System 2450
System 2450
E lectrosurgical G enerator
LIMITED WARRANTY
For a period of two years following the date of delivery,
CONMED Corporation warrants the CONMED System
2450™ Electrosurgical Generator against any defects in
material or workmanship and will repair or replace (at
CONMED’s option) the same without charge, provided
that routine maintenance as specified in this manual has
been performed using replacement parts approved by
CONMED. This warranty is void if the product is used in
a manner or for purposes other than intended.
STERILE EO
© 2012 CONMED Corporation
EC REP
Utica,
Schiffgraben 41
New
D-30175 STERILE
York 13502-5994
Hannover USA R
Germany
STERILE
U.S. Patent Numbers 6,830,569 - 6,875,210 - 6,948,503 -A
7,540,871 - D552241 and other patents pending.
2
For Technical Service0123
or Return Authorization
LOT Phone:
303-699-7600 / 1-800-552-0138 Extension 5274
Fax 303-699-1628
9083
~
Table of Contents
& List of Illustrations
Figure/Title Page
Figure 1.1 Output Power vs. Power Setting......................................................................................... 1-13
Figure 1.2 Open Circuit Peak Voltage vs. Power Setting...................................................................... 1-14
Figure 1.3 Load Regulation, Monopolar Pure Cut.............................................................................. 1-14
Figure 1.4 Load Regulation, Monopolar Blend................................................................................... 1-14
Figure 1.5 Load Regulation, Monopolar Hi Blend*............................................................................ 1-15
Figure 1.7 Load Regulation, Monopolar Spray Coag.......................................................................... 1-15
Figure 1.6 Load Regulation, Monopolar Standard Coag..................................................................... 1-15
Figure 1.8 Load Regulation, Bipolar Micro......................................................................................... 1-16
Figure 1.9 Load Regulation, Bipolar Macro........................................................................................ 1-16
Figure 2.1 System 2450™ Control Panel................................................................................................ 2-2
Figure 2.2 System 2450™ Output Panel................................................................................................ 2-3
Figure 2.3 System 2450™ Rear Panel.................................................................................................... 2-4
Figure 2.4 Accessory Schematics............................................................................................................ 2-5
General Information
Section 1.0
1-1
recommends accessories not be connected System 2450. Do not use ground-referenced
unless needed. ESUs with the System 2450.
• Never connect more than one accessory at • A failure in the ESU could cause an unintended
a time to any one receptacle. This does not increase in output power. Verify that the ESU
include the dispersive electrode receptacle when is functioning correctly prior to use.
the appropriate CONMED adapter is used. • Prior to use, verify that devices connected to
• Use only a hospital grade, 3-prong, power cord the Activation Relay Connector function prop-
rated to meet the specifications in Section 1.2 erly in a manner that is synchronized with ESU
and all of the requirements for safe grounding power delivery.
of the ESU. The user should verify that the • Equipment connected to the Serial Interface
power receptacle with which this ESU is used Connector must be approved by CONMED
is properly grounded, correctly polarized and of and must be connected in accordance with
the proper frequency per Section 1.2. Do not instructions accompanying the equipment.
use ground “cheater plugs” or extension cords. Verify proper operation prior to ESU use.
Failure to adhere to this warning may cause
increased leakage currents. 1.1.2 Cautions For Patient Preparation
• Do not place liquid containers on top of • Electrosurgery should NEVER be performed
the ESU. Wipe spilled liquids off the ESU in the presence of flammable anesthetics, flam-
immediately. To preclude inadvertent entry of mable prep solutions or drapes, oxidizing gases
liquids, do not operate this ESU except in its such as Nitrous Oxide (N2O) or in oxygen-
normal position. enriched environments. The risk of igniting
• Do not stack other devices or equipment flammable gases or other materials is inherent
on top of or adjacent to the System 2450. in electrosurgery and cannot be eliminated by
The CONMED Stacking Adapter (Cat. No. device design. Precautions must be taken to
60-7161-001) allows two System 2450 units to restrict flammable materials and substances
be stacked in a safe manner. from the electrosurgical site. They may be
present in the form of an anesthetic, life sup-
• Confirm all accessories are properly connected
port, skin preparation agent, produced by
to the appropriate receptacles before powering
natural processes within body cavities or origi-
the ESU.
nate in surgical drapes, tracheal tubes or other
• To minimize the risk of burns when adapting materials. There is a risk of pooling of flam-
accessories, use only CONMED Bovie-style mable solutions in body depressions such as
adapters (Cat. Nos. 60-0823-001 and 60-6790- the umbilicus and in body cavities, such as the
001). vagina. Any fluid pooled in these areas should
• Potentially hazardous conditions may exist be removed before the high frequency surgical
when accessories of similar connector types are equipment is used. Due to the danger of igni-
combined. Be certain accessories are appropri- tion of endogenous gases, the bowel should be
ate for the type of generator output used. Use purged and filled with nonflammable gas prior
only CONMED Electrosurgery footswitches. to abdominal surgery. To avoid the risk of tra-
Confirm bipolar leads are connected only to the cheal fires, never use electrosurgery to enter the
bipolar receptacles. Connecting bipolar accesso- trachea during tracheotomy procedures.
ries to monopolar outputs may result in patient • Only non-flammable agents should be used for
injury. cleaning and disinfection wherever possible.
• Do not reuse disposable (single use) accesso- • Exercise care when moving the ESU to avoid
ries. electrostatic charge buildup in the presence of
• Do not use cords as handles as damage to the flammable materials, as there is a risk of ignit-
insulation and increased risk of burns or other ing these materials if a spark should occur.
injury may result. • This ESU is equipped with the Automatic
• Interference may occur between the RF signals Return Monitor (A.R.M.), which monitors
of the System 2450 and ground-referenced the quality of the dispersive electrode con-
ESUs that are used simultaneously with the nection. When a correctly functioning single
1-2
dispersive electrode is connected to the ESU, • When high frequency surgical equipment and
A.R.M. verifies the connections between the physiological monitoring equipment are used
ESU, the dispersive electrode cable and the simultaneously on the same patient, all moni-
dispersive electrode. It DOES NOT verify that toring electrodes should be placed as far as pos-
a single dispersive electrode is in contact with sible from the surgical site and dispersive elec-
the patient. When using a dual dispersive elec- trode. Needle monitoring electrodes are not
trode, A.R.M. confirms the total resistance is recommended. Monitoring systems incorporat-
within the preset safety range. For this reason, ing high frequency current limiting devices are
use of a dual dispersive electrode with A.R.M. recommended whenever possible.
can provide greater safety than use of a single • The active electrode should not be used in the
dispersive electrode. Proper application and vicinity of electrocardiograph electrodes.
visual inspection of the dispersive electrode is
• Heat applied by thermal blankets or other
required for safe operation.
sources is cumulative with the heat pro-
• The use and proper placement of a dispersive duced at the dispersive electrode (caused by
electrode is a key element in safe and effective electrosurgical currents). Choosing a dispersive
electrosurgery. Follow manufacturer’s direc- electrode site that is remote from other heat
tions and recommended practices for the prepa- sources may minimize risk of a patient injury.
ration, placement, use, surveillance and removal
• Electrosurgery, by its nature produces sig-
of any dispersive electrode supplied for use
nificant levels of electromagnetic interference
with this electrosurgical unit.
(EMI) when the ESU is activated. This EMI
• Apply the dispersive electrode over a well-vas- may damage or impair the function of other
cularized muscle mass that is thoroughly clean electronic equipment in the operating room,
and dry. Clean site and clip hair as necessary especially equipment that makes contact with
per hospital policy, to provide adequate elec- the patient. Adverse effects can only be miti-
trical connection. Avoid placement over scar gated by use of equipment specifically designed
tissue, bony prominences or other areas where to tolerate electrosurgical interference. Cables
pressure points on small areas might develop. subject to flexing should be inspected frequent-
• Because of the risk of burns, needles should ly for shielding integrity.
never be used as a dispersive electrode for • Other equipment in the operating room,
electrosurgery. The entire area of the dispersive including portable or mobile communications
electrode should be placed so that the entire equipment, may produce EMI, which can affect
conductive area is in firm contact with an area the function of the ESU. Adverse effects can
of the patient’s body that has a good blood only be mitigated by use of equipment with
supply and is as close to the operative site as EMI characteristics proven below recognized
possible. In general, electrosurgical current limits. In the event of suspected interference
paths should be as short as possible and should from other equipment, discontinue use of the
run either longitudinally or in a diagonal direc- ESU until the problem can be remedied.
tion to the body, not laterally and under no
• The patient should not be allowed to come
circumstances lateral to the thorax.
into contact with metal items that are grounded
• Dispersive electrodes and probes of monitor- or have an appreciable capacitance to earth.
ing, stimulating and imaging devices can pro- Examples of this would be operating tables,
vide paths for high frequency currents even if supports, etc.
they are battery powered, insulated or isolated
• Jewelry and other metallic items can cause
at 50/60 Hz. The risk of burns can be reduced
localized burns if they make contact with
but not eliminated by placing the probes as far
grounded items and should be removed from
away as possible from the electrosurgical site
the patient prior to use of electrosurgery.
and the dispersive electrode. Protective imped-
ances incorporated in the monitoring leads may • Skin to skin contacts, such as between the arm
further reduce the risk of these burns. Needles and body of a patient or between the legs and
should not be used as monitoring electrodes thighs, should be avoided by the insertion of
during electrosurgical procedures. dry gauze.
1-3
• The use of electrosurgery on patients with FDA twice a year. Patient deaths related to the
cardiac pacemakers, AICDs, neurostimulators use of a medical device must be reported to the
or other active implants is potentially hazard- manufacturer and the FDA. For further infor-
ous. The implant may be irreparably dam- mation, please contact the Regulatory Affairs
aged and/or the high frequency energy of the Department of CONMED Electrosurgery at
electrosurgical output may interfere with the 800-552-0138, 303-699-7600 or FAX 303-
function of the implant. Ventricular fibrilla- 699-9854.
tion or neuromuscular stimulation may occur. • Do not use monopolar electrosurgery on
Precautions should be taken to ensure the small appendages, as in circumcision or finger
patient’s well-being is maintained in the event surgery, as it can cause thrombosis and other
of such interaction. The manufacturers of the unintended injury to tissue proximal to the
implants should be consulted for advice before surgical site. Should the surgeon decide that
operating on a patient with an implant. These the bipolar electrosurgical technique is accept-
precautions also apply to operating room per- able for circumcision, do not apply the bipolar
sonnel with similar implants. electrosurgical current directly to circumcision
• To minimize the possibility of cardiac pace- clamps.
maker interference, place the dispersive elec- • Apparent low power output or failure of
trode such that the electrosurgical current path the electrosurgical equipment to provide the
does not intersect the path of the pacemaker or expected effect at otherwise normal settings
leads. may indicate faulty application of the dispersive
1.1.3 Cautions For Use electrode, failure of an electrical lead or exces-
sive accumulation of tissue on the active elec-
• Safe and effective electrosurgery is dependent trode. Do not increase power output before
not only on equipment design, but also on fac- checking for obvious defects or misapplication
tors under the control of the operator. It is of the dispersive electrode. Check for effec-
important that the instructions supplied with tive contact of the dispersive electrode to the
this equipment be read, understood and fol- patient anytime the patient is moved after ini-
lowed in order to ensure safe and effective use tial application of the dispersive electrode.
of the equipment. The System 2450 is capable
• Studies have shown that smoke generated dur-
of causing physiological effects, including
ing electrosurgical procedures may be harmful
burns to the patient or operator. Only properly
to surgical personnel. These studies recom-
qualified and trained operators should perform
mend using a surgical mask and adequate ven-
electrosurgery. The operator and their support
tilation of the smoke using a surgical smoke
personnel must be diligent in assuring that the
evacuator or other means.
ESU is properly configured and that proper
settings are used. The ESU must be in a loca- • In the event that the system resets due to a
tion that assures that the operator or their sup- power interruption or low voltage, check the
port personnel can readily verify the settings. contact of the dispersive electrode prior to
resuming electrosurgery.
The System 2450 is capable of causing physi-
ological effects, including burns to the patient • If a dispersive electrode or A.R.M. alarm is
or operator. sounded intraoperatively, physically confirm
proper dispersive electrode attachment to the
• PLEASE NOTE: Federal law (U.S.A.) requires
patient and confirm that the display falls within
that all health care facilities must report to the
the set range. Smooth the dispersive electrode
manufacturer of a medical device, any death or
surface with hand to ensure electrode contact to
serious injury or illness to a patient related to
patient skin. Replace the dispersive electrode if
the use of a medical device. Serious injuries
necessary.
or illness involving the use of a medical device
must be reported to the manufacturer of the • Some equipment and/or techniques fall outside
device (or to the FDA if the manufacturer of the intended use of standard electrosurgery
the device is not known) within 10 working dispersive electrodes, such as application of
days of the incident. Summary reports of such high current, long activation times, or use of
injuries must also be submitted directly to the conductive fluid (e.g. tissue ablation, joint abla-
1-4
tion, etc.). In these non-traditional conditions, tact electrosurgical electrodes (either active or
there is a risk that excess heat may build up in dispersive) while the RF output of the ESU is
standard dispersive electrodes and may pose a energized.
risk to the patient. • The electrodes of recently activated accesso-
• Simultaneous activation can be used in both ries may be hot enough to burn the patient or
Standard and Spray monopolar coagulation ignite surgical drapes or other flammable mate-
modes. Caution should be used as the output rial.
from either active electrode may change as a • Do not ignore unexpected tones. Check to
result of activation of a second output or end- determine the cause of the tone, otherwise
ing activation of an output. Power sharing is injury can occur.
unlikely to be equal because of differences in
• The Active Electrode delivers both Cut and
electrode to tissue distance and other factors.
Coag effects - use caution when selecting the
This unequal power sharing can be enough
proper activation request switch.
to stop power delivery to one electrode if the
second electrode is close to tissue and the first • Temporarily unused active electrodes should be
electrode is somewhat above the tissue. The stored in an electrically insulated holster. The
motion or deactivation of one electrode can unused active electrode should never be placed
cause the other electrode to start delivering on the patient. This is especially important for
power when it had been too far away from laparoscopic procedures.
tissue to arc before the first electrode change. • Ensure electrodes are properly installed with a
Simultaneous activation can also increase leak- snug fit in accessory handles.
age currents, which can be hazardous to the • Ensure that the footswitches are not inadver-
patient. It is recommended that a second tently depressed in order to prevent accessories
electrosurgical generator be used when it is nec- from being unintentionally activated. Place
essary to perform simultaneous operation. footswitches in locations that necessitate delib-
• The cables to the surgical electrodes (active, erate action in order to activate the footswitch.
bipolar or dispersive electrodes) should be Use caution when selecting the correct
positioned in such a way that contact with the footswitch to activate.
patient or other leads is avoided.
1.1.4 Cautions For Testing or Servicing
• Confirm the desired electrosurgical mode is
selected prior to use to ensure output character- • Service should not be attempted without ref-
istics are suitable for the intended procedure. erence to the System 2450 Service Manual
(Catalog Number 60-2454-ENG), provided
• Confirm the desired bipolar mode is selected
by Conmed. The Service Manual provides the
prior to use to ensure output characteristics are
Preventative Maintenance (PM) requirements,
suitable for the intended procedure.
calibration instructions, circuit diagrams, and
• The output power selected should be as low as circuit components listing necessary for per-
possible and activation times should be as short forming service on the System 2450.
as possible for the intended purpose.
• This electrosurgical unit should be tested by a
• The clinical use of electrosurgery is intermittent Hospital Qualified Biomedical Technician on a
in nature. This ESU should not be activated periodic basis to ensure proper and safe opera-
continuously for extended periods of time. tion. It is recommended that examination of
• When uncertain of the proper setting for the the ESU be performed at least yearly.
power level in a given procedure, start with a • No modification to this equipment is allowed.
low setting and increase as required.
• Advice to the responsible organization that the
• Observe all caution and warning symbols print- assembly of the ME systems and modifications
ed on the ESU. during the service life shall be evaluated based
• The operating room staff should never touch upon the requirements of IEC 60601-1 3rd
the patient and the connectors in the ESU Editon
simultaneously • Refer all servicing to a Hospital Qualified
• The operating room staff should never con- Biomedical Technician. Your CONMED sales
1-5
representative will be happy to assist you in necessary nor desirable.
getting your equipment serviced. • Since the clinical use of electrosurgical units
• High voltages are developed within the ESU is intermittent in nature with duty cycles on
that are accessible when the top cover is the order of 10%, this ESU is not designed
removed. These voltages are potentially dan- to operate for extended periods of continuous
gerous and should be treated with extreme cau- output. When testing, it is recommended that
tion. duty cycles be limited to 15 seconds activation
• The high voltage DC power supply in the with delays of 30 seconds between activations.
System 2450 is equipped with a bleeder resistor • Activating the System 2450 in other than its
to dissipate the charge on the filter capacitor. normal operating position impairs the heat dis-
However, it takes several seconds after power sipation capability of the heat sink.
is removed to bleed that charge down to a safe • Ensure that the two top-cover screws are tight-
level. It is recommended that at least thirty ened and always perform a power-up check to
(30) seconds be allowed to elapse before touch- confirm a normal power-up sequence before
ing or attempting to perform any maintenance returning the ESU to service.
involving the power supply or power amplifier.
• Improperly connecting test equipment can
• Never remove or install any parts with the cause electric shock and destruction of equip-
power cord connected to AC mains. ment.
• Avoid contact with the output leads when the • Turn unit off and wait until storage capacitors
ESU is activated. Periodically inspect the test have discharged before connecting test equip-
leads used for the output connections for obvi- ment.
ous defects.
• Loss of power supply isolation can cause elec-
• Although this ESU will withstand momentary trical shock. When servicing the high voltage
short circuits on the output, prolonged short power supply, assume internal isolation is com-
circuits may damage the ESU. Short-circuiting promised until verified otherwise.
the output should be avoided since it is neither
1-6
1.1.5.2 EN/IEC 60601-1-2 Table 202
1-7
1.1.5.3 EN/IEC 60601-1-2 Table 204
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) tele-
phones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast
cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to
fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field
strength in the location in which the System 2450 Electrosurgical Unit is used exceeds the appli-
cable RF compliance level above, the System 2450 Electrosurgical Unit should be observed to
verify normal operation. If abnormal performance is observed, additional measures may be neces-
sary, such as reorienting or relocating the System 2450™ Electrosurgical Unit.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than [v1] V/m.
1-8
1.1.5.4 EN/IEC 60601-1-2 Table 206
1.2 Specifications
Input Power: 600 watts maximum
1-9
Manufactured in an ISO 13485: 2003 Registered Facility.
Type of protection against electric shock: IEC Class 1.
Degree of protection against electric shock: Type CF, Defibrillation-Proof.
Non-Ionizing Radiation.
1.2.4 Operation
Mode of operation: Intermittent 15 Sec on/30 Sec off.
1.2.5 Power Display Accuracy
The greater of 2% of maximum power setting for the selected mode or 15% of selected power setting.
1.2.6 Line Regulation
Power Change <1%/V for the range of line voltages specified.
1.2.7 Environmental
Operating Conditions: 10°C to 30°C, 95% RH Non-condensing maximum at altitudes between 60 meters
below and 3000 meters above mean sea level.
Degree of protection against Ingress of Water: IPX1 (Protection against vertically falling water drops).
Mounting Restriction: 2-inch (5cm) clearance required on each side, back and above the ESU for cooling.
Cooling: Natural convection, conduction, and radiation.
Storage Conditions: -34°C to 65°C, at altitudes from –60 to +4500 meters above mean sea level (1020.5
hPa - 577.1 hPa) when sealed in original poly bag, packing material and shipping carton.
Prior to shipment or storage, the ESU should be enclosed and sealed in a polyethylene bag and placed in
original carton using original packaging materials.
RF Leakage: <100 mA per IEC60601-2-2: 1998, Clause 19.3.101b.
1.2.8 Contact Quality Monitor
Single dispersive electrode: Two wire continuity detector, typical trip threshold is 10 ohms
Dual dispersive electrode: Two wire resistance monitor, typical acceptance range 10 to 150 ohms, trip thresh-
old typically 30% higher than initial activation.
1.2.9 Audio Specifications
Cut = 523 Hz
Coag = 440 Hz
Bipolar = 440 Hz
Acc Fault = 847 Hz (pulsating)
Dispersive Electrode Alarm = 847 Hz (pulsating)
Err Fault = 847 Hz (pulsating)
Increase Power Level = 379 Hz
Decrease Power Level = 343 Hz
(All tones are 45 dbA minimum except Alarms, which are 65 dbA minimum)
1-10
1.2.10 Other Specifications
Power Cord: All units supplied with an IEC-320 250V 10A 65°C mains inlet connector. Power cords can
be ordered from CONMED Electrosurgery or obtained from other sources if the following specifications are
met:
Region Specification Description Standard
USA, Any UL, CSA SJT or better 250VAC, minimum 16AWG, 3 Conductor, maxi- UL817
Canada manufacturer mum length 20 feet (6m)
Europe Any HAR cord <HAR>H05WF3G1.0 Copper 1.0mm2 minimum cross sectional area, IEC60799
manufacturer maximum length 20 feet or 6.0m
1-11
1.3 Explanation of Symbols 1.3.3 Output/Control Panel
Approximate alignment of
Volume control: Activation tone pins (bipolar receptacle)
1-12
Monopolar Footswitch
Consult accompanying docu-
Connector
ments prior to placing equip-
ment in service.
Activation relay connector.
300
250
200
Output Power
150
100
50
0
0 50 100 150 200 250 300
Power Setting
Figure 1.1 Output Power vs. Power Setting
1-13
4500
4000
3500
3000
Peak Voltage
2500
2000
1500
1000
500
0
0 50 100 150 200 250 300
Power Setting
Figure 1.2 Open Circuit Peak Voltage vs. Power Setting
350 250
300
300 200
200
250
Output Power (Watts)
150
200
150
100
150
100
100
50
50
0 0
0 500 1000 1500 2000 0 500 1000 1500 2000
Load Resistance (Ohms) Load Resistance (Ohms)
1-14
250 140
120
200 120
200
100
Output Power (Watts)
60
100
60
100
40
50
20
0 0
0 500 1000 1500 2000 0 500 1000 1500 2000
Load Resistance (Ohms) Load Resistance (Ohms)
90
80
80
70
Output Power (Watts)
60
50
40
40
30
20
10
0
0 500 1000 1500 2000
Load Resistance (Ohms)
* Hi Blend is only accessible by a Hospital Qualified Biomedical Technician. Refer to the System 2450
Service Manual.
1-15
80 80
70
70 70
60 70 60
Output Power (Watts)
40 40
30 30 35
35
20 20
10 10
0 0
0 200 400 600 800 1000 0 200 400 600 800 1000
Load Resistance (Ohms) Load Resistance (Ohms)
1-16
Installation and Operation
Section 2.0
2-1
23. Monopolar Cut Power Adjustment Keys 22. Monopolar 21. Monopolar 20. Monopolar 19. Monopolar Coag Power Adjustment Keys
Cut Activation Coag Power Coag Activation
18. Bipolar Power Digital Display
24. Monopolar Cut Power Digital Display Indicator Digital Display Indicator
17. Bipolar Activation Indicator
1. Dual Dispersive
Return CUT COAG BIPOLAR
Electrode Status/Alarm
Indicator
001 010 00
Dual
2-2
29. Power Switch
25. Dispersive Electrode
Receptacle 26. Hand-Controlled
Monopolar Accessory
Receptacle
27. Combination Monopolar
Accessory Receptacle 28. Bipolar Accessory Receptacle
23. MONOPOLAR CUT POWER for use with the System 2450. This connec-
ADJUSTMENT KEYS: Adjusts the output tor will not accept pin-tip style connectors.
power setting of the selected cut mode. WARNING: PIN-TIP STYLE CONNECTORS
24. MONOPOLAR CUT POWER DIGITAL WILL NOT BE RELIABLY CAPTURED
DISPLAY: Indicates the power setting for the IN THE MONOPOLAR ACCESSORY
currently selected monopolar cut mode. RECEPTACLE AND WILL NOT PROVIDE
A RELIABLE CONNECTION. DO NOT
2.3.2 Output Panel
USE THE COMBINATION MONOPOLAR
The output panel contains the power switch and ACCESSORY RECEPTACLE FOR PIN-TIP
the accessory receptacles as illustrated in STYLE CONNECTORS.
Figure 2.2. 28. BIPOLAR ACCESSORY RECEPTACLE:
25. DISPERSIVE ELECTRODE RECEP- The Bipolar output is activated by the bipo-
TACLE: This receptacle accepts a standard lar footswitch or by hand-controlled bipolar
two-pin single or dual dispersive electrode accessories. CONMED accessories with fixed
plug. connection style plugs are recommended for
WARNING: NEVER CONNECT MORE this receptacle. For legacy connections with
THAN ONE ACCESSORY AT A TIME INTO two banana plug leads, connect these active
ANY OUTPUT RECEPTACLE. bipolar forceps leads to the outside connec-
tions.
26. HAND-CONTROLLED MONOPOLAR
ACCESSORY RECEPTACLE: Only the 29. POWER SWITCH: Primary power switch
accessories connected to this receptacle will for turning the ESU on and off.
activate this receptacle.
27. COMBINATION MONOPOLAR ACCES-
SORY RECEPTACLE: Accessories con-
nected to this receptacle can be activated
by either the controls on the connected
accessory or by the monopolar footswitch
that is connected to the System 2450. This
receptacle will also accept a standard three-
prong handswitched accessory connector, a
Bovie-style footswitched accessory connector,
or an approved Bovie-style adapter. Only
CONMED Bovie-style adapters (Cat. Nos.
60-0823-001 and 60-6790-001) are approved
2-3
30. Speaker
38. Nameplate
2-4
RF RF
COAG
SINGLE FOIL ELECTRODE DUAL FOIL ELECTRODE
RF
NEUTRAL ELECTRODE CONNECTIONS
CUT
MONOPOLAR HANDSWITCHED ACTIVE CONNECTIONS
COAG
RF
HANDSWITCH (OPTIONAL)
RF
RF
HANDSWITCH (OPTIONAL)
2-5
9. Verify that each of the other modes can be Coag treadle and verify that the blue Coag
selected and adjusted up and down in the Activation Indicator illuminates until the
same manner as the Pure Cut Mode described Coag treadle is released.
above. The other modes include: 14. Connect a hand-controlled accessory to one
• Blend of the Monopolar Accessory Receptacles.
• Standard Coag Activate the Cut and Coag keys on the acces-
sory, one at a time, verifying that each con-
• Spray Coag
trol causes the correct indicator and tone to
• Bipolar Micro sound. Move the hand-controlled accessory
• Bipolar Macro to the other Monopolar Accessory Receptacle
Return all settings to the desired setting. and repeat.
10. Depress the bipolar footswitch. Confirm 15. Disconnect the single dispersive electrode
that the Bipolar Activation Indicator illu- and confirm that the System 2450 beeps three
minates and a bipolar activation tone is times and the Single and Dual Dispersive
sounded. While continuing to depress the Electrode Status / Alarm Indicators alternately
bipolar footswitch, adjust the Tone Loudness flash red.
Adjustment Keys over their full range to veri- 2.4.2 Preliminary Performance Testing
fy the function of that control and that sound
is audible at all positions. This control may After the ESU passes the Preliminary Functional
be left at any desired position. Release the Tests of Section 2.3.1, preliminary performance
bipolar footswitch and confirm the System testing may be conducted. Such testing is best
2450 returns to its idle state. Set the bipolar carried out by use of an electrosurgical generator
power setting to 1 watt and verify the bipo- tester. Use a non-inductive resistor with the same
lar hand control is functional by use of the value as the rated generator output impedance for
appropriate forceps or by connecting a jumper the best accuracy of the tester. (See Specifications,
between the center and right hand Bipolar Section 1.2).
Accessory Receptacle on the Output Panel. If no tester is convenient, the availability of thera-
The effect will be identical to depressing the peutic current may be ascertained subjectively by
bipolar footswitch. attempting to cut and coagulate on surrogate tis-
11. Verify that the Single and Dual Dispersive sue such as a piece of meat or fresh fruit, a wet
Electrode Status / Alarm Indicators alternately bar of soap or a sponge moistened with saline.
flash red. Connect a single dispersive elec- 2.5 Set Up For Use
trode to the Dispersive Electrode Receptacle.
Confirm the Single Dispersive Electrode 1. Ensure the Power Switch is OFF, and then
Status / Alarm Indicator is steady green. connect the power cable to a properly
12. Depress the Cut treadle of the Monopolar grounded and polarized mating power recep-
footswitch. The yellow Cut Activation tacle. Do not connect a dispersive electrode
Indicator should light and the cut activation at this time.
tone should sound. 2. Inspect and connect the desired monopolar or
13. While continuing to press the Cut treadle bipolar accessories to the connectors on the
of the footswitch, press the Coag treadle. front of the ESU. Refer to Figure 2.2.
The yellow Cut Activation Indicator should WARNING: ALWAYS STOW UNUSED
remain illuminated and the Cut activation ACCESSORIES IN A SAFE, INSULATED
tones should continue. Release the Cut LOCATION SUCH AS A HOLSTER. DO
treadle while continuing to press the Coag NOT PLACE ACTIVE ACCESSORIES ON
treadle and confirm that the yellow Cut THE PATIENT.
Activation Indicator extinguishes, the blue 3. Connect the footswitches, as required, to the
Coag Activation Indicator illuminates and rear of the ESU (not required if only hand-
the activation tone changes from Cut to controlled accessories are to be used). Use
Coag. Release the coag treadle and verify only CONMED Electrosurgery footswitches.
that the display returns to normal. Press the
2-6
4. Set the Power Switch to the ON position. As per hospital policy, to provide adequate elec-
the ESU goes through its internal self-diag- trical connection. Avoid placement over scar
nostics, confirm the machine responds by: tissue, bony prominences or other areas where
a) Sounding a test tone. pressure points on small areas might develop.
b) During the test tone, displaying a total of 7. Inspect and connect the plug of the dispersive
eight “8’s” on the three digital displays. electrode cable to the Dispersive Electrode
Receptacle or to an appropriate adapter.
c) Illuminating all three activation indica-
tors, all six key indicators, and two disper- NOTE: This ESU incorporates A.R.M. cir-
sive electrode indicators. cuitry. The monitor will inhibit monopolar
operation of the ESU if its requirements for
d) After the display test, the ESU will show
the dispersive electrode have not been satisfied
the software revision level in the COAG
(see instruction 8).
display window. The ESU is conducting
a power-on self-test during this interval. 8. The A.R.M. dispersive electrode contact
quality monitor can automatically detect and
After the power-on self-tests, the ESU is
accept either single dispersive electrodes or
ready for use. If the ESU sounds a pulsat-
dual dispersive electrodes.
ing high tone, displays an “Err” fault code
or otherwise fails to respond as above, the The Single Dispersive Electrode Status /
ESU has failed one of its internal tests and Alarm Indicator indicates the status of a single
is not suitable for use. Before turning the dispersive electrode when the single disper-
power off, note the “Err” code displayed in sive electrode is connected to the ESU. This
the Power Displays to assist in the diagnosis. STATUS INDICATOR will flash red prior to
Contact your Hospital Qualified Biomedical connection of any dispersive electrode. This
Technician for repair if an “Err” code STATUS INDICATOR will illuminate steady
appears. green after a single dispersive electrode is
acceptably connected to the ESU. The Single
If the ESU sounds a pulsating high tone, dis-
Dispersive Electrode Status / Alarm Indicator
plays an “ACC” fault code and fails to respond
DOES NOT provide any indication of the
as above, the ESU has detected a problem
contact quality between the single dispersive
with one of the connected accessories. ACC
electrode and the patient.
fault code codes can often be corrected by
operating room staff. See Section 2.7.2 for If the connection between the ESU and
actions to correct “ACC” fault codes. the single dispersive electrode is broken,
the Single Dispersive Electrode STATUS
5. When using monopolar modes, select and
INDICATOR will flash red and an alarm will
prepare the patient dispersive electrode site
sound.
and apply the dispersive electrode in full
contact with the patient and in accordance The DUAL DISPERSIVE ELECTRODE
with the manufacturer’s instructions. If no STATUS / ALARM INDICATOR indicates
instructions are given, observe the guidelines the status of a dual dispersive electrode when
provided in Section 1.0 of this manual. A the dual dispersive electrode is connected to
dispersive electrode need not be connected if the ESU.
only BIPOLAR operation is required. The STATUS / ALARM INDICATOR will
CAUTION: The use and proper placement of flash red prior to connection of any dispersive
a dispersive electrode is a key element in safe electrode or connection of a dual dispersive
and effective electrosurgery. Follow manufac- electrode that is not applied to the patient.
turer’s directions and recommended practices The DUAL DISPERSIVE ELECTRODE
for the preparation, placement, use, surveil- STATUS / ALARM INDICATOR will illu-
lance and removal of any dispersive electrode minate steady green with a dual dispersive
supplied for use with this electrosurgical unit. electrode that is installed and connected with
acceptable contact quality.
6. Apply the dispersive electrode over a well-vas-
cularized muscle mass that is thoroughly clean If the contact quality deteriorates to a level
and dry. Clean site and clip hair, as necessary that is unacceptable, the Dual Dispersive
2-7
Electrode Status / Alarm Indicator will flash continuously held, power setting will
red and an alarm will sound. increase or decrease at an accelerated rate,
When alarm occurs, physically confirm with a series of short beeps, until the
proper dispersive electrode-to-patient contact. Power Adjustment Key is released.
Smooth the dispersive electrode surface with • Power settings above 30 watts are
hand to improve electrode contact to patient’s adjusted in 5-watt steps. Below 30 watts,
skin. Replace the dispersive electrode if dis- power settings are adjusted in 1-watt
persive electrode status/alarm indicator con- steps.
tinues to flash red. If unsure of the proper settings, use low
WARNING: DO NOT DEPEND power settings initially and make adjustments
SOLELY ON THE DUAL DISPERSIVE intraoperatively according to the surgeon’s
ELECTRODE STATUS / ALARM requests. Use of a written record of each
INDICATOR FOR CONFIRMATION surgeon’s preferred power setting for various
OF GOOD DISPERSIVE ELECTRODE procedures will expedite subsequent pre-op
APPLICATION. QUALIFIED setup.
PERSONNEL SHOULD MAKE THE
FINAL DECISION ON PROPER 2.6 Operation
DISPERSIVE ELECTRODE PLACEMENT. WARNING: ENSURE THAT THE
9. The ESU powers up to the last settings at the FOOTSWITCHES ARE NOT
time the ESU was last activated. INADVERTENTLY DEPRESSED IN ORDER
Note: Power up to “0” setting is a configura- TO PREVENT ACCESSORIES FROM BEING
tion option that may be selected by a Hospital UNINTENTIONALLY ACTIVATED. PLACE
Qualified Biomedical Technician. Verify that FOOTSWITCHES IN LOCATIONS THAT
the ESU is properly adjusted with the desired NECESSITATE DELIBERATE ACTION IN
mode selected. Adjust the settings as needed. ORDER TO ACTIVATE THE FOOTSWITCH.
The ESU is now ready for operation. USE CAUTION WHEN SELECTING THE
CORRECT FOOTSWITCH TO ACTIVATE.
10. Set the Monopolar Cut Mode to Pure for
cutting or Blend mode for cutting with Activate the electrosurgical unit in the desired
hemostasis. operating mode by depressing the appropriate
treadle of the footswitch or switch of a hand-
11. Set the Monopolar Coag Mode to controlled accessory. Adjust the corresponding
STANDARD to provide a greater degree of power setting until the desired surgical effects are
desiccation (i.e., greater arcing) or to SPRAY obtained.
for non-contact fulguration.
Power setting changes are limited when the ESU
12. Scroll to BIPOLAR MACRO for nor- is activated to the greater of 10 watts or 25% of
mal bipolar tissue desiccation or scroll to the dial setting upon initiation of activation. The
BIPOLAR MICRO for delicate bipolar tissue power setting will be displayed on the digital dis-
desiccation with low voltage. play for each mode.
13. Adjust the CUT, COAG, and BIPOLAR The surgical effects obtained are dependent on a
power settings to the desired levels in the fol- number of factors including waveform, electrode
lowing manner: size, electrode geometry, power level and surgical
• To increase or decrease the power setting technique. The size and geometry of monopolar
one step, momentarily press and release electrodes are significant in that a large electrode,
the desired CUT, COAG, or BIPOLAR absent of sharp features (e.g., a ball electrode) will
Power Adjustment Key. The power set- have no tendency to cut, regardless of the output
ting will increase one step and a short power level. Conversely, a small, sharp electrode,
tone will sound. such as a needle or wire loop, will be likely to cut
• To increase or decrease the power set- simply from mechanical pressure at conservative
ting a number of steps, press and hold power settings. Note that other generator models
the desired CUT, COAG, or BIPOLAR will have different clinical effects than the System
Power Adjustment Key. As the key is 2450, even when the power settings are the same.
2-8
The Bipolar Coagulation waveform is designed to subsequent tests and should be made available to
minimize tissue sticking and popping by limiting the Hospital Qualified Biomedical Technician con-
the output voltage regardless of the power set- ducting the tests.
ting. Bipolar hemostasis is more localized than in
monopolar since the tissue grasped between the 2.8 In Case of Difficulty
forceps tines is most affected. This is particularly Several alarm conditions are described in this
desirable in vascular surgery where monopolar section. Since all alarm conditions will disable
current may concentrate in the affected vessel the ESU until the condition causing the alarm is
and result in undesired tissue effects. This easily corrected, with some resulting delay possible, all
controlled localization is also of benefit in plastic alarms are considered low priority.
surgery and neurosurgery.
2.8.1 Dispersive Electrode Alarm
2.7 User Maintenance
Trouble with the dispersive electrode is indicated
2.7.1 General Maintenance Information by red illumination of the Dispersive Electrode
Status / Alarm Indicators. Activation attempts
While the System 2450 has been designed and will result in an audible fault alarm. Replace the
manufactured to high industry standards, it is dispersive electrode if any patient contact has been
recommended that periodic inspection and per- lost.
formance testing be performed by a Hospital
If a dispersive electrode or A.R.M. alarm is sound-
Qualified Biomedical Technician using techniques
ed intraoperatively, physically confirm proper dis-
described in the ConMed System 2450 Service
persive electrode attachment to the patient.
Manual (Catalog Number 60-2454-ENG) to
ensure continued safe and effective operation. 2.8.1.1 Single Dispersive Electrode Alarm
2.7.2 Cleaning If a Single Dispersive Electrode alarm condition
occurs, confirm that a single dispersive electrode
The exterior of the ESU may be cleaned by wip-
is attached to the ESU. Check all dispersive elec-
ing it with a cloth that has been dampened (not
trode cable connections and replace the dispersive
dripping) with a mild detergent or mild disinfect-
electrode or cable if necessary.
ing solution.
2.8.1.2 Dual Dispersive Electrode Alarm
2.7.3 Periodic Inspection
If a Dual Dispersive Electrode alarm condition
The System 2450 should be visually inspected at
occurs, check the Dual Dispersive Electrode
least every six months. This inspection should
Status/Alarm Indicator for clues to the problem:
include checks for:
a) If only the Dual Dispersive Electrode Status/
• Damage to the power cord.
Alarm Indicator flashes red, the resistance is
• Damage to the power plug. too high. This can be caused by inappropriate
• Tightness of the power plug. choice of a site for the dispersive electrode, a
• Proper mating, cleanliness and absence of broken cable or poor connections to the ESU.
damage to the patient connectors. b) If both the Single and Dual Dispersive
• Obvious external or internal damage to the Electrode Status/Alarm indicators flash red in
ESU. unison, the impedance is too low. This condi-
tion can be caused by a short in the cable, a
• Accumulation of lint or debris within the
short between the two pads on the dispersive
ESU or heatsink.
electrode, or some fault within the ESU.
2.7.4 Periodic Performance Testing Replace the dispersive electrode while ensur-
ing the dispersive electrode makes contact
The System 2450 should be performance tested
only with the patient.
by a Hospital Qualified Biomedical Technician at
least every year. Each ESU is supplied with a seri-
alized Product Test Data Sheet, which tabulates
the results of the factory tests performed on the
ESU. This data may be used as a reference for
2-9
2.8.2 Acc Codes
Acc Codes are most often caused by faults in accessories connected to the ESU. The fault can often be cor-
rected in the operating room without a service call. The following list gives the meaning of each code. For
each code, check the indicated accessory for proper operation. If the fault persists, unplug the accessory, turn
the ESU off and then turn the ESU back on. If the fault is still present, call a Hospital Qualified Biomedical
Technician for assistance.
Acc Display Code Meaning and Solution Solution
Acc FS Monopolar Footswitch Shorted Ensure footswitch treadle is not depressed.
Acc bPF Bipolar Footswitch Shorted Ensure footswitch treadle is not depressed.
Acc LK Left Hand Monopolar Accessory Replace hand controlled accessory.
Shorted
Acc rK Right Hand Monopolar Replace hand controlled accessory.
Accessory Shorted
Acc bP Bipolar Accessory Shorted Replace bipolar accessory.
Acc [P Control Panel Key Stuck Ensure no control panel keys are depressed on power-up.
Acc bP dA Monopolar Current Flows Release activation button for 3 seconds.
through Bipolar Output
2-10