Hologic CoolSeal Generator Guida utente

Tipo
Guida utente
Bolder Surgical CoolSeal™ Generator
For use with software version 1.X.X
Users Guide
CoolSeal Generator
REF CSL-200-50
GENERATOR
en – User’s Guide
da – Brugsanvisning
de– Gebrauchsanweisung
el Οδηγίες χρήσης
es – Instrucciones de uso
 – Käyttöohjeet
fr – Mode d’emploi
is – Notkunarleiðbeiningar
it – Istruzioni per l’uso
nl – Gebruiksaanwijzing
no – Bruksanvisning
pt – Instruções de utilização
sv – Bruksanvisning
Bolder Surgical
331 S. 104th Street, Suite 200
Louisville, CO 80027
USA
www.BolderSurgical.com
Tel: 866.683.1743
Patent Information
www.BolderSurgical.com/patents
ICE-DO-18103 Rev. D
Issue Date: 2021-06-03
www.BolderSurgical.com/IFUs
Bolder Surgical
Made in USA. Printed in USA.
© 2021 Bolder Surgical
All rights reserved.
2797
GENERATOR
Generator User's Guide
Bolder Surgical en - CoolSeal™ Generator
Page | 1
Table of Contents
Preface.......................................................................................................................................................................................................4
Equipment covered in this manual ......................................................................................................................... 4
Patent Information: ............................................................................................................................................................ 4
Trademark acknowledgements ................................................................................................................................. 4
Manufactured by: ............................................................................................................................................................... 4
For information call ............................................................................................................................................................ 4
Conventions Used in this Guide ................................................................................................................. 4
Chapter 1. Overview and General Features ......................................................................... 5
Introduction ..................................................................................................................................................... 5
Indication for Use ............................................................................................................................................ 5
Contraindications for Use ............................................................................................................................ 5
Front Panel ........................................................................................................................................................ 6
Rear Panel .......................................................................................................................................................... 6
Bottom View ..................................................................................................................................................... 7
List of Accessories ........................................................................................................................................... 7
Compatible Vessel-Sealing Instruments ................................................................................................. 7
Chapter 2. Patient and Operating Room Safety ...................................................................8
Warnings and Cautions .............................................................................................................................. 8
Overview .................................................................................................................................................................................. 8
Generator Setup Safety ................................................................................................................................................... 8
Electromagnetic Compatibility .................................................................................................................................. 9
Fire Hazard During Oropharyngeal Surgery ....................................................................................................... 9
Pacemakers and ICDs ...................................................................................................................................................... 9
Connecting a CoolSeal Instrument .....................................................................................................................10
Cleaning the CoolSeal Generator .........................................................................................................................10
Servicing the CoolSeal Generator ........................................................................................................................10
Chapter 3. Setup and Use of the CoolSeal Generator ......................................................11
Unpacking the CoolSeal Generator .................................................................................................... 11
Inspecting the CoolSeal Generator .....................................................................................................11
Setup Safety ..................................................................................................................................................11
Setting up the CoolSeal Generator ..................................................................................................... 12
Adjusting the volume ................................................................................................................................13
Bolder Surgical en - CoolSeal™ Generator
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Connecting a CoolSeal Instrument .....................................................................................................13
Connecting a CoolSeal Instrument to the CoolSeal Generator ..............................................13
Activating a CoolSeal Instrument ........................................................................................................13
Descriptions of Alert Conditions ...........................................................................................................14
Chapter 4. After Surgery ....................................................................................................17
Turning O the CoolSeal Generator ................................................................................................... 17
Preparing the CoolSeal Generator for Reuse ...................................................................................17
Chapter 5. Troubleshooting ................................................................................................. 18
General Troubleshooting Guidelines ................................................................................................... 18
Correcting Malfunctions ...........................................................................................................................18
Abnormal Patient Response ....................................................................................................................................... 18
CoolSeal Generator Malfunctions .........................................................................................................................18
Potential interactions with other device ............................................................................................................20
Chapter 6. Periodic Functional Testing, Maintenance and Service .................................. 21
Responsibility of the Manufacturer ...................................................................................................... 21
Periodic Functional Testing and Maintenance .................................................................................21
When should Periodic Functional Testing be performed? ......................................................................21
When must the power cord be replaced? .........................................................................................................21
When should the fuses be replaced? ...................................................................................................................21
How can the fuses be replaced? ..............................................................................................................................21
Product Service ............................................................................................................................................22
Returning the CoolSeal Generator for Service ..............................................................................................22
Software Upgrades ....................................................................................................................................22
Chapter 7. Technical Specications ..................................................................................... 23
Performance Characteristics ...................................................................................................................23
General .................................................................................................................................................................................... 23
Dimensions and Weight ...............................................................................................................................................23
Operating Parameters ...................................................................................................................................................23
Transport and Storage ................................................................................................................................................... 23
Internal Memory ................................................................................................................................................................23
Activation Tone ..................................................................................................................................................................24
Alert Tones ............................................................................................................................................................................24
Input Power ..........................................................................................................................................................................24
Power Cord Specication ............................................................................................................................................24
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Technical Specications ...........................................................................................................................25
Input Frequency.................................................................................................................................................................25
Input Current ...................................................................................................................................................................... 25
Backup Power ...................................................................................................................................................................... 25
Equipotential Connection ...........................................................................................................................................25
Duty Cycle .............................................................................................................................................................................25
Low Frequency (50/60 Hz) Leakage Current .................................................................................................... 25
Standards and IEC Classications ............................................................................................................................25
Symbols ..........................................................................................................................................................26
Classications ...............................................................................................................................................27
Class I Equipment (IEC 60601-1) ..............................................................................................................................27
Electromagnetic Compatibility (IEC 60601-1-2) .............................................................................................27
Type CF Equipment (IEC 60601-1) ..........................................................................................................................27
IP XX Liquid Ingress/Spillage (IEC 60601-1 and IEC 60601-2-2) ............................................................ 27
Voltage Transients – Energy Platform Mains Transfer (IEC60601-1 and IEC 60601-2-2) ......... 27
Electromagnetic Compatibility (IEC 60601-1-2 and IEC60601-2-2) ...................................................27
Output Characteristics ..............................................................................................................................27
Maximum Output for the CoolSeal Generator .............................................................................................27
Electromagnetic Immunity .........................................................................................................................................28
Appendix A – Periodic Functional Test ...............................................................................32
Denitions .............................................................................................................................................................................32
Equipment Required: ......................................................................................................................................................32
Pass/Fail Criteria: ................................................................................................................................................................. 32
Procedure: .............................................................................................................................................................................33
Periodic Functional Test Summary Form ................................................................................................................36
Warranty ................................................................................................................................38
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Preface
This manual and the equipment it describes are for use only by qualied medical professionals trained in the particular technique and
surgical procedure to be performed. It is intended as a guide for using the CoolSeal Generator only.
Equipment covered in this manual
CoolSeal Generator – CSL-200-50
Patent Information
https://BolderSurgical.com/patents/
Trademark acknowledgements
CoolSeal Generator
Manufactured by:
Bolder Surgical
331 S. 104th Street, Suite 200
Louisville, CO 80027
Tel: 866.683.1743
www.BolderSurgical.com
For information call
866.683.1743
Made in USA
Conventions Used in this Guide
Warning
Indicates a potentially hazardous situation which, if not avoided, could result in death or serious injury
Caution
Indicates a potentially hazardous situation which, if not avoided, may result in minor or moderate injury
Notice
Indicates a hazard, which may result in product damage.
Important
Indicates an operating tip or maintenance suggestion.
Authorized Representative:
Emergo Europe B.V.
Prinsessegracht 20
2514 AP The Hague
The Netherlands
Bolder Surgical en - CoolSeal™ Generator
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Chapter 1. Overview and General Features
This section includes the following information:
• Introduction
Indications for Use
Contraindications for Use
Front Panel
Rear Panel
Bottom View
List of Accessories
Compatible Vessel-Sealing Instruments
Caution
Read all warnings, cautions, and instructions provided with this generator before use. Specic instructions for
CoolSeal instruments are not included in this manual. Refer to the CoolSeal instrument’s instructions for use for
warnings, cautions, and instructions for its use.
Federal (USA) law restricts this device to sale by or on the order of a physician.
Introduction
The CoolSeal Generator provides Radio Frequency (RF) energy for vessel-sealing applications.
The CoolSeal Generator automatically detects coded instruments and congures the CoolSeal Generator accordingly.
Safety and diagnostic functionality include automatic fail-safe functions.
Indication for Use
The CoolSeal Generator is intended to provide Radio Frequency (RF) energy to compatible CoolSeal instruments for
vessel-sealing applications. The specic application will depend on the compatible surgical device that is connected to the
generator. This generator is designed to be used only with surgical devices compatible with the CoolSeal technology.
Contraindications for Use
None known specically for the CoolSeal Generator.
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Front Panel
(1) Illuminated Power Button
(2) Activation Display
(3) CoolSeal Instrument Receptacle
(4) Instrument Receptacle Display
Rear Panel
(5) Volume Adjustment Control
(6) Power Cord Inlet
(7) Fuse Drawer
(8) Equipotential Connector
(9) Safety Warnings & Cautions Label
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Bottom View
(10) Final Test Date Label
(11) Software Version Label
(12) Manufacturing Information Label
List of Accessories
Power Cord - US Specic
CSL-FTC Functional Test Cable (not included)
Compatible Vessel-Sealing Instruments
Compatible CoolSeal instruments will have connectors that match the following illustration.
Refer to the CoolSeal instruments instructions for use for compatibility with the CoolSeal technology.
Bolder Surgical en - CoolSeal™ Generator
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Chapter 2. Patient and Operating Room Safety
The safe and eective use of electrosurgery depends to a large degree upon factors solely under the control of the operator.
There is no substitute for a properly trained and vigilant surgical team. It is important that the operating instructions supplied
with this or any electrosurgical equipment be read, understood and followed. Electrosurgery has been used safely in numerous
procedures. Before starting any surgical procedure, the surgeon should be trained in the particular technique and surgical
procedure to be performed, should be familiar with the medical literature related to the procedure and potential
complications, and should be familiar with the risks versus the benets of utilizing electrosurgery in the procedure.
To promote the safe use of the CoolSeal Generator, this section presents the warnings and cautions that appear throughout
this users guide. It is also important that you read, understand, and follow the instructions for use in the CoolSeal
instruments instructions for use.
Warnings and Cautions
Overview
Caution
Read all warnings, cautions, and instructions provided with this generator before use. Specic instructions for
CoolSeal instruments are not included in this manual. Refer to the CoolSeal instrument’s instructions for use for
warnings, cautions, and instructions for its use.
Federal (USA) law restricts this device to sale by or on the order of a physician.
Generator Setup Safety
Warning
Electric Shock Hazard: Connect the system power cord to a properly grounded power receptacle. Do not use power
plug adapters.
Fire Hazard: Do not use extension cords or multiple socket outlets.
Patient Safety: Use the CoolSeal Generator only if the power-up self-test has been completed as described in this
manual, otherwise inaccurate power outputs may result.
This equipment is for use only by trained, licensed physicians. Use of this equipment without such training can result
in serious patient injury.
The CoolSeal Generator is only compatible with CoolSeal Instruments. No other bipolar instruments can be used.
Do not wrap the instrument cords around metal objects. This may induce stray currents that could lead to shocks,
res, or injury to the patient or surgical team.
Electric Shock Hazard: Do not connect wet instrument connectors to the CoolSeal Generator. Ensure that all
instruments and adapters are correctly connected.
Inspect equipment cable for breaks, cracks, nicks and other damage before every use. If damaged, do not use.
Damaged equipment cables may result in injury or electrical shock to the patient or surgical team.
Bolder Surgical en - CoolSeal™ Generator
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Caution
Set the system volume control at a level that ensures the activation tones can be heard.
Do not turn the activation tone down to an inaudible level. The activation tone alerts the surgical team when the
CoolSeal Generator is delivering RF energy.
Examine all instruments and connections to the system before using. Ensure that the instruments function as
intended. Improper connection may result in arcs, sparks, instrument malfunction, or unintended surgical eects.
A non-functioning CoolSeal Generator may cause interruption of surgery. A backup system should be available
for use.
The use of appliance couplers, i.e., power cords, other than those specied may result in increased emissions or
decreased immunity of the equipment.
Provide as much distance as possible between the CoolSeal Generator and other electronic equipment such as
monitors. Do not cross or bundle electronic devices cords. This generator may cause interference with other
electronic equipment. If interference occurs, relocate the equipment.
Studies have shown that smoke generated during electrosurgical procedures can be potentially harmful to
patients and the surgical team. These studies recommend adequately ventilating the smoke by using a surgical
smoke evacuator or other means.1
1. U.S. Department of Health and Human Services. National Institute for Occupational Safety and Health (NIOSH). Control of Smoke from Laser/Electric
Surgical Procedures. HAZARD CONTROLS, Publication No. 96-128, September 1996.
Electromagnetic Compatibility
Warning
Use of this equipment adjacent to or stacked with other equipment should be avoided because it could result in
improper operation. If such use is necessary, this equipment and the other equipment should be observed to verify
that they are operating normally.
Portable RF communication equipment should be used no closer than 30 cm (12 inches) to any part of the
CoolSeal Generator including cables specied by Bolder Surgical. Otherwise, degradation of the performance
of this equipment could result.
Fire Hazard During Oropharyngeal Surgery
Warning
Verify endotracheal tubes are free from leaks and that the cu seals properly to prevent oxygen leaks.
Pacemakers and ICDs
Warning
DO NOT USE in patients who have electronic implants such as cardiac pacemakers without rst consulting a qualied
professional (e.g., cardiologist). A possible hazard exists because interference with the action of the electronic implant
may occur, or the implant may be damaged.
Bolder Surgical en - CoolSeal™ Generator
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Connecting a CoolSeal Instrument
Warning
Electric Shock Hazard
Do not connect wet instruments to the CoolSeal Generator
Ensure that all instruments are correctly connected and that no metal is exposed at any connection point
Properly seat the instrument in the receptacle. Improper connection may result in inadvertent instrument activation
or other potentially hazardous conditions. Follow the instructions provided with CoolSeal Vessel Sealing Instruments.
The instrument receptacle on this system is designed to accept only one instrument at a time. Do not attempt to
connect more than one instrument at a time into a given receptacle. Doing so will cause simultaneous activation of
the instruments.
Caution
Inspect instruments and cords for breaks, cracks, nicks and other damage before every use. If damaged, do not use.
Damaged instruments or cords may result in injury or electrical shock to the patient or surgical team.
Cleaning the CoolSeal Generator
Warning
Electric Shock Hazard
Always turn o and unplug the CoolSeal Generator before cleaning.
Servicing the CoolSeal Generator
Warning
Electric Shock Hazard
Do not remove the CoolSeal Generator cover.
Do not attempt to service the CoolSeal Generator. All service and repair must be conducted by a Bolder Surgical
technician.
Caution
The CoolSeal Generator must not be disposed of at the end of life with other waste. To recycle waste equipment,
obtain instructions from Bolder Surgical (call 866.683.1743) or contact your local sales representative to discuss local
waste disposal solutions and processes. The CoolSeal Generator poses disposal risks similar to consumer electronics
such as computers. There are no radioactive substances, batteries, or hazardous liquids that may leak in the
CoolSeal Generator.
Bolder Surgical en - CoolSeal™ Generator
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Chapter 3. Setup and Use of the CoolSeal Generator
This chapter covers the following topics:
Unpacking the CoolSeal Generator
Inspecting the CoolSeal Generator
Setup Safety
Setting up the CoolSeal Generator
Adjusting the volume of activation tones
Connecting a CoolSeal Instrument
Activating the CoolSeal Instrument
Descriptions of Alert Conditions
Caution
Read all warnings, cautions, and instructions provided with this generator before use. Specic instructions for
CoolSeal instruments are not included in this manual. Refer to the CoolSeal instrument’s instructions for use for
warnings, cautions, and instructions for its use.
Unpacking the CoolSeal Generator
1. Remove the CoolSeal Generator from the shipping box and packaging material.
2. Inspect the device for visible damage.
Inspecting the CoolSeal Generator
Before each use of the CoolSeal Generator, verify that the unit and all accessories are in good working order:
Inspect for damage to the Generator and all its connections.
Inspect all cords and connectors for signs of wear, damage, and abrasion.
Verify that no errors occur when you turn on the unit.
Setup Safety
Warning
Electric Shock Hazard: Connect the system power cord to a properly grounded power receptacle. Do not use power
plug adapters.
Fire Hazard: Do not use extension cords or multiple socket outlets.
Patient Safety: Use the CoolSeal Generator only if the power-up self-test has been completed as described in this
manual, otherwise inaccurate power outputs may result.
This equipment is for use only by trained, licensed physicians. Use of this equipment without such training can result
in serious patient injury.
The CoolSeal Generator is only compatible with CoolSeal Instruments. No other bipolar instruments can be used.
Do not wrap the instrument cords around metal objects. This may induce stray currents that could lead to shocks,
res, or injury to the patient or surgical team.
Electric Shock Hazard: Do not connect wet instrument connectors to the CoolSeal Generator. Ensure that all
instruments and adapters are correctly connected.
Inspect equipment cable for breaks, cracks, nicks and other damage before every use. If damaged, do not use.
Damaged equipment cables may result in injury or electrical shock to the patient or surgical team.
Bolder Surgical en - CoolSeal™ Generator
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Caution
Set the system volume control at a level that ensures the activation tones can be heard.
Do not turn the activation tone down to an inaudible level. The activation tone alerts the surgical team when the
CoolSeal Generator is delivering RF energy.
Examine all instruments and connections to the system before using. Ensure that the instruments function as
intended. Improper connection may result in arcs, sparks, instrument malfunction, or unintended surgical eects.
A non-functioning CoolSeal Generator may cause interruption of surgery. A backup system should be available
for use.
The use of appliance couplers, i.e., power cords, other than those specied may result in increased emissions or
decreased immunity of the equipment.
Provide as much distance as possible between the CoolSeal Generator and other electronic equipment such as
monitors. Do not cross or bundle electronic devices cords. This generator may cause interference with other
electronic equipment. If interference occurs, relocate the equipment.
Studies have shown that smoke generated during electrosurgical procedures can be potentially harmful to
patients and the surgical team. These studies recommend adequately ventilating the smoke by using a surgical
smoke evacuator or other means.1
1. U.S. Department of Health and Human Services. National Institute for Occupational Safety and Health (NIOSH). Control of Smoke from Laser/Electric
Surgical Procedures. HAZARD CONTROLS, Publication No. 96-128, September 1996.
Setting up the CoolSeal Generator
1. Place the CoolSeal™ Generator on a at, stable surface such as a table, platform, boom system, or cart. Carts with
non-conductive wheels are recommended. Refer to the procedures for your local institution or your local codes.
2. If required by institution or local codes, connect the equipotential connector to a ground source.
3. Connect the system power cord to the electrical inlet on the rear panel.
4. Connect the system power cord to a grounded AC wall receptacle.
Notice
Do not connect the CoolSeal Generator to a power strip or extension cord.
Do not position the device so that it is dicult to disconnect the power cord.
Important
If transported or stored at temperatures outside the operating temperature range, allow one hour for the CoolSeal
Generator to reach operating temperature before use.
Turn on the system by pressing the power stand-by button ( ) on the front of the unit. Observe the following during the
power-up self-test:
Unit performs start-up self-test.
The power button illuminates green.
Audible alert sounds three (3) ½ second tones after successful completion of self-check.
Notice
Verify that the system has successfully completed the start-up self-test before connecting instruments.
If unit fails start-up self-test:
Power button does not illuminate or illuminates red
Audible alert tone sounds one (1) ½ second tone after unsuccessful self-check
Refer to the Alert Conditions or Troubleshooting sections for additional information
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Adjusting the volume
The volume of alert and activations tones may be adjusted by turning the volume knob on the back panel of the
CoolSeal Generator.
Notice
The minimum volume for alert tones will always be louder than the activation tone.
Connecting a CoolSeal Instrument
Warning
Electric Shock Hazard
Do not connect wet instruments to the CoolSeal Generator.
Ensure that all instruments are correctly connected and that no metal is exposed at any connection point.
Properly seat the instrument in the receptacle. Improper connection may result in inadvertent instrument activation
or other potentially hazardous conditions. Follow the instructions provided with CoolSeal Instruments for proper
connection and use.
The instrument receptacle on this system is designed to accept only one instrument at a time. Do not attempt to
connect more than one instrument at a time into a given receptacle. Doing so will cause simultaneous activation
of the instruments.
Caution
Inspect instruments and cords for breaks, cracks, nicks and other damage before every use. If damaged, do not use.
Damaged instruments or cords may result in injury or electrical shock to the patient or surgical team.
Connecting a CoolSeal Instrument to the CoolSeal Generator
1. Connect a CoolSeal Instrument to the instrument receptacle on the front panel of the CoolSeal Generator.
2. Verify proper placement and connection by observing the green lit instrument receptacle display.
If the CoolSeal Generator does not recognize the attached instrument, the instrument receptacle display will Illuminate red or not
illuminate and a single alert tone will sound. Refer to the Alert Conditions or Troubleshooting sections.
Activating a CoolSeal Instrument
1. Activate the CoolSeal Instrument per the Instruments instructions for use.
2. Observe the following during instrument activation:
The activation display illuminates blue and varies in brightness for the duration of energy delivery.
An activation tone sounds continuously during energy delivery.
3. When the seal cycle is complete, observe the following:
A three-toned sequence will sound when the seal is completed. The activation button should then be released.
The activation display on the CoolSeal Generator front panel will momentarily brighten blue.
The activation display will then extinguish.
In the case of an alert condition, refer to the Alert Conditions or Troubleshooting sections.
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Descriptions of Alert Conditions
When an alert condition occurs:
An alert tone will sound
One of the displays on the CoolSeal Generator will display blue, amber or red
Energy delivery will be interrupted
Energy will be available after the alert condition has been corrected. Refer to the following table to resolve alert conditions:
Alert condition: Indicated by: Causes: To Resolve:
Seal Complete A three sequential tone alert
RF energy delivery stops
Activation display brightens blue for
a half (0.5) second
Successful vessel seal. None. Normal operation.
Reactivate / Incomplete Seal A three-pulsed alert tone
RF energy delivery stops
Activation display brightens amber
for one (1) second
Seal time exceeds ve (5) seconds
OR
User either opened the instrument
jaws or released the activation button,
which causes the seal cycle to be in-
terrupted before seal was completed
OR
Current stays at the maximum
current limit for longer than four
(4) seconds, which indicates an
electrical short between the jaws
has occurred
OR
The instrument has been activated
in open air.
1. Release the activation button
2. Press the activation button
to reactivate the seal cycle
without repositioning the
instrument
3. Open the instrument
jaws and inspect for a
successful seal
4. If possible, reposition the
instrument and regrasp tissue
in another location, then reac-
tivate the seal cycle
5. Visually inspect seal before
cutting
Possible use conditions include:
Grasping thin tissue or activating in
open air.
Open the jaws and conrm that
a sucient amount of tissue is
inside the jaws. If necessary,
increase the amount of tissue
and repeat the procedure
Grasping too much tissue between
the jaws.
Open the jaws and reduce
the amount of tissue which is
grasped, and reactivate the
seal cycle
Grasping a metal object. Avoid grasping objects, such as
staples, clips or encapsulated
sutures in the jaws of the
instrument
Activating in excess pooled uids
around the instrument tip.
1. Minimize or remove
excess uids
2. Reactivate the seal cycle
without repositioning the
instrument
Excessive tissue eschar on
electrode tips.
Use a wet gauze pad to
clean surfaces and edges of
instrument jaws.
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System Error A single-pulsed alert tone
RF energy delivery stops
Power button illuminates
and remains red
Generator not functioning properly,
failed an internal self-check.
1. Press the power button to turn
o the generator
2. Wait at least 30 seconds
3. Press the power button to turn
on the generator
4. Conrm the power button
illuminated green before use.
If the system error reoccurs:
Do not use the generator.
Use a dierent CoolSeal
Generator or alternate means
to complete the procedure.
Return the malfunctioning
generator as instructed in
the Product Service section
of this guide.
Instrument Error A single-pulsed alert tone
Instrument receptacle display
illuminates amber and ashes
continuously
Generator will not allow RF
energy delivery
Generator not functioning properly,
failed an internal self-check.
1. Disconnect instrument from
the generator.
2. Ensure instrument activation
button is not being pressed.
3. Reconnect instrument to the
generator.
4. Conrm the instrument
receptacle display
illuminates green
If the Instrument Error reoccurs:
Do not use the instrument
Use a dierent CoolSeal
Instrument.
Possible use conditions include:
Inadvertent depression of the
instrument activation button during
instrument connection.
Remove anything depressing the
instrument activation button and
reconnect instrument.
The instrument switch is
malfunctioning.
Replace the instrument.
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Invalid Instrument A single-pulsed alert tone
Instrument receptacle display
illuminates and remains red
Generator will not allow
RF energy delivery
An unusable instrument has been
connected.
1. Disconnect instrument from
the generator.
2. Ensure instrument is
CoolSeal compatible
3. Reconnect instrument to the
generator.
4. Conrm the instrument
receptacle display
illuminates green
If the Instrument Error reoccurs:
Do not use the instrument
Use a dierent CoolSeal
Instrument.
Possible use conditions include:
Instrument connected is not
CoolSeal technology compatible.
Conrm CoolSeal technology
compatibility of the instrument
from the instrument instructions
for use.
Instrument connected has been
used previously.
Discard instrument.
Instrument is not usable with
software version.
Conrm the software version
required by the instrument is not
greater than the software version
labelled on the bottom of the
CoolSeal Generator.
For a software upgrade refer to
the Software Upgrade section.
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Chapter 4. After Surgery
This chapter covers the following topics:
Turning O the CoolSeal Generator
Preparing the CoolSeal Generator for Reuse
Caution
Read all warnings, cautions, and instructions provided with this generator before use. Specic instructions for
CoolSeal instruments are not included in this manual. Refer to the CoolSeal instrument’s instructions for use for
warnings, cautions, and instructions for its use.
Turning O the CoolSeal Generator
1. Turn o the system by pressing the power stand-by button ( ) on the front of the unit. Observe the following:
The power stand-by button light turns o.
If necessary, the generator can be powered o by removing the power cord connection from either the power inlet or wall.
Preparing the CoolSeal Generator for Reuse
Step 1 – Disconnecting the CoolSeal Instruments
1. Disconnect instrument from the front panel.
2. Dispose of the single-use instrument according to the procedures for your institution.
Step 2 – Clean the CoolSeal™ Generator
Warning
Electric Shock Hazard
Always turn o and unplug the CoolSeal Generator before cleaning.
Notice
Clean the CoolSeal Generator with non-ammable agents and disinfectants whenever possible. Do not use
abrasive cleaning or disinfectant compounds, solvents, or other materials that could scratch the panels or damage
the generator, such as, chlorinated hydrocarbons or other plastic solvents.
Turn o the generator and disconnect the power cord from the wall outlet.
Thoroughly wipe all surfaces of the generator and power cord with a mild cleaning solution or disinfectant and damp
cloth. If using chlorine-based bleaches dilute before cleaning.
Follow procedures approved by your institution or use validated infection control procedures.
Do not submerge, aggressively rinse or otherwise allow uids to enter the chassis.
Bolder Surgical en - CoolSeal™ Generator
Page | 18
Chapter 5. Troubleshooting
This chapter covers the following topics:
General Troubleshooting Guidelines
Correcting Malfunctions
Caution
Read all warnings, cautions, and instructions provided with this generator before use. Specic instructions for
CoolSeal instruments are not included in this manual. Refer to the CoolSeal instrument’s instructions for use for
warnings, cautions, and instructions for its use.
General Troubleshooting Guidelines
If the CoolSeal Generator malfunctions, check for obvious conditions that may have caused the problem:
Verify that all cords are connected and attached properly.
Check the system for visible signs of physical damage.
Turn the system o and turn it back on.
If the malfunction persists, the system may require service. Contact your institutions biomedical engineering department,
Bolder Surgical or the authorized distributor.
If any incidents occur while using the CoolSeal system users should report these issues directly to Bolder Surgical by
phone (866.683.1743) or by email ([email protected]) and to your local competent authority.
Correcting Malfunctions
If a solution is not readily apparent, use the table below to help identify and correct specic malfunctions. After you correct the
malfunction, verify that the system completes the self-test as described in the System Setup chapter.
Abnormal Patient Response:
Condition: Causes: To Resolve:
Abnormal neuromuscular
stimulation
(stop surgery immediately)
Metal-to-metal sparking Check all connections to the CoolSeal Generator.
Abnormal 50 Hz-60 Hz leakage currents Use a backup CoolSeal Generator.
Contact your biomedical engineering department or a Bolder Surgical
technical service representative for assistance.
CoolSeal Generator Malfunctions:
Condition: Causes: To Resolve:
CoolSeal Generator does
not respond when turned on Disconnected power cord or faulty wall
outlet
Check power cord connections (CoolSeal Generator and wall outlet).
Connect the power cord to a functional outlet.
Faulty power cord Replace the power cord.
Fuses are blown Contact your biomedical engineering department or a
Bolder Surgical technical service representative for assistance.
Internal component malfunction Use a backup CoolSeal Generator. Contact your biomedical engineering
department or a Bolder Surgical technical service representative for
assistance.
Bolder Surgical en - CoolSeal™ Generator
Page | 19
System is on, but did
not successfully complete
the self-test or stopped
functioning during use –
A single-pulsed tone and
power button illuminates red
Unit stored in a cold location Allow unit to warm to ambient temperature.
Recoverable Software Malfunction Use a backup CoolSeal Generator.
Contact your biomedical engineering department or a Bolder Surgical
technical service representative for assistance.
Internal component malfunction or
Non-recoverable Software Malfunction
Internal component malfunction.
System is on, with a single
tone, and a ashing amber
instrument receptacle
display.
System initiated with faulty instrument
plugged into Instrument Receptacle
Incorrect or expired instrument
Instrument Failure
Disconnect Instrument.
Turn o the CoolSeal Generator.
Turn on the CoolSeal Generator.
Plug in the instrument.
Replace the instrument if it continues to Malfunction.
CoolSeal Instrument is not usable with
software version
Ask your biomedical engineering department to check with the
manufacturer of the device.
For a software upgrade refer to the Software Upgrade section.
System is on, power button
illuminated green when
plugging in the instrument
a single tone is heard and
a red instrument receptacle
display is seen.
Instrument recognition failed due to in
intermittent connection
Remove instrument plug
Firmly re-insert the instrument.
Recoverable Software Malfunction Turn o the system, then turn the system back on.
Internal component malfunction or
Non-recoverable Software Malfunction
Use a backup CoolSeal Generator.
Contact your biomedical engineering department or a Bolder Surgical
technical service representative for assistance.
CoolSeal Generator is on
and instrument is activated,
but system does not deliver
output – no tones or
activation display
An alert condition exists Refer to the Alert Conditions section.
System does not detect vessel sealing
instrument
Firmly insert the connector into the receptacle on the CoolSeal
Generator front panel. Ensure the receptacle display is illuminated green
to indicate a CoolSeal instrument has been properly seated and
recognized.
Internal component malfunction or
Non-recoverable Software Malfunction
Contact your biomedical engineering department or a Bolder Surgical
technical service representative for assistance.
Incomplete Seal / Reactivate
Three-pulsed tone sounds,
amber activation display on
generator front panel and RF
output is disabled
Seal cycle was in excess of 5 seconds
OR
Handswitch was released before the
end tone sounded
Additional time and energy are needed to complete the sealing
cycle. Reactivate the seal cycle without removing or repositioning
the instrument.
Visually inspect seal before cutting.
Metal or other foreign object is grasped
within jaws
Avoid grasping objects, such as staples, clips, or encapsulated sutures in
the jaws of the instrument.
Tissue grasped within jaws is too thin Open the jaws and conrm that a sucient amount of tissue is inside the
jaws. If necessary, increase the amount of tissue and repeat the procedure.
Pooled uids around instrument tip Minimize or remove excess uids. Clean electrode tips and jaws with
a wet gauze pad.
Instrument has been activated in
open air
Release activation button. Grasp tissue and activate the seal cycle.
Instrument is connected
but vessel sealing will not
activate
Instrument is not fully seated in
instrument receptacle
Disconnect instrument, reconnect and wait a moment.
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