the return electrode
Remove the cover film on the pull-off tab. Begin applying on one
side of the electrode. Affix the electrode from there to the oppo-
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