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B.Braun Aesculap GN300 Instrucciones De Manejo/Descripción Técnica página 8

Aparato de cirugía af

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  • MEXICANO, página 82
Aesculap
High-frequency surgical device GN300
Note
The monitoring of the contact quality between the neutral electrode and
the patient via the contact quality monitor is only possible if a divided neu-
tral electrode is used.
To avoid a temperature rise at the exit point of the current, the following
conditions must be ensured:
Contact surfaces of adequate size between neutral electrodes and the
body.
High electrical conductivity between the neutral electrodes and the
body.
To rule out the possibility of burns from neutral electrodes, be sure to
undertake the following:
Select areas of application for neutral electrodes that result in the
shortest possible electrical pathways between active and neutral elec-
trodes; and that are longitudinal or diagonal to the body (since muscles
with the same orientation as the fibrilla are more conductive).
In operations in the thorax area, make certain the path of the current
does not run across the chest and does not run through the heart.
Depending on the operation field, apply the neutral electrode at the
nearest upper arm or thigh, if possible.
When applying disposable self-adhesive neutral electrodes, follow the
instructions of the supplier with regard to the area of application.
Ensure that the application area is free of both scar tissue and bony
outgrowth.
Make sure that the electronic pathway does not intersect any implants
(e.g. bone nails, bone plates, endoprostheses).
Prior to applying the neutral electrode:
– Shave the site for the neutral electrode, if hair is present.
– Clean the area to be operated on (do not use alcohol, as it dries out
the skin and increases contact resistance).
– In patients with poor circulation, massage or brush the application
area.
Apply neutral electrodes systematically over the entire surface of the
designated application area. Secure reusable neutral electrodes with
bandage, or other suitable material, thereby ensuring that the elec-
trodes do not come loose if the patient moves. At the same time,
ensure that such measures do not constrict blood flow (risk of necro-
ses).
Apply type 3 reusable neutral electrodes in such a way that their black,
conductive surfaces lie on the patient and their blue surfaces face
away from the patient's body.
To forestall raised contact resistance caused by epidermal dehydration
arising from the use of damp cloths or electrode paste: do not under
any circumstances use damp cloths or electrode paste.
To prevent burns arising from short bursts of high electric current:
Ensure that no fluids (e.g. irrigation fluids, disinfectants, blood, urine)
get between the patient and the neutral electrode.
6
®
To prevent fluid buildup, reduced blood flow or perfusion, pressure
necroses, displacement of the neutral electrodes and contact resis-
tance: Do not lay neutral electrodes under patient's buttocks or back.
Check to make sure that the electrical pathway of the HF device does
not intersect any EEG electrodes.
2.
Product description
2.1
Scope of supply
Designation
High frequency surgical device
Instructions for use for high-fre-
quency surgical device GN300
2.2
Components required for operation
Power cord
Foot switch (optional)
Bipolar connection cable
Bipolar instrument
Monopolar connection cable
Monopolar instrument
Connection cable for neutral electrode
Neutral electrode
Art. no.
GN300
TA021596

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