ForceTriad Monopolar Set Instructions Quick Reference Card

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Monopolar Setup Instructions Monopolar Surgery Setup

250V, F8.0A (100-240)

U.S. and foreign patents pending.

4 3 2

1

6 ForceTriad Energy Platform front panel

ForceTriad Energy Platform rear panel

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Monopolar Surgery Setup Note: Please read the ForceTriad Energy Platform User’s Guide and all appropriate instructions for use before using the ForceTriad Energy Platform or surgical accessories. 1. Plug the system power cord into the rear panel receptacle of the ForceTriad Energy Platform and into a grounded power receptacle. (Do not use a power strip or extension cord.) 2. Turn on the ForceTriad Energy Platform and verify that the self-test is successfully completed. When the system is operational, the touchscreen appears. Note: Do not touch the screens during power up. 3. If using a footswitch, connect it to the monopolar footswitch receptacle on the rear panel. This may require an adapter to connect a standard four-pin monopolar footswitch. 4. Apply the REM Polyhesive™ Patient Return Electrode to the patient and connect it to the patient return electrode receptacle on the front panel. 5. Confirm that the red REM™ indicator turns from red to green. 6. Connect a monopolar instrument as directed on the following pages.

Monopolar Setup Instructions

Patient return electrode connection

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Monopolar Setup Instructions Standard Two-Button Electrosurgical Instruments 1. Connect the two-button instrument into either the Monopolar 1 or Monopolar 2 instrument receptacle on the front panel of the energy platform. Note: Each touchscreen controls the receptacle directly below the touchscreen and can only control one instrument at one time. Do not plug in more than one instrument under one touchscreen. 2. Confirm that the Standard Monopolar (Std Mono) tab appears in the appropriate touchscreen. 3. Select the power output level by touching the green up and down arrows for either the Cut or Coag mode. 4. Select the surgical mode:

Std Mono

Cut

Valleylab

Acc. Port

Coag

1

1

Pure

Fulg

Blend

Spray

REM

Monopolar touchscreen – standard configuration

a. For the Cut mode, touch either the yellow Pure or yellow Blend button. b. For the Coag mode, touch either the blue Fulgurate or blue Spray button. Note: If no surgical mode is selected, the Cut mode defaults to Pure and the Coag mode defaults to Fulgurate.

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Valleylab Mode-Enabled Electrosurgical Devices 1. Connect the Valleylab™ mode-enabled device into either the Monopolar 1 or Monopolar 2 instrument receptacle on the front panel of the energy platform. Note: Each touchscreen controls the receptacle directly below the touchscreen and can only control one instrument at one time. Do not plug in more than one instrument under one touchscreen. 2. Confirm that the Valleylab tab appears in the appropriate touchscreen. Note: When a Valleylab mode-enabled device is connected, the system selects the default power zone setting for the recognized instrument. 3. Adjust the power zone setting by touching the desired gold bar.

Std Mono

Cut

15 V 15 Coag

15

Valleylab

Acc. Port

5 4 3 2 1 REM

Manual

Monopolar touchscreen – Valleylab configuration

4. While in the sterile field, move the slider control on the device to adjust power output within the selected power zone. Note: The Cut function can be disabled by pressing the Cut power display.

Monopolar Setup Instructions

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Monopolar Setup Instructions Manual Power Control Mode Touch the green Manual button to select specific power settings not available in the sterile field control setting. Note: The slider can not control power when the energy platform is in the Manual Power Control mode.

Monopolar Footswitching The ForceTriad Energy Platform provides hardware and software options for monopolar footswitching. Standard monopolar footswitching is a simple hardware configuration. Software-enabled footswitching provides footswitching capabilities for both footswitching and handswitching accessories from the Monopolar 1 receptacle.

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Standard Monopolar Footswitching 1. Connect the instrument to the universal footswitch accessory port (UFP) on the front panel of the ForceTriad Energy Platform. Note: An E0502-1 or E0017 adapter is required when using the universal footswitching accessory port with accessories that have pin diameters less than 8 mm.

Std Mono

3. Select the power output level by touching the green up and down arrows for either the Cut or Coag mode.

Acc. Port

Cut

Coag

1

1

Pure

Fulg

Blend

Spray

2. Confirm that the Accessory (Acc.) Port tab appears in the first touchscreen. Note: Each touchscreen controls the receptacle directly below the touchscreen and can only control one instrument at one time. Do not plug in more than one instrument under one touchscreen.

Valleylab

REM

Monopolar touchscreen – Acc. Port configuration

4. Select the surgical mode: a. For the Cut mode, touch either the yellow Pure or yellow Blend button. b. For the Coag mode, touch either the blue Fulgurate or blue Spray button. Note: If no surgical mode is selected, the Cut mode defaults to Pure and the Coag mode defaults to Fulgurate.

Monopolar Setup Instructions

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Monopolar Setup Instructions Software Enabled Monopolar 1 Footswitching 1. Enable Monopolar 1 footswitching at the system level: Touch the wrench icon-Setup-Features- Mono 1. The mark in the check box indicates it is enabled. 2. Exit the menus by touching the green arrows at the bottom of each screen. 3. A footswitching button with a red X is added the Standard Monopolar and Valleylab tabs in the left touchscreen. Select the desired tab. 4. Enable Monopolar 1 footswitching at the local level by touching the button. The X is removed. Operation of handswitching or footswitching instruments is now enabled from the Monopolar 1 footswitching port. 5. Attach a two-pedal footswitch or three-pedal Valleylab mode-enabled footswitch to the monopolar footswitch receptacle on the back panel. 6. Attach any monopolar instrument to the Monopolar 1 instrument receptacle on the front panel. 7. Select the settings for the procedure.

Std Mono

Valleylab

Acc. Port

Cut

Coag

1

1

Pure

Fulg

Blend

Spray

REM

X

Monopolar 1 Footswitching enabled at system level

8. Step on the appropriate footswitch to deliver monopolar power to the attached instrument.

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Note: If Monopolar 1 footswitching has not been enabled, a box appears indicating FOOTSWITCH CONTROL NOT ENABLED. Touch the green button with a check mark to enable Monopolar 1 footswitching from this screen.

Monopolar Setup Instructions

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Bipolar Setup Instructions Bipolar Surgery Setup

250V, F8.0A (100-240)

U.S. and foreign patents pending.

1

3 2

4 ForceTriad Energy Platform front panel

ForceTriad Energy Platform rear panel

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Bipolar Surgery Setup Note: Please read the ForceTriad Energy Platform User’s Guide and all appropriate instructions for use before using the energy platform or surgical accessories. 1. Plug the system power cord into the rear panel receptacle of the energy platform and into a grounded power receptacle. (Do not use a power strip or extension cord.) 2. Turn on the system and verify that the self-test is successfully completed. When the system is operational, the touchscreen appears.

Std Mono

Valleylab

Bipolar

Note: Do not touch the screens during power up. 3. Connect the bipolar footswitch to the bipolar footswitch receptacle on the rear panel.

Bipolar

1

4. Connect the instrument to the bipolar instrument receptacle on the front panel. Note: Each touchscreen controls the receptacle directly below the touchscreen and can only control one instrument at one time. Do not plug in more than one instrument under one touchscreen.

mA Low

Standard

Macro

Bipolar touchscreen

5. Confirm that the Bipolar tab appears in the center touchscreen. 6. Select the power output level by touching the green up and down arrows. 7. Touch the Low, Standard, or Macro button to select the surgical mode. Note: If no surgical mode is selected, the bipolar output defaults to the Standard mode.

Bipolar Setup Instructions

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Bipolar Setup Instructions Autobipolar Function Autobipolar allows the user to configure the system for automatic activation and cessation of bipolar energy. 1. Enable Autobipolar: Touch the wrench icon-Setup-Features- AutoBipolar, then exit the menus by touching the green arrows at the bottom of each screen.

Std Mono

Valleylab

Auto Bipolar

2. When enabled, The Autobipolar button appears and the tab changes from Bipolar to Auto. Touch the Autobipolar button. 3. Select the power output mode: Low, Standard, or Macro. 4. Select the power output level by touching the green up and down arrows. 5. To change automatic activation parameters, touch the Setup button. 6. Set the desired parameters: • Touch to restrict RF activation to use of a footswitch. • Touch • Below

to enable RF activation without depressing a footswitch. : touch the desired RF output delay value (seconds).

• Below : touch the desired impedance value (ohm) at which RF energy will be discontinued. 7. Touch the green arrow to return to the Autobipolar touchscreen. The selected options and values are displayed. 8. Activate Autobipolar by closing the instrument tines or using a footswitch.

Auto Auto

0.0 s

5

1500

Bipolar Low

Setup Standard

Macro

Autobipolar touchscreen Std Mono

Auto

Valleylab

Auto

0.0 s 0.5 s 1.0 s 1.5 s 2.0 s 2.5 s

1500 1800 2000 2200

Autobipolar Setup touchscreen

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LigaSure Setup Instructions LigaSure Tissue Fusion Setup

250V, F8.0A (100-240)

U.S. and foreign patents pending.

2

3a

4a

1 3

4b

ForceTriad Energy Platform front panel

ForceTriad Energy Platform rear panel page 16

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LigaSure Tissue Fusion Setup Note: Please read the ForceTriad Energy Platform User’s Guide and all appropriate instructions for use before using the ForceTriad Energy Platform or surgical accessories. 1. Plug the system power cord into the rear panel receptacle of the ForceTriad Energy Platform and into a grounded power receptacle. (Do not use a power strip or extension cord.) 2. Turn on the system and verify that the self-test is successfully completed. 3. If using a footswitching LigaSure instrument, connect the footswitch to the appropriate footswitch receptacle on the rear panel. a. To use a footswitching LigaSure instrument connected to the LigaSure 1 instrument receptacle, attach the purple, seven-pin, LigaSure footswitch connector plug to the upper, purple LigaSure 1 footswitch receptacle on the rear panel. b. To use a footswitching LigaSure instrument connected to the LigaSure 2 instrument receptacle, attach the orange, nine-pin, LigaSure footswitch connector plug to the lower, orange LigaSure 2 footswitch receptacle on the rear panel.

LigaSure touchscreen

4. Connect the instrument or instruments to the LigaSure instrument receptacles on the front panel. a. Instruments attached to the LigaSure 1 receptacle are controlled from the upper, purple section of the LigaSure touchscreen. b. Instruments attached to the LigaSure 2 receptacle are controlled from the lower, orange section of the LigaSure touchscreen. Note: The ForceTriad Energy Platform automatically sets all instruments to 2 bars.

LigaSure Setup Instructions

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LigaSure Setup Instructions Procedure

Recommended LigaSure Instruments

Gynecologic Surgery Abdominal Hysterectomy

LigaSure Atlas 20 cm Hand Switching, LigaSure Axs, LigaSure V 20 cm, LigaSure Impact , LigaSure Max, LigaSure Xtd

Radical Hysterectomy

LigaSure Atlas 20 cm Hand Switching, LigaSure Axs, LigaSure V 20 cm, LigaSure Impact, LigaSure Lap, LigaSure Max, LigaSure Xtd

Vaginal Hysterectomy

LigaSure Atlas 20 cm Hand Switching, LigaSure Axs, LigaSure Impact, LigaSure Max, LigaSure Xtd

LAVH, TLH, LSH

LigaSure Advance , LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure Lap

Pelvic Lymphadenectomy

LigaSure Advance, LigaSure Atlas, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure V 20 cm, LigaSure Lap, LigaSure Xtd

Salpingo-oophorectomy

LigaSure Advance, LigaSure Atlas, LigaSure Atlas 20 cm, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure V 20 cm, LigaSure Impact, LigaSure Lap, LigaSure Max, LigaSure Xtd

Tubal Sterilization

Not Approved for Use

TM

TM

TM

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Procedure

Recommended LigaSure Instruments

General Surgery Bowel Resection

LigaSure Advance, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure V 20 cm, LigaSure Impact, LigaSure Lap, LigaSure Max, LigaSure Xtd

Low Anterior Resection

LigaSure Advance, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure V 20 cm, LigaSure Impact, LigaSure Lap, LigaSure Max, LigaSure Xtd

Hemicolectomy

LigaSure Advance, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure V 20 cm, LigaSure Impact, LigaSure Lap, LigaSure Max, LigaSure Xtd

Total Colectomy

LigaSure Advance, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure V 20 cm, LigaSure Impact, LigaSure Lap, LigaSure Max, LigaSure Xtd

Gastric Bypass

LigaSure Advance, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure V 20 cm, LigaSure Lap, LigaSure Max, LigaSure Xtd

LigaSure Setup Instructions

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LigaSure Setup Instructions Procedure

Recommended LigaSure Instruments

Splenectomy

LigaSure Advance, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure V 20 cm, LigaSure Impact, LigaSure Lap, LigaSure Max, LigaSure Xtd

Whipple

LigaSure Advance, LigaSure Atlas 20 cm, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure V 20 cm, LigaSure Impact, LigaSure Precise , LigaSure Std, LigaSure Xtd TM

Hemorrhoidectomy

LigaSure V 20 cm, LigaSure Impact, LigaSure Max, LigaSure Precise, LigaSure Xtd

Thyroid Resection

LigaSure V 20 cm, LigaSure Precise, LigaSure Std

Axillary Dissection

LigaSure V 20 cm, LigaSure Precise, LigaSure Std

Liver Resection

LigaSure Advance, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V 20 cm, LigaSure Impact, LigaSure Lap, LigaSure Precise, LigaSure Std, LigaSure Xtd

Nissen Fundoplication

LigaSure Advance, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure Lap

Appendectomy

LigaSure Advance, LigaSure Atlas 20 cm Hand Switching, LigaSure Atlas 37 cm Hand Switching, LigaSure V, LigaSure V 20 cm, LigaSure Impact, LigaSure Lap

Adrenalectomy

LigaSure Advance, LigaSure V, LigaSure V 20 cm, LigaSure Lap, LigaSure Std

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