ESG-300 and APU-300 Argon Plasma Unit Electrosurgical Generator Quick Reference Guide

ESG-300 (Electrosurgical Generator) Quick Reference Guide Bipolar Home Screen

Output Socket Name Active Mode Name

Power adjustment

Effect level adjustment Open user defined settings Change Output Sockets

System setup

Argon Home Screen

Foot Switch Indicator Contact Quality Monitor Output Socket Name

Communication Indicator Setting Name

Argon Gas Flow Rate

Power Level

Type of Connected Argon Probe

Effect Level

Argon Supply Indicator

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ESG-300 (Electrosurgical Generator) Quick Reference Guide ESG-300 System Operating Steps

1 Turn on the ESG-300 & APU-300.

2a Select Mode: Monopolar; Bipolar; Argon Monopolar

Bipolar

Argon

Select mode by tapping on the desired mode located on the bottom of the touch screen

2b (Optional) Select User Defined Setting or Procedure.

1.) Select “Open”

2.) Select setting or procedure

3.) Verify setting is correct

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ESG-300 (Electrosurgical Generator) Quick Reference Guide ESG-300 System Operating Steps

3 Mode Menu

1.) Select the mode by tapping on color bar on the touch screen

4 Changing the Power Level

Select to adjust power level

2.) In the menu screen, tap to select the desired mode

3.) Once selected, the home screen will display the change

5 Changing the Effect

Select to adjust effect

6 Argon Plasma Applications

2.) Confirm supply connection indicator displays connection and tank status 1.) Open the argon tank

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ESG-300 (Electrosurgical Generator) Quick Reference Guide ESG-300 System Operating Steps

7

1.) Apply the neutral electrode to the patient

2.) Connect to the ESG-300

8 Monitor Neutral Electrodes: Contact Quality Monitor If the red neutral electrode lights up & alarm tone sounds: • Is the neutral electrode correctly connected to the device? • Does the neutral electrode have sufficient contact to the skin?

Correct = Green

Error = Red

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ESG-300 (Electrosurgical Generator) Quick Reference Guide ESG-300 System Operating Steps

9 Connect device in appropriate receptacle

Bipolar Devices Monopolar Devices Neutral Electrodes

Argon Plasma Probes

Creating User Defined Settings

STEP 1 On the home screen • Select Preferred Modes • Select Power Level • Select Effect Level • Select Menu

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ESG-300 (Electrosurgical Generator) Quick Reference Guide Creating User Defined Settings

OK

STEP 2

Edit Settings/Procedures screen • Select “New” Setting

STEP 3

Save Setting Screen • Enter the setting name • Select “OK”

STEP 4

Edit Settings/Procedures screen • Select “Return” to return to the Home Screen

Creating User Defined Procedures

A user-defined procedure is a compilation of user-defined settings.

STEP 1

STEP 2

On the Home screen

Edit Settings/Procedures screen

• Select Menu

• Select “New” Procedure

STEP 3

New Procedures screen • Use up/down to highlight the setting • Use arrow to move the setting on the left into the procedure column on the right

OK

STEP 5

Save Procedure Screen • Enter the procedure name • Select “OK”

STEP 6

Edit Settings/Procedures screen • Select “Return” to return to the Home Screen

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ESG-300 (Electrosurgical Generator) Quick Reference Guide ESG-300 Operation Settings Basic Procedures Procedure

Instrument or Technique

Mode

Power

Effect

Snare Polypectomy: Sessile polyp

Close the snare slowly and gently

PulseCut Slow

120

2

Snare Polypectomy: Pedunculated polyp

Close the snare slowly and gently

ForcedCoag

20

4

Endoscopic Mucosal Resection (EMR)

Close the snare slowly and gently

PulseCut Slow

120

2

Hemostasis

Coagrasper

SoftCoag

50

3

Sphincterotomy

Sphincterotome

PulseCut Fast

120

2

Procedure

Instrument or Technique

Mode

Power

Effect

Marking

Knife (apply gentle pressure)

ForcedCoag

20

2

SoftCoag

50

3

Pre-Cut/Incision

Knife

PulseCut Fast

120

2

BlendCut

30

2

Submucosal Dissection

Knife

PowerCoag

30

2

Hemostasis

Closed Knife

PowerCoag

30

2

Procedure

Instrument or Technique

Mode

Power

Effect

Incision

Knife

PulseCut Fast

120

2

Dissection/Tunneling

Knife

SprayCoag

40

2

Myotomy

Knife

PulseCut Fast

120

2

Hemostasis

Coagrasper

SoftCoag

50

3

Endoscopic Submucosal Dissection (ESD)

Peroral Endoscopic Myotomy (POEM)

The above settings are examples based upon previous general clinical usage of the device. Please note that clinical staff are solely responsible for selection of an appropriate mode and power level, dependent upon the instrument being used and the condition of the tissue being treated. Due to the heterogeneity of instruments and clinical conditions, Olympus cannot accept liability for clinical risks arising from the use of these example settings.

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ESG-300 (Electrosurgical Generator) Quick Reference Guide ESG-300 Operation Settings Argon Plasma Coagulation (APC) Procedure

Instrument or Technique

Mode

Power

Effect

Diffuse bleeding in the right colon/duodenum

Activate MAPC probe within a 2-5 mm distance from tissue

SmartArgon

120

4

Diffuse bleeding in the remaining colon and rectum

Activate MAPC probe within a 2-5 mm distance from tissue

PulsedArgon Fast

30

N/A

GAVE/radioproctitis

Activate MAPC probe within a 2-5 mm distance from tissue

PulsedArgon Fast

30

N/A

Angiodysplasia

Activate MAPC probe within a 2-5 mm distance from tissue

PulsedArgon Fast

30

N/A

Tumor Reduction

Activate MAPC probe within a 2-5 mm distance from tissue

ForcedArgon

50

N/A

Barrett’s Esophagus

Activate MAPC probe within a 2-5 mm distance from tissue

PulsedArgon Fast

40

N/A

Procedure

Instrument or Technique

Mode

Power

Effect

Less extended lesion, bleeding

CD-6C-1

SoftCoag

40

3

Polypoid Lesion (intraluminal mass)

SD-7C-1

PulseCut Slow

50

2

Web-like Stenosis

KD-31C-1

PulseCut Fast ForcedCoag

40 40

2 3

Tissue Ablation

Activate MAPC probe within a 2-5 mm distance from tissue

ForcedArgon

35

N/A

Pulmonary Procedures

The above settings are examples based upon previous general clinical usage of the device. Please note that clinical staff are solely responsible for selection of an appropriate mode and power level, dependent upon the instrument being used and the condition of the tissue being treated. Due to the heterogeneity of instruments and clinical conditions, Olympus cannot accept liability for clinical risks arising from the use of these example settings.

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ESG-300 (Electrosurgical Generator) Quick Reference Guide ESG-300 Monopolar Modes

The wired foot switch is an accessory and must only be used in conjunction with the compatible ESG-300 to activate the generator. The foot switch consists of: • Yellow cut pedal to activate the selected cutting mode. • Blue coagulation pedal to activate the selected coagulation mode. • Toggle button to switch between user-defined settings within the procedure. • Foot switch plug (7-pin connector) to connect the foot switch with the ESG-300. The length of the connecting cable is 4m.

YELLOW PEDAL

BLUE PEDAL

Press to activate the selected CUTTING mode

Press to activate the selected COAGULATION mode

CUT MODES

PureCut

PulseCut

Continuous cutting

Controlled cutting with an intermittent duty cycle of different duration

COAGULATION MODES

BlendCut

Cutting of varying tissue structures with increased hemostasis capacities

PowerCoag

Superficial coagulation with increased dissection capability

High Power Cut Support (HPCS) – immediate cutting Fast Spark Monitor (FSM) – optimized cutting power

ForcedCoag

SprayCoag

SoftCoag

Superficial pinpoint coagulation

High peak voltage for superficial coagulation without contact between the HF instrument and the tissue

Deeper coagulation

Versatile coagulation technology

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