Product Training Shalya All Product

Training
Handout
XcelLance Medical Technologies Pvt. Ltd.
Special Instruction:
Please note this material is meant for education purpose
only and issued to you as Shalya’s associate and same is
highly confidential. Multiplicity, circulation of the same is
not permitted.
Electrosurgery
Principles, Applications and Risks

Program Content
Energy Sources
• Electrocautery, Electrosurgery,Ultrasonic Surgery, Lasers
Fundamentals of Electricity
Principles of Electrosurgery
Electrosurgical Technologies
• Grounded, Isolated,Tissue Response,CQM,Bipolar Cut,
EndoCut, Randomize Spray,Programming,Error Codes
Advance Electrosurgical Technologies

• Vessel Sealing, Saline Plasma Bipolar, Argon plasma
Coagulation, RF Scalpel
Energy Sources
Electrocautery
 Operates on DC currents.
 Indirect Heating.
 No direct heating of tissue, hence more losses

Advance Energy Sources
Electrosurgery
Ultrasonic energy is a mechanical high frequency
Ultrasonic Surgery
which achieves cutting, coagulation and
hemostasis at low temperatures with
minimal lateral thermal spread
Ultrasonic energy is a mechanical high frequency

Laser - Light Amplification by Stimulated Emission of
Radiation
 Concentrated light beam
 Photon excitation of atoms
 Thermal effects vary due to:
Wavelength, beam fluence, tissue color, consistency, and

water content
 Thermal spread is low.
Lasers

Principles of Electrosurgery

Simple Circuit
(Closed Circuit)

Electrosurgery is the passage of high frequency
electric current through tissue to create a desired
clinical effect.

Electrosurgery in Different Names
 Cautery
 Electrosurgery
 Surgical Diathermy
 Electrosurgical Generator
 Electrosurgical Unit
 ESU

Direct and Alternating Current
Direct Current - Electrocautery
+
Voltage
-
Time
Alternating Current - Electrosurgery

+
Voltage
-
Time

Frequency Spectrum

Frequency Spectrum
Electrosurgery
100KHz to 500KHz
0.1MHz to 0.5MHz
HF Range
550KHz to 1550KHz
0.55MHz to 1.55MHz
Radio Wave
1600KHz to 4200KHz
1.6MHz to 4.2MHz
RF Range
Current Concentration/Density
High Current
Concentration
Low Current
Concentration

Current Concentration Effect on
Power Settings

Electrosurgery is the passage of high frequency
electric current through tissue to create a desired
clinical effect.
Delivered by two different methods
Bipolar Monopolar

Delivered by two different methods
Bipolar Monopolar

Bipolar
Active and
return
electrodes in the
instrument
 Current flow
confined to
tissue between
electrodes
Patient return
electrode not
required

Bipolar Generators
Output characteristics determine the type and extent of the tissue
effect and the performance of the instruments
Microbipolar - Desiccation
 Continuous waveform
 Low voltage
 Self limiting (100 ohms)
Macrobipolar - Desiccation, Cutting

 Continuous waveform
 Higher voltages available
 Constant power delivery over wide range of tissue impedances
 Not self limiting at low impedance

Monopolar
Active electrode
at surgical site
Return
electrode at
another site
Current flows
through the body
between the
electrodes

Monopolar Generator
Output characteristics determine the type and extent of tissue
effect and the performance of the instrument
 Cut
 Cutting/vaporization
 Desiccation
 Blend
 Cutting with hemostasis
 Desiccation
 Coag
 Fulguration
 Desiccation
 Cutting
Waveforms & Crest Factor
Low voltage High voltage
50 Watts 50 Watts
Pure Cut and

Bipolar Blend 1 Blend 2 Blend 3 Pure Coag
100% on 50% on 40% on 25% on 6% on

50% off 60% off 75% off 94% off
CF 1.4 CF 2.5 CF 3.5 CF 4.5 CF 9.0

Cut Blend Coag
Low Thermal Spread/Charring High
Low Voltage High

Vaporization or Cutting
Fulguration
Activate Cut
Activate Coag

CUT COAG
Low voltage waveform High voltage waveform
100% duty cycle 6% duty cycle
Pure Cut and

Bipolar Pure Coag
Desiccation
Activate Either Cut or Coag
100% on 6% on
CF 1.5 CF 9.0

Variables That Impact Tissue Effect
Manipulation of Electrode
Waveform
Size of Electrode
Speed of Incision

Generator (ESU) Power Settings
Use the lowest possible setting to achieve the desired surgical effect
The setting will depend upon conditions such as:

Patient size
Generator power capabilities
Target tissue type
Electrode configuration
Surgeon Technique
Location of patient return electrode
There is no one recommended setting for a specific

procedure...only a range of settings
See your manufacturer’s user manual for guidelines

Grounded System
Intended Circuit

Many Alternate Ground Paths
Possible Paths of Least Resistance

Alternate Site Burn
Pad Site Burn

Isolated System

Power Stop in Deactivated
Isolated System

Contact Quality Monitoring System
Generator and Patient Return Electrode
When using a contact

quality monitoring
generator, always
use a contact quality
monitoring return
electrode
(dual-section)

Contact Quality Monitoring
Therapeutic Current
Interrogation
Current

Alternate Site Injuries
Safety Tips
Return Electrode Site Injuries

Burn Injuries
1. Burn near to patient return electrode
2. Burn away from Patient return electrode
a. Leakage current
b. Surface burns due to skin effect
Safety Tips

Avoiding Electrosurgical Complications

During MIS
Inspect insulation carefully
Procedures
 Select an all metal cannula system
 Use lowest possible power setting as safest choice for the operative
 Use low voltage waveform (cut) channel
 Use brief intermittent activation vs.  Do not use hybrid system (metal
prolonged activation and plastic components)
 Do not activate in open circuit
 Do not activate electrode in close
proximity or direct contact with
metal or conductive object
Capacitive Coupling
Why do O.R. team members sometimes get
burned while holding hemostats?

Helpful Hints to Avoid Hemostat Burns
 Use lowest power setting possible

 Activate low voltage (cut)
waveform
 Avoid touching the patient
 Hold hemostat with full grip
 Do not activate in open circuit
 Avoid metal to metal arcing
Note: Surgical gloves do not insulate against RF current

Leakage Current
Radio frequency leakage is current that flows to ground and
then back to the generator.
The amount of current flow is determined by
the voltage
of the
waveform
and
Leakage current path
the construction
characteristics of
the generator

Radio frequency current is not always confined
by insulation.
Current leakage does occur.
It is recommended
that:
• Cords not be wrapped
around metal instruments
• Cords not be bundled
together

Patient Return Electrode Terminology
 Inspect the return
electrode before each use
for wire breakage or
fraying
 Choose a return electrode
of an appropriate size for
the patient
 Do not warp cloth over return electrode as it increases the
tissue resistance, more power will require for surgery.
XcelL.ance Medical Technologies Pvt. Ltd.

Patient Return Electrodes
Apply the return electrode to a clean, dry
skin surface, over well-vascularized, large
muscle mass, and on a convex area in
close proximity to the procedure site
Place the return electrode Do not warm return electrode

after positioning the patient prior to application
Avoid bony prominences, scar tissue, skin

over an implanted metal prosthesis, hairy
surfaces, pressure points, and adipose
tissue

Patient Return Electrodes
 If necessary, shave,
clean, and dry the
return electrode
application site
 Avoid pooling of solutions

•Prep
•Irrigation
•Patient fluids
Electrosurgical
Technology
Tissue Sense Technology

Advantages of Tissue Sense Technology
Minimizes dragging of electrodes in different tissue
No need to adjust the power setting as the tissue changes
50% less thermal damage than conventional ESU’s
Minimizes the patient recovery time
Reduces the risk of collateral tissue damage
Minimum RF noise in other OT equipments
Less hospitalization for Patient

Approximate Tissue Impedance/Resistance Ranges
Lung, Scar, Adhesions
Mesentery , Brain white

matter, Omentum
Bowel, Brain gray
matter, Adipose,
Spleen
Gall bladder
Oral cav ity , Liv er
Prostate in nonconductiv e solution,

Muscle, Ey e, Skin, Kidney , Pancreas
Buzz hemostats
Desiccate - stop bleeding
0 500 1000 1500 2000 2500 3000 3500 4000 5000
resistance resistance
when bloody when dry
Resistance in Ohms at Radio Frequency
when Cutting or Desiccating Increasing tissue impedance

Advantages of Tissue Sense Technology

Smart ENDO CUT
Required for Polypectomy & Papillotomy
Cutting is divided in CUT & pause, so that coagulation

occurs in each pause.

Randomized SPRAY COAG
Starts sparking from longer distance
Uniform & homogenous coagulation
Large surface area covered at lower power settings
Less tissue necrosis & carbonization

BiCOAG Alarm
Assisting feature for surgeon in Endoscopic Case
Gives an alarm after coagulation
Reduces tissue sticking to instrument
Less tissue necrosis & carbonizationure

Self Diagnosis
System does a self diagnosis on starting.
It gives an Alarm & Error code on detection of fault
Fault can be rectified by referring to the Error code in

the manual.

Surgical Assistant
Programme Key :
Preset programme
cover most of the
surgical procedures
Recall Key :
Previous case
settings can be
recalled
Basic ESU Product

Shalya Product Range
Electrosurgical Generators/Diathermy(ESU): Economical ESU:
Shalya LX Shalya Easy Shalya Easy+
•200W ESU, •300W ESU,

•1 Monopolar •250W ESU, •1 Monopolar
•1 Bipolar •1 Monopolar •1 Bipolar
•1 user defined •1 Bipolar •Upgradable to
program •3 user defined easy+v
program •10 user defined
program
XcelLance Medical Technologies Pvt. Ltd
Easy series USP
Tissue feedback technology (6 sense Technology)
Precise power delivery
High Crest Factor coagulation( HCF) & Randomise Spray Coag.
Bicoag Alarm
EndoCut function availability
APC upgradable
Programmability
Easy to use, compact & light weight model

Useful for basic to Advance Surgical Procedures.

Shalya - Sigma Range
Electrosurgical Generators/Diathermy(ESU) Economical ESU:
Sigma 200 Sigma 300 Sigma 400
• 200W ESU, •300W ESU, •400W ESU,

• 1 Monopolar • 1 Monopolar •1 Monopolar
• 1 Bipolar • 1 Bipolar •1 Bipolar
• 1 user defined program •10 user defined program •20 user defined program

Shalya - Sigma Range
Electrosurgical Generators/Diathermy(ESU) Economical ESU:
Sigma+ Sigma+v
• 400W ESU, •400W ESU,

• 2 Monopolar • 1 Monopolar
• 1 Bipolar • 1 Bipolar
• 30 user defined program • 1 Vessel Sealer
•30 user defined program

Feature of SIGMA -TOUCH
• 5’’ Touch screen display
• Self Illuminator accessory socket during setting of the generator & blinking of the light to indicate
activation .
• Main screen contains 4 modes
• 1) Monopolar cut: Low , Pure , Blend , Endo
• 2) Monopolar coag: Soft, Swift , Fulgurate, Spray
• 3) Bipolar Cut: Macro, Bi-Cut
• 4) Bipolar coag: Micro , Standard , Force
• Program Manager provided on the main screen with the program name & Dr. name.
• PREM Level Indicator
• Toggle Foot switch - To toggle between monopolar & bipolar
• Supported the Cordless footswitch.
• Alarm facility after complication of Bipolar Coagulation.
• Upgradable to Auto bipolar
• Time out function for automatic stop the HF output if prolong on unintended activation (Optional)
• Upgradable for Argon delivery module.
• Smart Bi-polar Auto stop or alarm for the modern bipolar tools. (Optional)
• Unit up gradation on Air via USB
• History page contains total power consumptions with respective date & time for each modes.
• Error list with date & time.
Shalya’s Product Range
Before Latest Smart 4th generation ESU
Shalya Lx
Shalya Sigma (200W)
Shalya easy Shalya Sigma (300W)

Before
Latest Smart 4th generation ESU
Shalya Easy+ Shalya Sigma (400W)
Shalya Sigma + Shalya Sigma +

Before Latest Smart 4th generation ESU
Shalya Easy + V Shalya Sigma +V
Sealer - Fine seal

Bipolar - Pulse Bi-Cut
Wireless Footswitch

• Modes & Sub modes (Sigma 200 , 300, 400 & 400+)
1) Monopolar cut -Low , Pure , blend , endo 2) Monopolar coag - Soft, Swift , Fulgurate, Spray
3) Bipolar Cut - Micro , Bi-Cut 4) Bipolar coag - Standard , Force , Macro

• Modes & Sub modes (Sigma +V )
1) Monopolar cut - Low , Pure , blend , endo 2) Monopolar coag - Soft, Swift , Fulgurate, Spray
3) Sealer - Fine seal 4) Bipolar - Micro , Standard , Force , Maco, Bi-Cut

• For the ease of the user, Program manager provided on the main screen with the program
name & Dr. name.
• PREM Level Indicator
• Toggle Foot switch - To toggle between monopolar & bipolar by using dual paddle foot
switch.
• Supports the Cordless Footswitch.
• Alarm facility after complication of Bipolar Coagulation.
• Auto bipolar feature(Optional)
• Smart Bi-polar Auto stop or alarm for the modern bipolar tools. (Optional)
• Time out function for automatic stop the HF output if prolong on unintended activation
(Optional)
• Upgradable for Argon delivery module. (Optional)
• Unit up gradation on Air
• History page contains total power consumptions with respective date & time for each
modes.
• Error list with date & time.

Sigma 200/ 300/400

Comparison with existing model
Easy+ V & Sigma + V
Parameter Easy+ V Sigma + V

Unit Start up NA Yes
Auto Bipolar Optional Optional
Time Out Function Optional Optional
Argon Upgradable Optional Optional
User Interface 7 Segment DISPLAY 5’’ touch screen TFT display

Comparison with existing model
Easy+ V & Sigma + V
Parameter Easy+ V Sigma + V
Cut Mode Low Cut- 400W Low Cut- 400W
Pure- 400W Pure- 400W
Endo- 400W Endo- 400W
Blend – 250W Blend – 250W
Coag Mode Soft- 200W Soft- 200W
Swift- 150W Swift- 150W
Fulgurate - 120W Fulgurate - 120W
Spray – 120W Spray – 120W
Bipolar Micro – 100W Micro – 100W
Standard – 100W Standard – 100W
Macro- 100W Macro- 100W
Force- 100W Force- 100W
Bicut – 100W
Sealer L3 L3
On site Calibration No Yes
Bi Coag Alarm Yes Yes
Endo Cut Yes Yes
User Program 30 30
UNLOCK CODE
 All domestic units will be dispatched with 1 month usage period from the day
of start of unit.
 Once the 1 month is completed , the machine will work for 5 days with
notification of 5 days remain to lock the unit, 4days, , 3 days…….
 In this days you need to give the installation & take the final password from
us.
 If the unit is on demo you will require further use, you need to discuss with
concern and take temporary password.
 The unit will be on lock code system still the final installation is not received
by us.

HOW THE CODE SYSTEM WORK STEP 1

Advance ESU
Shalya DX Shalya MX
•300W ESU, •300W ESU,

•1 Monopolar •2 Monopolar
•1 Bipolar •1 Bipolar
•Autobipolar mode •Autobipolar mode
•20 user defined program •30 user defined
program

MX, DX series USP
Equivalent specs with Covidien/Valleylab Force FX
Ultimate solution for high end application like cancer surgery,
neuro/spinal surgery, cardiovascular surgery
Built in APC(Argon Plasma Coagulation) facility in DX
Programmability (multiple programs can be saved upto 30)
Auto Bipolar facility
Dual Monopolar facility in MX

Advance ESU
Product
Advanced Products
Argon Plasma Coagulation
Saline Plasma Resection
Vessel Sealing Technology
RF Scalpel
Argon Plasma Coagulator
Technology

New Look of Shalya ArGON

Features of Shalya ArGON
· Unit with 4.7” LCD screen.
· Fully Microprocessor controlled: To achieve high degree of
clinical precision.
· Argon Gas Level Indicator for two cylinder facility for two
separate cylinder level indicator.
· Separate setting of flow rate for Cut & Coag.
· Independent flow stop for cut & Coag.
· Flow Rate: 0.1 to 12 Ltr/min. with resolution of 0.1 Ltr/min.
· Alarm for Empty cylinder.
· Internal purging facility.

· Facility to detect over pressure from abdomen & give an alarm
in such condition.
· Facility to detect input over pressure from input Argon
connection.
· Internal leakage detection for Argon gas.
Argon Enhanced Electro surgery
Electrosurgical Generator
Argon delivery system
Argon gas
Inert, noncombustible and easily ionized
RF energy ionizes argon gas which creates a bridge between
electrode and tissue

Heavier than air, displacing nitrogen and oxygen

Benefits of Argon-Enhanced Electrosurgery
Decreases smoke, odor

Utilizes non-contact coagulation technique
Decreases blood loss, re-bleeding
Minimizes tissue damage
Produces flexible Escher

APC Applications & Principles

Main Component of APC
1. Accessories of open Surgeries
2. Endoscopic Flexible Accessories
3. Endoscopic Rigid Accessories
Main Application Area

1. GI Endoscopy System
2. Cancer & Liver\ Kidney transplant
3. Cardiothoracic Surgeries

Gystroscopy
Colonoscopy
Applications
APCof Broncoscopy
Application
Shalya
ArGON
Laprosurgery
OncoSurgery

New Changes in new ArGON
• New Modes :- OPEN , LAPARO, GASTRO, PULSE.
• 4.7” Non-touch display is changed with 5” LCD Touch panel.
• Accessory Selection.
• A new interactive GUI.( Graphical User Interface)
• Argon Cylinder regulator has been taken inside the cabinet ,making it
simpler for the doctor to interface the cylinder and the device.
• New look has been given to the whole product.
• Luer lock connector has been replaced with CPC connector .
• Purging of argon gas is dependent on the accessory selected.
• Dedicated real-time cylinder pressure monitoring system.

7)

Saline Plasma Bipolar
Technology

Saline Plasma Bipolar Principles
CUT: A Plasma Corona is generated in saline medium due to
discharge of highly energized electric current. The mobility of ions
around the loop creates a cutting effect. Sufficient amount of
hemostasis enables coagulation of the capillary bleeders with
resection.
COAG: By applying low voltage energy, resistive heating of tissue
achieves coagulation and the depth is controlled by firm application
of pressure with sufficient amount of time to control the bleeders.

Saline Plasma Bipolar Electrosurgery
 Replace Glycine by Saline
 Reduces risk of TUR syndrome
 Allows longer resection time
 Decreases blood loss
 Minimizes tissue damage, hence
faster recovery
 Improved visualization
 Avoid obdurate nerve reflections due to bipolar
 Useful for TCRE & TURP

Electrodes for Saline
Plasma Bipolar TURP/
TUVP
Electrodes for Saline

Plasma Bipolar
Hysteroscopy

Saline Plasma Bipolar Principles
• Saline solution virtually eliminates the risk of TUR syndrome
• Allows longer resection with safety for the larger prostate, avoids open
prostatectomy
• Less blood loss due to superficial hemostasis
• Improved visualization by simultaneous resection and vaporization
• Avoids obturator nerve reflections by use of Bipolar energy
• Eliminates the chances of burns due to Patient return electrode
• Minimizes the thermal damage of adjacent tissue, hence shorter recovery

period
• Can be used as day care surgery, patient requires less nursing
• More safer and economical over Monopolar procedure

TURP
TCRE
Applications of Saline
Plasma Bipolar Resection
Hysteroscopy
With SHALYA TURoSeal,
conventional TURP set can
Arthroscopic be used for Bipolar TURP
surgery surgery with additional
attachments.
Advantages of Saline No need of separate TURP

set and loops which avoids
Plasma Bipolar dependency & saves running
Resection cost.
Audio alarm for

disconnection or non saline
activation, which ensures the
safety.


Vessel Sealing
Pressure and
Energy
Electrosurgical
Technology That To Create Seal
Combines

Tissue Sealing/Fusion Technology
- Controlled combination of pressure
and radiofrequency bipolar energy
- Low voltage
- High current
- Fuses tissue bundles, lymphatics and vessels
up to 7 mm in diameter
- Clips, sutures, mechanical ligation devices
NOT required
- Superior clinical performance when
compared to ultrasonic scalpel, plasma bipolar
coagulator, and nano ES device
Microscopic stain of artery

Applies optimal pressure to vessel/tissue bundle

Energy delivery cycle:
Measures initial impedance of tissue and chooses
appropriate energy settings

Delivers pulsed energy with continuous feedback
control
Senses that tissue response is complete and stops
the cycle
Features of Vessel Sealing
• Tissue seal can withstand up to 3 times
of normal systolic pressure
• Seals artery, vein or tissue bundles up
to 7mm
• Minimal thermal spread to adjacent
tissue
• Reduced tissue sticking & charring
• No foreign material left behind after

surgery
• Minimum cost per case due to reusable
attachments
• Compatible with all international
sealing attachments
• Independent activation of Bipolar
Cutting & Coagulation
Features of Vessel Sealing
Abdominal
Appendectomy Colectomy
Hysterectomy
Colon Resection Cystectomy Gastrectomy
Lap-Assisted Vaginal
Gastric Bypass Hemorrhoidectomy Hysterectomy
(LAVH)
Lap-Cholecystectomy Liver Resection Nephrectomy
Nissen Fundoplication Splenectomy Vaginal Hysterectomy
Whipple

DISPOSABLE ACCESORIES
Shalya Reusable accessories
SHALY A VesSeal Covidien Ligasure

Reusable Instrument Disposable Instrument
Multiple use Single use
RF Scalpel Technology

Shalya RFaST
Radio Frequency Ablation Scapel Technology

A breakthrough in the field of Surgery:
Shalya RFaST: RF Scalpel.
RF Scalpel Technology
Similar effect to harmonic scalpel
Radiofrequency energy for cutting
No requirement of blades to cut tissue.
Moderate haemostasis during cutting
No coagulation required until 1mm artery
can be used simultaneously with vessel sealing, bipolar
Reusable attachment
no need to change instrument during surgery
various tips options & length of instruments available.

RFast principle
SHALYA Proprietary
Electrosurgical Technology

RF Scalpel
SHALYA Electrosurgical Technology That Combines
Pressure, Energy & Shape of Electrode
Pressure, Energy & Shape To Seal & Cut the tissue

RF Scalpel

Pressure and Energy
Creats SEAL
Pressure, Energy & Shape

Seal & CUT

Features of RF Scalpel
• Seals & Cut tissue bundles by RF Energy
• No need of changing the instrument during Surgery.
• Do not cut the tissue till sealing happens
• Control in hands of surgeons for Seal or Cut
• Seals artery, vein or tissue bundles up to 5mm
• Minimal thermal spread to adjacent tissue
• Faster than Vessel Sealing & Ultrasonic Scalpel
• Minimum cost per case due to reusable attachments
• Independent activation of Cutting & Coagulation

Technical Comparison
Thermal Spreading
2.5
2 mm
2
1.5mm 1.5mm 1.5mm

1.5
0.5
0
LigaSure Harmonic Thunderbeat RF Scalpel
Scalpel

Vessel Sealing Capacity
8
7mm 7mm 7mm
7
6
5mm
5
4
3
2
1
0
Scalpel
Electric Current Requirement

5
4.5 Amp 4.5 Amp
4.5
4
3.5
3
2.5 Amp
2.5
2
1.5
1
Ultrasonic
0.5
(NA)
0
Scalpel

Advanced ESU
TURoSeal
Features
•300W ESU
•Digital model
•1 Monopolar
•1 Bipolar/ 1 Saline Plasma Bipolar
•1 Vessel sealing

TURoSEAL series USP
ElectroSurgery, Vessel Seal & Saline Plasma Resection
integrated in one unit
Sturdy & compact design
Suitable for super speciality applications like
Hysterectomy, TURP, arthroscopy, Hysteroscopy, cancer
surgery.
Reusable attachments for vessel sealing
 Compatible with any vessel sealing instrument worldwide
Monopolar working element can be converted to bipolar
working element for saline plasma resection using RF lock
lure adapter
Upgradable for APC

Advanced ESU
Vista
Features
•400W ESU
•Touch screen model
•1 Monopolar (2 monopolar in E+)
•1 Bipolar/ 1 Saline Plasma Bipolar
•1 Vessel sealing

VISTA series USP
User friendly & compact design
Four activations for monopolar bipolar & vessel sealing
using footswitch & hand switch
Easy to set up & user friendly due to on screen
instructions
Upgradable to RFaST technology
Built in argon facility
Dual monopolar option available
Versatile combination as per user requirement like Vista
ve, Vista s etc
Others specification same as TURoSeal

Advance ESU
Penta
Features
•400W ESU
•2 monopolar
•1 Bipolar/1 Saline Plasma Bipolar
•2 Vessel sealing
•Inbuilt argon port
•Autocut mode
•Internet enabled

PENTA series USP
Six output activation at time using dual monopolar, dual
vessel seal & bipolar .
Superiority with all other competitive products like
Covidien Force Triad , Erbe Vio & Olympus Thunderbeat
Monopolar, bipolar, Vessel sealing & Rf Scalpel can be
activated simultaneously.
Other specs same as Vista

Shalya - SuRF

Features
Parameter Surf
Cut Mode Pure Sine wave- 1.7MHz
Pure- Continues sine wave,100 W at 100 ohm ,CF 1.6,
Blend – Brust 10Khz, 100W at 100 ohm, CF 2.2
Coag Mode Burst Sine wave- 1.7MHz

Soft- Continues at 11Khz,100 W at 100 ohm ,CF 4.0
Swift – Repetition frequency 8Khz, 100W at 100 ohm, CF 6.2
Bipolar Cut Pure Sine wave- 1.7MHz

Turbo– Medium Voltage, 100W at 100 ohm, CF 1.6
Bipolar Coag Pure Sine wave- 1.7MHz

Hemo - Lower voltage, 100 W at 100 ohm ,CF 2.2
PREM system 85Khz ±10KHz
Acceptable Resistance Range
Dual Area : 10-135 Ohm
Single Area : < 10 Ohm
On site Calibration Yes
Bi Coag Alarm Optional

Parameter Surf
User Program 30
Unit Start up Yes
Time Out Function Yes
User Interface 5’’ Touch Screen TFT display

Toggle Foot Switch Yes
Wireless Footswitch Optional

Olympus ESG-
Advanced ESU 400
Shalya Vista
Erbe vio 300
KLS Martin Maxim

Comparison with leading manufacturer – Valleylab(Covidien)
Sr. No. Valleylab/Covidien/Medtronics Shalya Additional Features Price compared to
Valleylab
MODEL : Force Fx Model : Shalya MX Auto Bipolar

Endo-cut for GI Surgery
30 user defined programs
1. Approx. 50% less
Remote power controlled.
MODEL : Ligasure MODEL : Shalya VesSeal

 Approx. 50% less
 Reusable
2.
Instruments
MODEL : Force Triad
MODEL : Shalya Penta
Approx. 50% less

Single touch screen
Reusable instruments
3.

Advanced ESU
Shalya Vista Valleylab-FT10

Shalya Endoscopy Devices
Co2 Insufflator
Light Source
Suction Irrigation Pump
Endoscopic Camera

CO2 Insufflator
Shalya Endojet

Shalya Endojet
CO2 Insufflator

SHALYA ENDOJET - 50
 High Flow Insufflation upto 50LPM
 Accurate Flow control: For delicate & critical surgeries,
Flow can be set in 1 LPM/step
 Variable Temperature control
 Clear & un-obstructed view: Warms CO2 gas upto body
temperature to avoid fogging over the camera due to
temperature variation.
 Touch Screen LCD Interface
 Over-pressure detection
 Indicator for remnant/ consumed gas
 Automatic pressure regulation with internal exhaust port
 Tube obstruction alarm
 Virtual / External Back Pressure Alarm

SHALYA ENDOJET - MSE
CO2 Insufflator
with Smoke Evacuation

HIGH FLOW INSUFFLATION
 Flow insufflation rate can be set upto 50 Lpm.
ACCURATE FLOW CONTROL
 For delicate& critical surgeries,

 Special recommendation for neo-natal & pediatric
surgery.
 Flow can be set at 1Lpm/step .

HIGH FLOW SYSTEM
 Suitable for bariatric surgery

 Flow upto 50 LPM
 Detection of open/high leakage for getting high flow
output.
 No possibility of abdomen collapsing incase of high
suction flow.

TEMPERATURE CONTROL
 User can vary the temperature
of the C02 gas to suit the
patient’s requirement to avoid
hyperthermia.

DOUBLE STAGE FILTERING
 Stage 1 Filter: At input side for filtering the
impurities present in the gas cylinder.
 Stage 2 Filter: At the output side , to protect from
the impurities going to the patient & prevent the
impurities/ patient contamination to go inside the
device when over pressure detection system
operates.

DOUBLE STAGE HEATING
 Stage 1: Heating to avoid jamming of High Pressure
Regulator.
 Stage 2 : Heating to get the required temp. for the patient
body.

CLEAR & UN-OBSTRUCTED VIEW
 Warms CO2 gas upto body temperature to avoid

fogging over the camera due to temperature
variation.

OVER-PRESSURE DETECTION &
AUTOMATIC PRESSURE REGULATION
 If over-pressure gas is detected, immediate gas pressure is
reduced without user interruption.
 Prevents the pneumo - peritoneum from collapsing during
over or under pressure via automatic release & no extra
external port required for gas exhaust.

OVER-PRESSURE DETECTION &
AUTOMATIC PRESSURE REGULATION
 Dual protection for over pressure
 First stage protection via microcontroller circuitry
 Second stage protection via pneumatic circuitry incase of
failure of microcontroller circuitry.

PRESSURE GRAPH

MIST & SMOKE EVACUATOR
 Automatic smoke evacuation system by built in
smoke detector system.
 Manual smoke evacuation system foot operated
switch.
 Filtration of smoke & patient contamination via
specialized filtration system.
 Protection for OT staff & surgeon from poisonous
toxic gas.

SURGERY HISTORY

Competitor Comparison – Co2 Insufflator
STRYKER-30 L HIGH
KARL STORZ
Sr. No. Model SHALYA ENDOJET-30L FLOW
THERMOFLATOR-30L
INSUFFLATOR
1 Product Image
2 Gas type Medical CO2 Medical CO2 Medical CO2

3 Gas flow 0-30LPM 0-30LPM 0-30LPM
4 Set pressure range 0-30 mmHg 0-30 mmHg 0-30 mmHg
Consumed Gas
5 Available Available Available
Indicator
Automatic Pressure
Regulation
7 Display 5” LCD touch screen display Digital & Bar graph display Digital Display
 Veress  Veress
 Veress Mode
 Pediatric  Semi-continuous flow
8 Modes  Trocar Mode
 Endoscopic  Intermittent flow
 Bariatric
Touch screen LCD Interface &
9 Control Panel Keypad Keypad
Keypad
Smoke & Mist
10 Available NA NA
Evacuator
Gas Cylinder Supply
Indicator
KARL STORZ STRYKER-30 L HIGH
Sr.
Model SHALYA ENDOJET-30L THERMOFLATOR- FLOW
No
30L INSUFFLATOR
Percentage indication of remnant
12 Available NA NA
gas
 Over Pressure alarm  Over Pressure
 Tube obstruction Alarm alarm
Over pressure alarm
13 Special Alarms  Virtual/External Pressure  Tube Occlusion
(SECUVENT feature)
Alarm alarm
 Leakage alarm
14 Surgery History 100 surgery records NA NA
Necessitates Stryker
Inbuilt 2 stage Gas heating control OPTITHERM heater Gas Heating tube
15 Gas Heating System
system system assembly connection
to the unit
16 Surgical Timing Indicator Available NA NA
Audio-visual indication of critical
17 Available NA Available
error warnings

CO2 Insufflator
Shalya Endojet - E

Shalya Endojet - E
CO2 Insufflator

Shalya Endojet - E
Features:
 High Flow Insufflation upto 30LPM
 Accurate Flow control: For delicate & critical surgeries, Flow can be
set in 1 LPM/step
 Clear & un-obstructed view: Warms CO2 gas upto body temperature
to avoid fogging over the camera due to temperature variation.
 Over-pressure detection
 Indicator for consumed gas
 Automatic pressure regulation with internal exhaust port
 Virtual / External Back Pressure Alarm
LED Endoscopy Light Source
Shalya EndoLUX

Shalya EndoLUX

SHALYA ENDOLUX -D
 LED light source
 High CRI (Ra): > 90
 Variable Colour Temperature : 4800K +/- 300
 Steady light output
 No undesired heat
 Surgery Timing Indicator
 Plug & start : As no warm-up, cool- down time required ,
unit turns on and off immediately
 Enhanced source life: Long Life LED (>50,000 hours)
 Control: Can be controlled via USB/Ethernet

SHALYA ENDOLUX -P
 PWM controlled LED light source
 High CRI (Ra): > 93
 Surgery Timing Indicator
 Plug & start : As no warm-up, cool- down time required ,
unit turns on and off immediately
 Control: Can be controlled via USB/Ethernet

Key Features
 Pulse width modulation controlled
 No heat emission
 High Color Rendering Index
 Automatic Shut down on removing cable
 Surgery & real time display.

FEATURES
 PWM controlled LED light source.
 Enhanced source life
 High CRI (Ra)
 Steady light output
 No undesired heat
 Surgery Timing Indicator
 Automatic disconnection
 Plug & Start

PWM CONTROLLED LED LIGHT SOURCE
Pulse Width Modulation
Controlled Technology
ensures consistent Color
temperature, CRI &
maintains user-defined
light intensity throughout
the procedure.
Em is maintained constant throughout for all

varying pulses of different duty cycle.

ENHANCED SOURCE LIFE
 Long Life LED (>100000 hours), eliminates the need of

frequent replacement, reducing the maintenance cost
and environmental waste

100k
80k
60k
40k
20k
Life in
hours
BETTER SUBSTITUTE TO XENON SOURCE
 Luminous output, CCT
and CRI of the light are
comparable with a
typical 300W Xenon
Lamp, while consuming
less power.

High CRI (Ra)
 Color Rendering Index (Ra) >
90 signifies that the entire
visible light spectrum is
perceived, enabling
visualization of tiniest
variation in tissue colour by
the surgeon.

STEADY LIGHT OUTPUT
 A flicker- free LED light source which ensures clear view
as well as assures acquisition of clear images of tissue
under observation.
 Advantage : Same visualisation of the endoscopic
surgical site even after hours of continuous usage.

After 2 hours
of surgery
Light Output
1800 Lumens Light Output
1800 Lumens

NO UNDESIRED HEATING
 No emission of UV and IR from the LED source, which avoids any

undesired heating of tissue.
 Advantage: It prevents drying of tissue

AUTOMATIC DISCONNECTION
 With special detection sensors, abrupt disconnection of fiber

cable automatically shuts off the light
 providing operator safety due to anti-dazzle feature
 avoiding power wastage.

Shalya Endojet - E
Technical Specifications :
Type of Gas Medical CO2
Pre-setted Modes Veress Mode & Endo Mode
Set Pressure Veress Mode: 0-18 mmHg Endo Mode : 0-30 mmHg
Gas Flow Rate Veress Mode : 0 to 5 LPM Endo Mode : 0 to 30 LPM
Flow rate setting 1 LPM/step
Pressure setting 1mmHg/step
Connection Options Cylinder/Central Gas Supply (Optional)
Maximum input gas supply pressure 80 Bar / 1160 psi / 60,000 mmHg
Maximum output gas supply pressure 0.07 Bar / 1.06 psi / 45 mmHg
Input Voltage 95 to 260 VAC, 50/60Hz
Audio Indicator Speaker to give error tone for safety.
Touch Control Panel 5” LCD screen

Shalya EndoLUX - E

Shalya EndoLUX - E
Features:
 LED light source
 Better substitute to xenon source
 CRI (Ra): >75
 Plug & start : As no warm-up, cool- down time required , unit

turns on and off immediately

Shalya Aquaflow
Suction Irrigation
Pump
Shalya Aquaflow
Suction Irrigation System

Shalya Aquaflow
Features:
 Flow & Pressure controlled Suction-Irrigation system
 iLPM Technology: Isolated Liquid Pressure Monitoring Technology
 Disposable Pressure transducer to avoid Patient fluid Contamination
 Real Time Pressure & Flow Monitoring of Intra-Uterine Cavity / surgical site
 Built-in low noise suction pump to allow simultaneous suction-irrigation process
 Surgery Specific Custom Modes : Hysteroscopy, Laparoscopy, Arthroscopy & Urology
 Indicator for amount of consumed fluid by the patient.
 Alarm indication for consumed fluid after safety threshold
 Priming / Flush for removing air bubble from tubing at initialization.
 Touch Screen LCD Interface
 Available with trolley assembly & Canister
 Control via USB/Ethernet or centralized control in conjugation with other Shalya equipment.

Main Screen

Competitor Comparison – Aquaflow
Models Vimex
Shalya Wolf Karl Storz
Fluid pump PV5512-
Aquaflow Fluid control LAP 2216 HAMOU® ENDOMAT®
10LAP
Specification
Images
Disposable Present Present Present

Pressure To avoid fluid N/A To avoid fluid To avoid fluid
transducer contamination contamination contamination
Suction Pressure Variable Pressure Variable Pressure
Fixed Pressure Fixed pressure
Setting Adjustment Adjustment
 Irrigation: 10 – 500  Irrigation: 400  Irrigation: 0- 400  Irrigation: 400
mmHg (±10 %) mmHg(±50mmHg) mmHg mmHg
Pressure Range  Suction: 50 – 500  Suction : 450 mmHg  Suction: 0- 600  Suction : 450
mmHg (±10 %) mmHg mmHg
 Irrigation: 100mL -  Irrigation: 2000ml  Irrigation: upto

Flow range  Irrigation :1800ml
2000ml (±10 %) (±10%) 1000ml (±20%)
Control panel 5” LCD Touch Screen Keypad Keypad -----

Models
Vimex
Shalya Wolf Karl Storz
Fluid pump
Aquaflow Fluid control LAP 2216 HAMOU® ENDOMAT®
Specification PV5512-10LAP
Simultaneous Suction
Present Present Present Present
–Irrigation process
Hysteroscopy
Hysteroscopy
Surgery mode ,laparoscopy Laparoscopy Laparoscopy
,laparoscopy
,Arthroscopy, Urology
Suction Pressure - 75kPa -60kPa -80kPa - 60kPa
Flush/Priming Present ----- ----- Present
5 kg 4 kg 8 kg 8 kg
Weight

Karl Storz HAMOU® ENDOMAT®
Karl Storz HAMOU® ENDOMAT®
Wolf
Fluid control LAP 2216

Shalya Oculus
Endoscopic Camera

Shalya Oculus
FULL HD Endoscopy Camera

Shalya Oculus
Features:
 Camera Head buttons for complete surgeon control
 Surgeon as well as Surgery Specific Custom Menu
 1/3” CMOS Head with 1920x1080 pixel
 Ultra Compact size
 Touch Screen LCD interface
 Customizable Reference Area
 Sensitivity 2000lx at F8
 Auto Light Control

Shalya Oculus
Functions:
 Image mirror, Flip & Rotate
 Electrical Zoom (max. 2.5 )
 Red Detail Adjustment
 Natural Colour Settings
 Freeze/ Still Picture
 Colour Gain Adjustment
 Adjustable Dynamic Range
 Electronic Shutter

Shalya Operation Room Products
Operation Room Lights
Operation Room Table
Operation & ICU Room Pendants
OR Integration
LED Operating Room Light
Shalya iLUX

FEATURES
 Lighting controls
 PWM controlled led Source
 Electronic focusing
 High CRI
 Variable Color temperature
 Self-Diagnosis
 Smart obstacle sensing technology
 Live surgery video transmission
 Laminar flow friendly design

LIGHTNING CONTROL
 Control panel on the system
arm as well as wall mounting
 Advantage : System can be
dually controlled making it
easier for the user.

PULSE WIDTH MODULATION CONTROLLED LED SOURCE
 Constant intensity light
throughout the entire
life cycle.
 Advantage : Less
heating and increases
lifetime of LED, No
change in Light color
Em is maintained constant throughout for all varying pulses of
different duty cycle.
High life of Shalya iLUX : >60,000 hours

HIGHEST LUMEN TO WATT RATIO
 Medical Grade LED used.
 Increases the efficiency of the LED OT light .
 Lumen output of 10 LED of 1 W is 30 % lesser than 1 LED 0f 10 W.
10 LED
bulb x 1W
1 LED bulb x 10W

REDUCED POWER CONSUMPTION
Power consumed
by conventional
halogen OT Light
Power
Consumed by
Shalya iLUX

ELECTRONIC FOCUSING
 The focusing can be adjusted electronically to increase or decrease the light
field diameter.
 Advantage : Even if the light field diameter is changed, the central illuminance
Ec remains same.
 Thus the intensity & quality of light never degrades even on increasing the
focal spot.
 No motorized movement ensures low maintenance

Light field diameter – 30 cm Light field diameter – 15 cm
Constant Central Illuminance Ec- 1600000 Lux

HIGH CRI
 CRI – Colour Rendering
Index(Ra):It is the ability of an
light source to depict the object
faithfully relative to sunlight.
Higher the CRI, more faithful is
the rendering Index.
 CRI of Shalya iLUX
 Ra> 97

SPECIAL COLOUR RENDERING INDEX (R9):
VITAL IN SURGERIES WHERE MAXIMUM TISSUES & ORGANS ARE IN
RED(BLOOD).
R9 OF SHALYA ILUX > 98
ADVANTAGE : DISTINGUISH SUBTLE SHADES OF RED EXACT COLOR
SPECTRUM OF THE TISSUE

VARIABLE COLOUR TEMPERATURE
 It is termed as describing
the colour characteristics of
light whether it is warm
white (yellowish) or
 Cool white (bluish) &
expressing it in kelvin.

SHADOWLESS LIGHT
 Smart Obstacle Sensing
Technology.
 The intensity of the petals below
which obstacle is present
decreases to 5% intensity ,
 Intensity of rest of the petals
increases to get constant Ec @
160000 lux.
 No Shadow formed on the
surgical site.
 No heating at Surgeon head
THERMAL MANAGEMENT
 Sensors detects the presence of obstacle & immediately
overhead Petal intensity reduced, thus excess power
consumption reduced, reducing the heat
 Coated with heat radiating paint for efficient cooling.
 Advantage : the heat emitted from the system is reduced

drastically, increasing the lifetime of LED

THERMAL MANAGEMENT
Obstacle
Detection
Sensor

AUTOMATIC LED FAILURE DETECTION
 Every single LED module is checked for the light colour like cool
white, warm white, red & green , focusing , colour temperature.
 Alarm given with failed LED no.
 Advantage: Indicates faulty LED . Easy for replacement

AUTOMATIC LED FAILURE DETECTION
Self Testing where CCT, Intensity & Focus can be changed

at single LED Level.

LIVE SURGERY VIDEO TRANSMISSION

1. Camera to CCU wireless communications.
2. Touch monitor 21" for camera and light settings.
3. Full HD recording quality- 1920x1080 - 25/30 FPS.
4. Estimated recording time 150 hours Full HD 1080 P30.
5. Live streaming facility over local Ethernet and Internet.
6. Data band with requirement: 12 MBPS for full quality streaming.
7. Requirement of static IP from IT system.
8. Data transmission from OT room to conference or on any mobile phone/tablet through
specialized developed apps.
9. Live cross consulting from any surgeons/experts worldwide through telemedicine
applications.
10. Record keeping and storage of data for medico-legal, medical research and case studies
for publication.

 Integrated video System, with full HD camera with
recording system.
 Live surgery video transmission, Wireless
transmission of live surgical procedure Only system
having Live Surgery Video Transmission

LAMINAR AIR FLOW
 Open design structure
 Less Turbulent flow at the

surgery site.
 No disturbance to Air Flow
 Advantage : Ensures that the

Clean & Sterile air at the
ceiling top reaches the surgical
site

ARM DESIGN
 Ondal Spring Arms,
 World Best spring arm
 Swift, Seamless & smooth

functioning.
 Acrobat Spring- Mobile OT Light
 Acrobat 77- Ceiling Type OT Light
 Acrobat 2000- Ceiling Type OT

Light

YOKE DESIGN
 Screw less Yoke design
 Advantage: No loose
 hangings & part falling, avoid
unintentional opening for safety
purpose.

MEASUREMENT TECHNIQUES
M- Mobile Stand
W- Wall Mount
ILUX 10 M/W/O O- Shalya Central Axis
 Maximum Light Intensity: 160000 lux

 High CRI >90
 Electronic Focusing: 15 to 30 cm
 Single Dome
 Single Colour (Colour temp.: 4000K)
 Complete Aluminium Body to improve
performance
 Ondal Spring Arm

M- Mobile Stand
W- Wall Mount
ILUX 20 M/W/O/-C O- Shalya Central Axis

 High CRI >95
 Single Dome
 Variable Colour (Colour temp.: 3500K
to 5000K)
performance
 Camera / Monitor Arm (Optional)

M- Mobile Stand
W- Wall Mount
ILUX 40 M/W/O/C-D O- Shalya Central Axis
C- Camera (Optional )

 High CRI >96
 Single Dome
 Multi Colour
(Colour temp.: 3500K to 5000K)
performance

O- Shalya Central Axis
C- Camera , D- Display (Optional )
ILUX 10 -20 O/C-D
 Maximum Light Intensity: 160000
lux
 High CRI >95
 Double Dome –
Dome 1 : Single Colour (4000K)
Dome 2 : Variable Colour
(3500 to 5000K)
 Complete Aluminium Body
to improve performance

O- Shalya Central Axis
C- Camera , D- Display (Optional )
ILUX 20 -40 O/C-D
 Maximum Light Intensity:
160000 lux
 Double Dome -
Dome 1 : Variable Colour
(3500K to 5000K)
Dome 2 : Multi Colour
(3500K to 5000K)
 High CRI >96
 Complete Aluminum Body to
improve performance

Operation Room Pendant

Surgical Pendant Single Arm /Double Arm:
• Gas Outlet: O2x1 VACx1 AIR x1
• RJ45 x1
• Equipotential x2
• Electricity socket X8
• Tray x1
• Tray with Drawer x1
• Single Arm :Price:
• Double Arm : Price
• Options available in Electrical Lifting

Endoscopy Pendant
Single Arm /Double Arm:
• Gas Outlet: O2x1 VACx1 AIRx1
CO2x1
• RJ45 x1
• Tray x3
• Tray with Drawer x1

Anesthesia Pendant with out Electric • Gas Outlet: O2x1 VACx1 AIRx1
N2Ox1, AGSS x1
• RJ45 x1
• Tray with drawer x 1
• Pneumatic Brake

Anesthesia Pendant with Electric Lift • Gas Outlet: O2x1 VACx1 AIRx1
N2Ox1, AGSS x1
• RJ45 x1
• Electrical Lift x 1
Prices:
Single Arm Pendant :
600mm : Rs. 518,000/- & onwards
Dual Arm Pendant :

600 + 600 mm : Rs. 555,000/- & onwards

Straight Pendant Straight
• Gas Outlet: O2x1 VACx1 AIRx1
• RJ45 x1

ICU Pendant Configuration :
• Gas Outlet : AIRx2 ,O2x2,
VACx2
• Electricity x6
• IV Pole x2
• Shelf x1
• Drawer with shelf x1
• RJ45 socket x2
• Equipotential connector x2
• LED Illumination system x1

ICU Pendant Configuration :
• Gas Outlet : AIRx2, O2x2,
VACx2
• IV Pole x2
• Shelf x1
• Drawer with shelf x1
• RJ45 socket x2
• Equipotential connector x2
• LED Illumination system x1

ICU Pendant : OPTIONS

OR Integration System
Shalya Integra

Shalya Integra
OR Integration System

Video Integration

Video Integration
 Compatible with standard video signals, supporting resolutions from SD, HD, full
HD upto 4K.
 Optional Mobile Broadcasting Cart as an economic solution.
 Video standards supported: DVI, HDMI & other can be adopted depending upon
user requirement e.g. S-Video, Composite, RGBHV, 3G-SDI, HD-SDI etc.
 Split Screen, Quad view PIP, P by P & customizable viewing formats.
 Video latency is less than 200ms in optimized working condition.
 Video multi route Transmission & Broadcasting.
 Video sharing via USB, LAN, CD, DVD or BluRay.
 Teleconference from any two or multiple locations.
 Remote transmission of any video to mobile, laptop or desktop through VPN or
internet.

Device Integration

Device Integration
 Integrated surgical Checklist.
 lntegratable with Hospital Systems - PACS, HIS/RIS, DICOM
(Upgradable).
 lntegratable with all operating room equipment's provided from
Shalya.
 Remote system monitoring.
 Variant can be made available with option of touch screen.
 Customized program for various surgical settings for different surgical

procedures.
 Maintains working history of all connected devices.


Operating Room Table
Shalya Flex

Flex-200
Electric Operating Table
 Tabletop Length : 2070mm
 Tabletop Width : 550mm
 Double control panel.
 Maximum Load Capacity : 200 KG
 Kidney Bridge Elevation : 160mm
 Offers stable & safe surgical procedures.
 High automation with low noise
 Mobile operating table for all types of surgeries
such as laparoscopy, urology and gynecology etc

Flex-500
Electro-Hydraulic Operating Table
 Highly recommended for complex, bariatric & all super
specialty applications.
 Satisfies various demands of laparo, neuro, arthro,
cardiac & general surgeries.
 Tabletop Length : 2170mm
 Tabletop Width : 550mm
 Maximum Load Capacity : 300 KG
 Kidney Bridge Elevation : 110mm
 Double control panel.
 Memory pad with antistatic & waterproof design.
 Offers robust & reliable solution for bariatric surgery.
 Precise & easy movements during complex surgeries.

Thank You

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Training

XcelLance Medical Technologies Pvt. Ltd.

Advance Electrosurgical Technologies

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

 Photon excitation of atoms

 Thermal effects vary due to:

Wavelength, beam fluence, tissue color, consistency, and

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

Alternating Current - Electrosurgery

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

Macrobipolar - Desiccation, Cutting

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

Pure Cut and

100% on 50% on 40% on 25% on 6% on

XcelLance Medical Technologies Pvt. Ltd.

Low Thermal Spread/Charring High

Low Voltage High

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

Pure Cut and

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

The setting will depend upon conditions such as:

There is no one recommended setting for a specific

See your manufacturer’s user manual for guidelines

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

Pad Site Burn

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

When using a contact

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

Return Electrode Site Injuries

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

 Use lowest power setting possible

Note: Surgical gloves do not insulate against RF current

XcelLance Medical Technologies Pvt. Ltd.

The amount of current flow is determined by

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

XcelL.ance Medical Technologies Pvt. Ltd.

Place the return electrode Do not warm return electrode

Avoid bony prominences, scar tissue, skin

XcelLance Medical Technologies Pvt. Ltd.

 Avoid pooling of solutions

XcelLance Medical Technologies Pvt. Ltd.

XcelLance Medical Technologies Pvt. Ltd.

Lung, Scar, Adhesions