Revolution Surgical
Accurian Reusable RF Probes Safety Features and Troubleshooting Guide Rev A Sept 2021
Safety Features and Troubleshooting Guide
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Safety Features and Troubleshooting Most Common Safety and Error Messages* Accurian™ Reusable RF Probes Error Message
Common causes of failure
E41
Invalid probe
Broken or damaged probe Moisture in the probe connector can cause the probe to malfunction due to:
W40/E58
Poor Grounding Pad Contact Alert
W25/E25
High Temp. on one or more channels
Use of single element grounding pad Insufficient contact area with patient or air bubbles
Damaged hub (Hubs are susceptible to damage from frequent falls).
Review the cleaning and sterilisation** process to determine if it is the cause of the malfunction:
If alert persists, the probe will need to be replaced.
Verify that dual dispersive (same as dual element) grounding pad such as ValleyLab 7507 is being used. Single element pads do not work with Accurian 2.0 SW version. Roll grounding pad slowly onto patient skin when applying Apply gentle pressure to smooth the grounding pad onto the patient to ensure maximum contact area Reposition the GP Remove and replace before pressing ‘Continue’
Determine if the error is coming from the hub or the probe:
Some accounts are securing the hub to the table/cart with Velcro to protect the hub.
Damaged probe (broken wire)
W21/E21 High impedance
Impedance ≥ 3000 Ω in stim mode Alert can occur if the circuit is open:
F02
RF Calibration Check Failure
Probes or grounding pad not being connected Cannula active tip being placed in non-conductive or desiccated tissue (cartilage/knee) Probe not inserted in the tissue
Generator moved from colder or warmer room Generator left in cold or hot car/room Generator not allowed to stabilise to room temperature
Do not let end connectors soak during cleaning Allow for full 30-minute dry time. Moisture in the connector can cause the probe to malfunction. Allow probes to return to room temperature before use. Use bigger pouches (7 ½”x13” recommended) Use one pouch per probe (not two) Use only enzymatic cleaner Verify that autoclave vents properly When coming out of the autoclave, probes should be dry. There should be no visible moisture.
Soaking of connector in cleaning solution during cleaning. Insufficient drying time in steriliser (<30min) Small pouches Double pouching Wiping connector with aggressive clinical cleaner (Alcohol based, McKesson Pro-Tech RTU, SpeedClean…) Improper autoclave venting Large automated systems might soak all the components
What to do
Move the probe to another channel. If the issue corrects, the hub is the issue. Report complaint to Tech Services and get a replacement hub. In the meantime, the hub can continue to operate any unaffected channels. If the issue doesn’t correct, the probe is not functioning properly and needs to be replaced.
Reposition the probe. Inject additional fluid. If alert persists, the probe will need to be replaced.
The generator should be given time to adjust to stable room temperature within the procedure suite (typically 1-2 hours)
The Accurian RF Ablation System is an Rx only nerve ablation system intended for the creation of radiofrequency lesions in nervous tissue. Refer to product instruction manuals and package inserts for a complete list of instructions, warnings, precautions and contraindications. This guide is not intended to replace the Instructions for Use. Reference: UC202108422EN Accurian RFA In-service Guide iPDF *For complete troubleshooting guide and list of safety alerts and error messages, refer to Accurian RFA In-Service Guide iPDF ** For complete cleaning and sterilisation instructions, refer to the Accurian Reusable RF Probe IFU The IFU may be found at: Medtronic.com/manuals. IFU M708348B806E Rev. A
Safety Features and Troubleshooting Most Common Safety and Error Messages* Accurian™ Reusable RF Probes Error Message
Common causes of failure
E50
The circuit impedance is too high preventing stim from being delivered. This can mean that the cannula is placed in a non-conductive tissue or that other components in the system are not allowing a completed circuit
Once the cannula has been repositioned, the E50 error message can be dismissed by pressing ‘Continue’ and does not require a reboot
Demo Mode not working on generator
Use of wrong USB drive Demo mode USB flash drive inserted after generator is turned ON MDTDEMO.txt file is missing from the DataTraveler USB stick
Only USB drive Kingston DataTraveler G4 32 GB has been tested to properly activate the demo mode Do not add any other file on the USB drive Do not copy file onto another USB drive Insert USB drive before turning generator ON Verify MDTDEMO.txt file is on USB drive
Stimulation Switch Error (during sensory or motor modes)
What to do
F11
This fault happens very infrequently and typically clears with a reboot
Reboot generator to see if F11 clears. If F11 persists and will not clear after several attempts, return generator for analysis.
Video Screen Blank, too Dim, or with Lines
Faulty hardware
If screen is dim, verify that the screen brightness is set to 100% in the settings. Reboot generator to see if issue self-corrects After several attempts, return generator for analysis.
Pump not working/not communicating
Pump not pumping water
User Interface Software Failure
Review pump and tubing set up and connections. For other errors, pump is self diagnosing and self correcting through reboot. Attempt to reboot multiple times.
Per IFU, only sterile water can be used Burette is empty Incorrect tube in the pump holder
Ensure that the pump is properly connected to the generator using the USB connector Ensure that the pump is turned on
Ensure that the pump tubing (thick-walled tubing) is threaded correctly through the pump head and that the pump lids are closed Ensure that the burette(s) is filled with sterile water to the point that is between the two fill lines and that burette’s lid is properly closed Ensure that tubing is not pinched or blocked Confirm that all Luer locks are properly connected and not leaking
*For complete troubleshooting guide and list of safety alerts and error messages, refer to Accurian RFA In-Service Guide iPDF
Medtronic Australasia Pty Ltd 2 Alma Road Macquarie Park, NSW 2113 Australia Tel: +61 2 9857 9000 Toll Free: 1800 668 670
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Medtronic New Zealand Limited Level 3 – Building 5 Central Park Corporate Centre 666 Great South Road Penrose, Auckland 1051 New Zealand Toll Free: 0800 377 807 © 2021 Medtronic. All rights reserved. Printed in Australia. ANZ10175-092021
Please refer to the product insert or Instructions for Use for a complete list of indications, contraindications, warnings, precautions and other important medical information. Always follow the Instructions for Use.