SURG Excisions taken with the EROND SURG can be examined histo-pathologically One device for all surgical treatments Also available with automatic switch-off for snoring treatment and for the Anti-Aging-Treatment RF-ReFacing! é 7. What is the Automatic Switch-Off for? For the treatment of snoring people the included automatic switch-off within the EROND SURG 2200 "TPA" offers the security to dehydrate the tissue in such a way only, that no burns and necroses will occur because the unit switches-off automatically when a certain tissue resistance is reached. Therefore, the gentle treatment of snoring people is guaranteed. The tissue is tightened via electrodes which are reusable, of course. With this method the patient only suffers from light difficulties while swallowing for a few days. 8. What is a Trigger Exit? The units are equipped standardly with a trigger exit to adapt a smoke evacuation system. Physicians, staff and patients can be protected thus from a contamination with toxic and potentially infectious products of combustion. A mask is not sufficient in this case as it only filters 30% of the products of combustion. Patients are completely unprotected. 9. What is a Potential Equalizer for? It is a connector for an additional grounding while using several electric devices in the Operation Theater to avoid leakage currents (by law in many hospitals!). 10. How and where should the Neutral Electrode be Placed? The neutral electrode should be placed as closely to the operating area as possible, and be covered completely by the patient. A correct placed neutral electrode lowers the resistance; surgeries can be carried out with minor intensity setting. Only if a grounded doctor’s chair is available (in a dentist’s practice, for example), it might be possible to operate without a neutral electrode because the conduction occurs via the patient into the grounding. REMEMBER: Lower intensity - less lateral heat - better operation results. 11. Is it possible to Get an Electric Shock when Working with a Radio Frequency Unit? There is absolutely no risk of getting an electric shock. However, while having physical contact with the patient a burn is possible when the activated electrode is touching a metal instrument which is held in your unprotected hand. High frequency current takes the way of lowest resistance! In such case the conduction of waves leads from the activated electrode through the metal instrument and into your body. Such cases, however, are extremely rare and none came to our attention during the last years. 12. Can Hand Pieces and Electrodes be Sterilized? Hand pieces and electrodes can be autoclaved up to a temperature of 134 C / 275 F (hot steam phase 20 minutes - prione programme). It is recommended to buy a second set of hand pieces and electrodes to have sterile equipment available at any time. Hand pieces, cables and electrodes should be regularly examined for wear and tear. Please read the recommendations and comments in the instruction for use. 13. What is RF-ReFacing? Firmer facial features and a smoother décolleté via energy of radio waves! The energy reaches the dermis and causes a shortening of the structures that have become too long. With gentle heat production and stimulation of the fibroblasts in the deeper tissues, the reconstruction of collagen and elastin is initiated. Without stressing the epidermis the tissue is tightened from the depth - without pain, injection or hospitalization. Informational material for this innovative anti-aging-method are available. neutral electrode Example of treatment 540232 Târgu Mureș, str. Gheorghe Doja, nr. 74 0724 044 076 | office@erond.ro | www.erond.ro manufacturer distributor: NIMKOS MEDSOLUTIONS SRL Dumbravioara, nr. 522, jud. Mures +4 0740 042 468 | [email protected]
Transcript
SURG
Excisions taken with the EROND SURGcan be examined histo-pathologically
One device for all surgical treatments
Also available with automatic switch-off for snoring treatment and for the Anti-Aging-Treatment RF-ReFacing!
é
7. What is the Automatic Switch-Off for?For the treatment of snoring people the included automatic switch-off within the EROND SURG 2200 "TPA" offers the security to dehydrate the tissue in such a way only, that no burns and necroses will occur because the unit switches-off automatically when a certain tissue resistance is reached. Therefore, the gentle treatment of snoring people is guaranteed. The tissue is tightened via electrodes which are reusable, ofcourse. With this method the patient only suffers from light difficulties while swallowing for a few days.
8. What is a Trigger Exit?The units are equipped standardly with a trigger exit to adapt a smoke evacuation system. Physicians, staff and patients can be protected thus from a contamination with toxic and potentially infectious products of combustion. A mask is not sufficient in this case as it only filters 30% of the products of combustion. Patients are completely unprotected.
9. What is a Potential Equalizer for?It is a connector for an additional grounding while using several electric devices in the Operation Theater to avoid leakage currents (by law in many hospitals!).
10. How and where should the Neutral Electrode be Placed?The neutral electrode should be placed as closely to the operating area as possible, and be covered completely by the patient. A correct placed neutral electrode lowers the resistance; surgeries can be carried out with minor intensity setting. Only if a grounded doctor’s chair is available (in a dentist’s practice, for example), it might be possible to operate without a neutral electrode because the conduction occurs via the patient into the grounding.
REMEMBER:Lower intensity - less lateral heat - better operation results.
11. Is it possible to Get an Electric Shock when Working with a Radio Frequency Unit?There is absolutely no risk of getting an electric shock. However, while having physical contact with the patient a burn is possible when the activated electrode is touching a metal instrument which is held in your unprotected hand. High frequency current takes the way of lowest resistance! In such case the conduction of waves leads from the activated electrode through the metal instrument and into your body. Such cases, however, are extremely rare and none came to our attention during the last years.
12. Can Hand Pieces and Electrodes be Sterilized?Hand pieces and electrodes can be autoclaved up to a temperature of 134 C / 275 F (hot steam phase 20 minutes - prione programme). It is recommended to buy a second set of hand pieces and electrodes to have sterile equipment available at any time. Hand pieces, cables and electrodes should be regularly examined for wear and tear. Please read the recommendations and comments in the instruction for use.
13. What is RF-ReFacing?Firmer facial features and a smoother décolleté via energy of radio waves! The energy reaches the dermis and causes a shortening of the structures that have become too long. With gentle heat production and stimulation of the fibroblasts in the deeper tissues, the reconstruction of collagen and elastin is initiated. Without stressing the epidermis the tissue is tightened from the depth - without pain, injection or hospitalization. Informational material for this innovative anti-aging-method are available.
neutral electrode
Example of treatment
540232 Târgu Mureș, str. Gheorghe Doja, nr. 740724 044 076 | [email protected] | www.erond.ro
What you always wanted to know...1. What is Radio Surgery?Radio surgery is the use of high frequent energy for cutting, cutting with simultaneous coagulation and coagulation at the human (or animal) body.
2. What is Radio Frequency? Radio frequency is electric currency which is produced by the EROND SURG 2200 with a frequency of 2.2 MHz (2 200 000 cycles per second). This energy of 2.2 million cycles /sec. is concentrated at the tip of the electrode. As soon as the tissue is touched the cell vaporizes. This is because the buid of the cell expands, the cell explodes and vaporizes. The effect of cutting or coagulation occurs quicker with units working within the megahertz range, therefore, the surrounding area will not be damaged thermically. The electrode itself is conductor for the high frequency power only and does not become hot itself. This can be demonstrated very well with an inflated balloon which will not explode when touched with the activated electrode, as the heat develops only within the tissue when high frequency waves are used.
3. Which are the Advantages of Megahertz-Units?
3.1 Less Sparks - No BurnsDue to the high frequency it is possible to use smaller inductances - electronic components which can store electricity - in the generator. So smaller stress peaks evolve and the risk of light arcs which can develop a heat of more than 1000 degree Celsius is reduced dramatically. Therefore, burns, necrosis and infections do not occur.
3.2 Regulation of Voltage - Histo-Pathological Examination of SpecimenThe voltage of the EROND SURG 2200 is regulated and, therefore, constant during its application; differences only 2%. Only due to a constant voltage it is possible to reach such an excellent, clean cut, which does hardly differ from the cut of a scalpel and which can be examined histo-pathologically.
3.3 Minimal Risk of an Electric ShockCondensers (accumulator for electric energy) are included in all high frequency units to prevent patients from the danger of continuous current flowing through the body. These condensers can discharge during the surgery which leads to a sudden muscle convulsion and a short and strong pain. Within megahertz units smaller condensers can be used, the discharging will not be noticed, side-effects as muscle convulsion and sudden strong pain do not occur.
3.4 Minimized Electric Circuit ResistanceAt units with a higher frequency a constant and smaller electric circuit resistance is reached between area of work and neutral electrode, therefore, units with a higher frequency ensure a safer conduction of the high frequency waves. The neutral electrodes can be smaller, a direct contact to the skin is not imperative, burns do not occur.
4. What is the Difference between Monopolar and Bipolar Coagulation?The so-called monopolar electrode has an active tip (ball, thick needle etc.) on which the waves exit, to enter the tissue. The wave conduction occurs via the neutral electrode. Bipolar electrodes have two tips that are simultaneously activated so that energy flows directly from one tip to the other (alternately). For this reason a neutral electrode is not required during bipolar hemostasis. Actually, it is incorrect to term coagulation via coagulation - and neutral electrode monopolar, as this is also a bipolar way of coagulation. The electrode represents one pole, and the neutral electrode which absorbs waves like an antenna and returns them to the unit, represents the other one.
5. For which Type of Surgical Procedures can a Radiosurgical Unit be used?In principle, a radiosurgical unit can substitute a scalpel. Since operations can be performed without tension, pressure or sliding of the tissue, it is suited for any type of surgical procedure, especially when very fine incisions are required, and if minor or major bleeding is expected. The absolute sterility of cuts along the cutting line of the electrode is a major advantage of radiosurgery, as this prevents germs from being transported - as this could happen when using a scalpel.
Removal of hypo pigmentation with disc electrode
6. How to select the correct Electrode and Intensity?
Cutting:The finer the electrode, the finer the incision! Fine wire needle electrodes are used for smooth incisions, narrow and round loop electrodes and angular electrodes are available for plastic works. For cutting the chosen intensity is set correct, if the electrode slides gently through the tissue without being caught and without spark formation. The result has to be a smooth cut without any discoloration. The setting varies from patient to patient. It is completely irrelevant at which setting the above mentioned cutting result is achieved. The chosen intensity is not important but the achieved result. It is preferable to work with a "slightly" higher setting than with one which is too low. As high frequency waves require some dampness as conductive medium, the operation area should always be moistened (not wet!). Dry skin areas should be dampened with a cotton pad that is moistened with sodium chloride solution. The selection of a larger electrode or a "coarser" wave (e. g. cut / coagulation wave) requires more energy than working with the fully filtered cutting wave. Experience shows that these parameters cease to be a problem after a short training period. The extensive instructions for use on paper and on CD (video can be requested) accompanying each unit also provide detailed information. We recommend practical exercises on a beef model to start with the high frequency technique.
Coagulation:During coagulation an immediate hemostasis should occur. This is achieved by gently placing the electrode (ball or thick needle) onto the bleeding end of the vessel, followed by the activation of the unit via finger switch or foot pedal. This causes a gentle surface coagulation - the coagulum appears whitish - deeper tissue layers are not damaged. The healing process is not disturbed and the patient does not suffer from pain. The electrode should not be pressed onto the bleeding vessel under any circumstances, for this would cause a strong increase in resistance resulting in delayed hemostasis and destruction of deeper cell layers, leading to necrosis in the worst case. The coagulation degree of 1 to 9 can be adjusted according to the situation. Stronger bleeding: higher coagulation degree; weaker bleeding: lower coagulation degree. Hemorrhage can be avoided in such a way.
IMPORTANT:It is not possible to coagulate if stagnant blood is present; this would "cook" the surrounding tissue. Stagnant blood must be sprayed off, aspirated or constricted prior to coagulation. We recommend the use of the pulse coagulation with high intensity and short duration, which causes an immediate hemostasis without coagulum or necrosis. As protein clots immediately during contact with the electrode, the formerly bleeding area usually appears as a white spot only. Traumatic rupture
