Preventive Maintenance ESU - Faisal

March 13th, 2021
ADVANCE AND
PREVENTIVE
MAINTENANCE OF
ESU
TECHNICAL
SERVICE
IKATEMI EVENT ON
BANDUNG
SATURDAY,10 APRIL 2021
PRESENTED BY
MUHAMMAD HIDAYAT FAISAL (08118587360)
NATIONAL SERVICE COORDINATOR ENERGY BASED DEVICE PRODUCT
PT. MEDTRONIC INDONESIA
Te r m i n o l o g y
Basic
1. CAUTER/
ELECTROCAUTER
2. ESU
SS-501SX
(ELECTROSURGICAL
UNIT )
3. DIATHERMI
4. VALEY
5. VALLEYLAB
VLLS10GEN
SS-200E
VLFT10GEN
VLFX8GEN
FOUR BASIC ELECTROSURGICAL PROCEDURES
MONOPOLAR
Cutting (vaporization)
Coagulate (Latin for “to curdle”)
Fulguration (Latin for lightning) – arching (“spraying”) between
electrode and tissue to stop heavy bleeding
Desiccation (Latin to dry up) – touching the tissue to achieve
hemostasis in individual vessels
Ablation (Latin to carry away) – heats and coagulates large
volumes of tissue (e.g., liver or tumor)
Bipolar (between two poles) often used to achieve
hemostasis during brain surgery
Blend (cut and coagulate)
Vessel sealing (uses bipolar technology)
2-29
Electrical
Basic Theory
Electricity always . . .
• Seeks ground (its source)
• Seeks path of least resistance
FREQUENCY SPECTRUM
9-9 This presentation is intended for company-internal audiences only. It is NOT Zinc approved.
GENERATOR
COMPARISON
-C
KEY DIFFERENCES
SIZE & WEIGHT
Dimensions -C
Tampak Depan
6. Pemberitahuan Untuk:
1. Defibrilator
2. FT10 energimya ter isolasi
3. Unit tegangan tinggi
1 2 34 5 4. REM™ patient return
6 7 electrode
7. Soket untuk REM connector
1.On/Off: Tombol On / off
2.Restore Settings: Tombol Reset untuk membalikan settingan
terakhir
3.Audio Volume: Tombol untuk menaik atau turunkan volume
4.Service/Settings: Tombol untuk ke service Menu
5.REM indicator : merah jika rem terconnect tapi tidak terpasang ke
pasien, hijau jikau rem terpasang ke pasien, dan abu-abu ketida
instrument REM belum terconnect ke unit.
TAMPAK BELAKANG
6. Port monopolar 1
7. Port Monopolar 2, (membutuhkan
7 6 adapter untuk menggunakan standart
footswitch)
9 8 8. Port Bipolar
5 4 3 2 1 9. Port Footswitch Ligasure / Bipolar
Reseksi
1. Connector Kabel Power
2. Grounding soket
3. Port WI-fi
4. Port ethenet kabel
5. Port penghubung antara unit dengan ECG
For internal use only. Not for distribution.
Tampilan Layar Sentuh
Hitam & Abu-abu

menandakan unit sudah
menyala atau Turn On,
akan tetapi belum ada
instrument terkoneksi di
dalam Port atau belum ada
instrument terpasang.
Berwarna menandakan
unit sudah menyala atau
Aktif , dan warna akan
menyala di tiap-tiap
quadrant yang terpasang
atau port terkoneksi oleh
instrument
SETTING MONOPOLAR
Permintaan untuk memasangkan
REM pad kepada pasien, dan jika
setelah dipasangkan kepasien
tetap menyala maka, periksa
penempelan PAD terhadap tubuh
dan periksa koneksi Port dan
connector sudah terpasang
sempurna atau tidak.
CUT & COAG, Pemilihan akan

mucul saat menu bar dibawah di
tekan di tiap-tiap quadran.
Pemilihan CUT terdiri dari PURE
atau BLEND
Pemilihan COAG Terdiri dari
SOFT, FULGURATE & SPRAY.
Monopolar Tersedia dua Mode
CUT & COAG,
Dan untuk mengeset settingan
daya silahkan tekan tanda atas
dan bawah
Untuk settingan mode PURE di

Monopolar CUT kelipatan angka
untuk settingan adalah 10.
BIPOLAR SETUP
BIPOLAR power, untuk

mengeset daya yang di inginkan,
silahkan tekan menggunakan
tanda atas bawah seperti gambar
di samping
Pilihan LOW,MEDIUM,HIGH akan

muncul ketika di tekan pada
menu bagian bawah pada
quadran untuk memilih mode
pada bipolar.
AUTO BIPOLAR
AUTO BIPOLAR – Energi bipolar
45 akan terkirim ketika electrode /

tip menyetuh jaringan, dan akan
berhenti ketika sudah tidak
menyentuh jaringan.
Pilih yes untuk AUTO BIPOLAR

ON/OFF pada switch untuk
mengaktifkan Auto Bipolar.
AUTO BIPOLAR TIME DELAY
TIME DELAY – untuk mengatur

berapa lamanya delay, sebelum
energi bipolar Aktif setelah
menyentuh jaringan
TAMPILAN TIME DELAY AKTIF -

akan muncul pada bagian kanan
waktu dari time delay ketika aktif.
LIGASURE
Tampilan ini menunjuka tidak ada

instrument ligasure terpasang
pada port ligasure, sehingga
tidak dapat meng aktifasi
ligasure.
LIGASURE AKTIF – Instrument

Ligasure terpasang pada port
ligasure, warna lingkaran menjadi
warna ungu, dan tidak ada
settingan untuk ligasure dan
akan meng-adjust otomatis
terhadap hambatan jaringan.
Lingkaran akan seperti berputar
searah jarum jam ketika ligasure
di aktifasi.
Dan akan ada 2 nada beep ketika
ligasi belum sempurna.
WHY THIS IS VERY IMPORTANT?
No Feature Benefit
1 Safety REM – Return Electrode Monitoring. Memonitor kualitas kontak, sehingga apabila tidak menempel dengan utuh
maka alarm generator akan berbunyi dan generator otomatis tidak berfungsi.
2 Tissue Fect Sensing Technology. Kemampuan generator untuk bereaksi seketika (434,000/detik) terhadap
perubahan kerapatan jaringan.
3 High PER – Power Efficiency Rating 99% Ukuran kemampuan generator dalam mengeluarkan power sesuai dengan
power yang ditentukan untuk berbagai macam tipe jaringan.
4 Force Triverse. Kontrol setting power dari area steril, Valleylab mode.
5 Simultaneous coag Two pencils activating at the same time Kemampuan generator bekerja secara otomatis untuk mengaktifkan bipolar
split power sesuai waktu yang akan di set oleh operator, maka operator akan fokus ke area
operasi tanpa harus mencari footswitch.
6 Auto bipolar Kemampuan generator bekerja secara otomatis untuk mengaktifkan bipolar
sesuai waktu yang akan di set oleh operator, maka operator akan fokus ke area
operasi tanpa harus mencari footswitch.
7 Ligasure Kemampuan Ligasure dalam meligasi pembuluh darah sampai dengan

diameter 7mm dengan ketahanan 3x tekanan systolic normal (3x120 = 360
mmHG).
WORKSHOP AND
ACTION
FT10
MAINTENANCE &
CALIBRATION
INTRODUCTION TO THE CALIBRATION PROCESS
THREE CALIBRATION LEVELS
 Level 0 – Periodic safety check

 Level 1 – Touchscreen calibration
 Level 2 – Energy calibration
PREVENTIVE MAINTENANCE
FT10
MECHANICAL DESIGN
EASE OF REPAIR FOR BIOMEDS
PCBA Stacking
Layer 3 EPAC
RF PCBA
Layer 2 EPAC
Steering Relay PCBA
Layer 1 EPAC
Controller PCBA
Bottom EPAC Layer
TOUCH SCREEN CALIBRATION
PART 1 - NINE TARGETS
TOUCH SCREEN CALIBRATION
PART 2 - FIVE TARGETS
TOUCH SCREEN VERIFICATION
19TARGETS
Note: If you miss a target, you

must start from the beginning.
TROUBLESHOOTING
LOG FILES
DEEPER AND MORE DETAILED THAN IN THE PAST
 If you drill down, you can discover a lot of information about an error
• Select the error interest

Error
Log • Remember the time stamp of the error
• Provides more information about error

Error
Details
• Always scroll to see all information
• Provides more information about events

Event
Log
surrounding the error
Event
• Provides in-depth information about any event
Details
 And…there is also an Error Histogram, which will show how many times
this same error has occurred
 Let’s walk through a typical error. In this case, it is a faulty fan, with an
error code of 333.
REVIEWING AN ERROR IN A LOG FILE
FAN ERROR 333 – STEP 1
 Go to Service and Settings
 Select LOGS
 Select Error
 You might have to scroll down to find the error.
Remember the time

stamp so you can
reference it later.
 Before selecting the error, move the scroll bar to the right to get more
information
 Select the error line and the Error Details screen will appear
 Again, move the scroll bar right to get more information (if it exists).
 Select the SHOW EVENTS tab and the Event Log screen will appear.
 Scroll down and look for Error 333 with the time stamp of 2015-10-15 11:22:47
 Move the scroll bar right to get more information about all the information
above and below the error.
 If you select the line in the log file, it will provide additional details about that
event.
ERROR HISTOGRAM
 If you want to see how many times that same error has occurred, go to the Error
Histogram screen.
FT10 OUTPUT TESTING
RF OUTPUT TESTS
GENERAL SETUP INSTRUCTIONS
1. Build the test setup shown in the photograph.

2. Press the Service/Settings button on the front panel.
3. Touch the Service button, enter the password (423213) and then OK.
4. Select the RF Output Test button on the screen.
5. Select the appropriate energy mode from the dropdown menu.
6. Set the power to the specified value.
7. Touch the Activate button to activate RF energy.
8. Verify that the value displayed on the analyzer is within the limits specified in the table.
9. To deactivate RF energy, press either one of the Deactivate choices on the FT10
screen.
RF OUTPUT TESTS
VERIFYING THE REM FUNCTION
NOTE: If the REM ZMag measurement on the display does

not refresh, set the output power to 1 W, touch the Activate
button and then touch the Deactivate no hold button.
1. Set the resistance decade box to 120 Ω and

connect it to the REM receptacle as shown in
the picture.
2. Confirm that the REM ZMag measurement on
the display (second line from the bottom) is
within the specification 113 Ω to 127 Ω.
3. Do the same thing for 60 Ω, 0 Ω and an open
condition, making sure the REM Zmag Decade Box Setting REM Zmag Specification
readings are within the specifications shown 120 Ω 113 Ω - 127 Ω
in the table. 60 Ω 53 Ω - 67 Ω
0Ω 0Ω-4Ω
NOTE: If the REM ZMag reading exceeds 2000 Ω, the
Open (no decade box) < 2000 Ω
Steering Relay PCBA will need to be replaced to ensure
the proper performance of REM.
RF OUTPUT TESTS
TESTING COAG MODE WITH A 500 Ω LOAD
1. Build the test configuration and connect to

the Mono 1 port using a 500 Ω load.
2. Select either Fulgurate or Spray from the
RF Mode dropdown menu.
3. Set the power values (as shown in the table)
for the respective energy modes.
4. Press the Activate button on the touch
screen.
5. Verify that the value displayed on the
analyzer is within the specified range.
6. Deactivate RF energy by pressing either of
the Deactivate buttons on the touch
screen.
PVT MONOPOLAR
RF OUTPUT TESTS
TESTING BIPOLAR WITH 100 Ω LOAD
1. Build the test configuration using a 100 Ω

load.
2. Select either Bipolar High, Bipolar Medium
or Bipolar Low from the RF Mode dropdown
menu.
screen.
analyzer is within the specified range.
screen.
RF OUTPUT TESTS
TESTING LIGASURE & BPR MODES WITH 50, 100, & 500 Ω LOADS

the LigaSure port using 50, 100 and 500 Ω
loads.
screen.
4. Verify that the values displayed on the
analyzer are within the specified range for
each of the modes and loads in the table.
screen.
RF OUTPUT TESTS
VERIFYING CROSS COUPLING – MONO 1 CURRENT

the Mono 1 port using a 200Ω load.
2. Activate each of the following modes at the
maximum power settings.
 Mono 2 CUT Pure (300 W)
 Mono 2 COAG Spray (120 W)
 Bipolar High (95 W)
 LigaSure (350 W)
screen.
The current should not exceed 150 mA. Values on
training generator were as follows:
analyzer is between 0 mA to 150 mA.
•Mono 2 CUT Pure 42.8 mA
5. Deactivate RF energy by pressing either of •Mono 2 COAG Spray 42.7 mA
the Deactivate buttons on the touch •Bipolar High 0.0 mA
•LigaSure 0.0 mA
screen.
RF OUTPUT TESTS
VERIFYING CROSS COUPLING – MONO 2 CURRENT

 Bipolar High (95 W)
screen.
The current should not exceed 150 mA. Values on
•Mono 1 CUT Pure 48.4 mA
5. Deactivate RF energy by pressing either of •Mono 1 COAG Spray 49.0 mA
the Deactivate buttons on the touch •Bipolar High 0.0 mA
•LigaSure 2.0 mA
screen.
RF OUTPUT TESTS
VERIFYING CROSS COUPLING – BIPOLAR CURRENT

the Bipolar port using a 200Ω load.
screen.
analyzer is between 0 mA to 150 mA. The current should not exceed 150 mA. Values on
5. Deactivate RF energy by pressing either of •Mono 1 CUT Pure 0.0 mA
the Deactivate buttons on the touch •Mono 2 COAG Spray 0.0 mA
screen. •LigaSure 0.0 mA
RF OUTPUT TESTS
CHECKING HIGH FREQUENCY LEAKAGE CURRENT

2. Select Mono 1 Spray (and then Mono 2
Spray) from the RF Mode dropdown menu.
3. Set the power to 120 W.
screen.
Repeat the same test using the left port The current should not exceed 100 mA. Values on
of the Mono 2 receptacle. training generator were as follows:
• Mono 1 COAG Spray 49.4 mA
• Mono 2 COAG Spray 48.5 mA
SERVICE DOCUMENTATION & HELP FILES
BIOMED CONNECT™ IS THE PRIMARY LOCATION
Training materials, technical documentation and help files will be updated on the
Biomed Connect™ website.
Click here to go to the

electrosurgical products.
You can either click on the FT10 Service Manual or go to
the RESOURCES tab for more information.

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March 13th, 2021

For internal use only. Not for distribution.

Hitam & Abu-abu

CUT & COAG, Pemilihan akan

Untuk settingan mode PURE di

BIPOLAR power, untuk

Pilihan LOW,MEDIUM,HIGH akan

AUTO BIPOLAR – Energi bipolar

45 akan terkirim ketika electrode /

Pilih yes untuk AUTO BIPOLAR

TIME DELAY – untuk mengatur

TAMPILAN TIME DELAY AKTIF -

Tampilan ini menunjuka tidak ada

LIGASURE AKTIF – Instrument

7 Ligasure Kemampuan Ligasure dalam meligasi pembuluh darah sampai dengan

 Level 0 – Periodic safety check

Steering Relay PCBA

Bottom EPAC Layer

Note: If you miss a target, you

• Select the error interest

• Provides more information about error

• Provides more information about events

 Go to Service and Settings

 You might have to scroll down to find the error.

Remember the time

1. Build the test setup shown in the photograph.

NOTE: If the REM ZMag measurement on the display does

1. Set the resistance decade box to 120 Ω and

readings are within the specifications shown 120 Ω 113 Ω - 127 Ω

1. Build the test configuration and connect to

1. Build the test configuration using a 100 Ω

1. Build the test configuration and connect to

1. Build the test configuration and connect to

1. Build the test configuration and connect to

1. Build the test configuration and connect to

1. Build the test configuration and connect to

Click here to go to the

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