3M Health Care
Electrosurgical Grounding Pad & Accessory Guide
Trusted
Choices
for
Consistent Performance
2
Electrosurgical Grounding Pad & Accessory Guide
Explanation of Symbols ......................................................................................................................................................4
Grounding Pad Instructions for Use .................................................................................................................................... 4
Frequently Asked Questions ...............................................................................................................................................8
Competitive Grounding Pad Cross-Reference.....................................................................................................................10
Solid Grounding Pad Generators .......................................................................................................................................12
Split Grounding Pad Generators ........................................................................................................................................16
3M Grounding Pads ..........................................................................................................................................................17
Expiration and Shelf Life Information ................................................................................................................................21
3M Reusable Cables and Adapters ...................................................................................................................................22
3M Adapter Kits ............................................................................................................................................................... 27
Grounding Pad Receptacles in Generators ....................................................................................................................... 29
Cable and Adapter Cleaning Information ...........................................................................................................................31
Reusable Cable Instructions for Use ..................................................................................................................................32
Adapter Instructions for Use .............................................................................................................................................35
3M Cable and Adapter Part Numbers ................................................................................................................................38
3
Explanation of Symbols
Attention, see Instructions for Use.
The lot in a box and the hourglass are symbols that represent lot number and expiration date.
The hourglass is followed by a year and month which represents the expiration date (year and month: 2010-10).
The entire line after the hourglass represents the lot number (2010-10AZ).
Do not reuse.
Shock hazard warning.
Contains no natural rubber latex.
Instructions for Use - 3M™ Universal Electrosurgical Pads 9100 Series
Read and save this document. Make sure everyone who
• Use 3M cables and adapters as required with 3M
will use this product knows and understands all information
Universal Pads.
3. this
Select
an Appropriate
SiteAORN recommended
contained
within
document
and
• CSite
heck expiration date on package. 3M Universal Pads
3. Select an Appropriate
™
surgical3M
Pads
Universal Electrosurgical
To reduce the risk of burns andPads
pressure necroses:
To reduce the risk of burns and pressure necroses:
practices
for
electrosurgery.
READ
WARNING.
are
safe to use for 14 days after package is opened.
• Select a smooth, well-vascularized, muscular area close to •surgical
Selectsite
a smooth, well-vascularized, muscular area close to surgical site
English
9100 Series
English
that allows full Universal Pad-to-skin contact.
that allows full Universal Pad-to-skin contact.
• Site must be clean, dry, and free of hair. Remove hair at application
site.be clean, dry, and free of hair. Remove hair at application site.
• Site must
sure everyone who will
useand
thissave this document.
Read
Make sure everyone who will use this
• Locate Universal Pad closer to the surgical site than to the •ECGLocate
electrodes.
Universal Pad closer to the surgical site than to the ECG electrodes.
information containedproduct
within this
knows and understands all information contained within this
• Remove metal jewelry.
• Remove metal jewelry.
practices for electrosurgery.
document and AORN recommended practices for electrosurgery.
• Avoid placement over bony prominences, metal prostheses,•orAvoid
scar tissue.
placement over bony prominences, metal prostheses, or scar tissue.
READ WARNING
• Avoid placement such that current flows through a metal prosthesis
or
• Avoid placement
such that current flows through a metal prosthesis or
Explanation of Symbols:
conductive implant. For patients with implanted electronic devices,
contact
conductive
implant. For patients with implanted electronic devices, contact
s for use.
manufacturer
• Attention, see device
instructions
for use. for precautions to avoid interference. device manufacturer for precautions to avoid interference.
• Do not apply Universal Pad where fluids may pool.
• Do not apply Universal Pad where fluids may pool.
2010-10AZ
hourglass are symbols that
represent
• The lot in a box and the hourglass are symbols that represent
Do not apply Universal Pad over injection site.
• Do not apply Universal Pad over injection site.
n date. The hourglass is followed by lot number•and
expiration date. The hourglass is followed by
•
Select
a
suitable
site
remote
from
any
warming
device.
• Select a suitable site remote from any warming device.
represents the expiration date (year a year and month which represents the expiration date (year
4.
Pad
Application
4. Pad Application
e entire line after the hourglass
and month: 2010-10). The entire line after the hourglass
To
reduce
the
risk
of
burns
and
pressure
necroses:
To reduce the risk of burns and pressure necroses:
er 2010-10AZ).
represents the lot number 2010-10AZ).
• Inspect Universal Pad, cord, and cable. Do not use if cut, modified,
or Universal Pad, cord, and cable. Do not use if cut, modified, or
• Inspect
2 • Do not reuse. damaged.
damaged.
• Apply
one end of Universal Pad and smoothly press to other• end.
ApplyAvoid
one air
end of Universal Pad and smoothly press to other end. Avoid air
• Shock hazard
warning.
entrapment.
entrapment.
er latex.
• Contains no• natural
rubber
latex.
Avoid stretching or folding either Universal Pad or patient’s •skin.
Avoid stretching or folding either Universal Pad or patient’s skin.
Product Description
• Do not use electrode gel.
• Do not use electrode gel.
ng pads, neutral3M
electrodes)
provide
Universal Electrosurgical Pads
pads, neutral
electrodes)around
providea limb. Do not
• (i.e.
Do grounding
not wrap Universal
Pad completely
• overlap.
Do not wrap Universal Pad completely around a limb. Do not overlap.
3M Universal Pads
consist
of apath for electrosurgical
a safe
return
3M Universal
PadsPad
consist
a application. If patient
• Docurrent.
not reposition
Universal
after of
initial
is reposition Universal Pad after initial application. If patient is
• Do not
nconductive border
adhesive.
The area surrounded
conductive
adhesive
by a nonconductive
border
adhesive.
The and integrity of all
repositioned,
confirm full
pad-to-skin
contact
repositioned, confirm full pad-to-skin contact and integrity of all
sal Pads are single
use only,
Universal
Pad backing is fluid resistant.
Universal Pads are single use only,
connections.
connections.
supplied pre-corded
or non-corded.
disposable
and not sterile. Universal
Pads
supplied
pre-corded
or non-corded.
• Do
not are
place
compression
stocking
or device over Universal• Pad.
Do not place compression stocking or device over Universal Pad.
gical generatorsUniversal
(ESUs) used
Padsin are compatible with
electrosurgical
generators
used inlimb or metal object.
• Do
not coil or wrap
cord or (ESUs)
cable around
• Do not coil or wrap cord or cable around limb or metal object.
Standard HF-18:2001,
surgical procedures defined by the
Standard
• ANSI/AAMI
Do not allow
cord or HF-18:2001,
cable to lie on or under patient.
• Do not allow cord or cable to lie on or under patient.
s (AAMI HF-18).Electrosurgical devices, Electrosurgical
Devices
• Do not
place(AAMI
cable HF-18).
clamp under patient.
• Do not place cable clamp under patient.
Use of two Universal Pads with 1157C Y-adapter:
Use of two Universal Pads with 1157C Y-adapter:
WARNING
• Patients with
skin,
adipose
tissue, and/or poor vascularization
may with dry skin, adipose tissue, and/or poor vascularization may
ads can causeImproper
electrosurgical
• Patients
use of Universal Electrosurgical
Padsdrycan
cause
electrosurgical
require safety,
two Universal
ety, follow all of
the instructions
require two Universal Pads..
burns
or pressure necroses. For patient
follow Pads..
all of the instructions
Do not
plug cordsincreases
into 1157Cthe
Y-adapter
Padplug
has cords into 1157C Y-adapter until after each Universal Pad has
ctions increases
the risk
of to follow any of •these
• Do not
below.
Failure
instructions
risk of until after each Universal
applied.
.
been applied.
electrosurgical burns or pressurebeen
necroses.
• Preferred placement of each pad is bilaterally (i.e., left and •right
side) placement of each pad is bilaterally (i.e., left and right side)
Preferred
Instructions for Safe Use
equally distant from surgical site.
equally distant from surgical site.
Accessories 1. Use Appropriate Pads, Equipment,
and Accessories
ve a Contact Quality Monitoring
• Does the electrosurgical generator have a Contact Quality Monitoring
™)?
System (e.g. REM™, ARM™, NESSY™)?
Product Description
3M Universal Electrosurgical Pads (i.e. grounding pads,
neutral electrodes) provide a safe return path for electrosurgical
current. 3M Universal Pads consist of a conductive adhesive
area surrounded by a non-conductive border adhesive. The
Universal Pad backing is fluid resistant. Universal Pads are
single use only, disposable and non sterile. Universal Pads
are supplied pre-corded or non-corded.
WARNING
Improper use of Universal Electrosurgical Pads can
cause electrosurgical burns or pressure necroses.
For patient safety, follow all of the instructions below.
Failure to follow any of these instructions increases
the risk of electrosurgical burns or pressure necroses.
Instructions for Safe Use
1. Use Appropriate Pads, Equipment, and Accessories
• Does the electrosurgical generator have a Contact
Quality Monitoring System (e.g. REM™, ARM™,
NESSY™)?
2. To Reduce the Risk of Burns, Do Not Overload the
Universal Pad with Too Much Current
• Do not activate the electrosurgical device or active
accessory for more than 60 seconds in any 2-minute
period, as this will overload the Universal Pad with
current and may result in a patient burn.
• Any combination of high power, long activation time
and a conductive irrigant (e.g.,saline) may overload the
Universal Pad with current and may result in a patient burn.
To reduce this risk:
- Use non-conductive solutions unless specific
medical reasons indicate otherwise.
- Use the lowest possible power setting.
- Use short activation times. If long activation is
necessary, allow time between activations to allow
the tissue under Universal Pad to cool.
- Use two split-style Universal Pads with the 1157C
Y-adapter.
- If you do not receive the desired surgical effect, stop
and verify the correct distention/irrigation solution
and good Universal Pad contact before proceeding
with electrosurgery or increasing the power setting.
YES- use split-style
Universal Pads.
Solid Style
NO- use solid-style
Universal Pads.
Split Style
Solid Style
Split Style
o If NO - use solid-style
Universal Pads.
o If YES - use split-style
Universal Pads.
chokes to prevent electrosurgical
• Use ECG cables with RF suppressors/chokes to prevent electrosurgical
5. through
Pad removal
electrodes.
5. Pad removal
current from flowing
the ECG electrodes.
• Doas
notrequired
removewith
by pulling
on cablePads.
or cord.
red with 3M Universal•Pads.
• Do not remove by pulling on cable or cord.
Use 3M cables and adapters
3M Universal
Start at corner.
Peel back
slowly
at 180
degree
skinat corner. Peel back slowly at 180 degree angle to prevent skin
M Universal Pads are •safe
to use
for
• Start
Check
expiration
date on• package.
3M Universal
Pads
are safe
to use
for angle to prevent
trauma.
trauma.
14 days after package is opened.
verload the Universal
withthe
TooRisk of Burns, Do Not Overload the Universal Pad with Too
2. ToPad
Reduce
For more information on electrosurgery, or to obtain a copy of For
the more
3M High
Current on electrosurgery, or to obtain a copy of the 3M High Current
information
Much Current
Bulletindevice
(70-2009-8640-7),
go to http://www.3M.com/groundingpad
vice or active accessory
for not
more
Technical Bulletin (70-2009-8640-7), go to http://www.3M.com/groundingpad
• Do
activate theTechnical
electrosurgical
or active accessory
for more
od, as this will overload than
the 60 seconds in any 2-minute period, as this will overload the
4
manufacturers
radio frequency
(RF) medical devices
and
active
esult in a patient burn. Universal Pad withNotice
Notice to
manufacturers
of radio frequency (RF) medical devices and active
currenttoand
may result in of
a patient
burn.
3Mactivation
Universal Pads
to Section 4.2.3.1accessories:
of the AAMI All
HF-18
activation time, and• a Any
conductive
3M Universal Pads conform to Section 4.2.3.1 of the AAMI HF-18
combination ofaccessories:
high power,All
long
time,conform
and a conductive
Standard, 2001 Edition, which specifies that a grounding pad must
be capable
of
e Universal Pad with current and
Standard,
2001 Edition,
which specifies that a grounding pad must be capable of
• Use ECG cables with RF suppressors/chokes to prevent
electrosurgical current from flowing through the ECG
electrodes.
3. Select an Appropriate Site
To reduce the risk of burns and pressure necroses:
• Select a smooth, well-vascularized, muscular area close
to surgical site that allows full Universal Pad-to-skin
contact.
• Site must be clean, dry, and free of hair. Remove hair at
application site.
3M Universal Electrosurgical Pads (i.e. grounding pads, neutral electrodes) provide
a safe return path for electrosurgical current. 3M Universal Pads consist of a
conductive adhesive area surrounded by a nonconductive border adhesive. The
Universal Pad backing is fluid resistant. Universal Pads are single use only,
disposable and not sterile. Universal Pads are supplied pre-corded or non-corded.
Universal Pads are compatible with electrosurgical generators (ESUs) used in
surgical procedures defined by the ANSI/AAMI Standard HF-18:2001,
Electrosurgical devices, Electrosurgical Devices (AAMI HF-18).
WARNING
Solid Style
• LocateImproper
Universal
closer
to the surgical
use of Pad
Universal
Electrosurgical
Pads can site
causethan
electrosurgical orelectrodes.
pressure necroses. For patient safety, follow all of the instructions
to theburns
ECG
below. Failure to follow any of these instructions increases the risk of
• Remove
metal jewelry.
electrosurgical
burns or pressure necroses.
for Safe
• AvoidInstructions
placement
overUse
bony prominences, metal
1. Use Appropriate Pads, Equipment, and Accessories
prostheses,
or scar
tissue. generator have a Contact Quality Monitoring
• Does
the electrosurgical
System (e.g.
REM™,
NESSY™)?
• Avoid placement
such
thatARM™,
current
flows through a
o
If
NO
use
solid-style
metal prosthesis
or conductive implant. For patients
Universal Pads.
with implanted
devices, contact device
o Ifelectronic
YES - use split-style
Universal
Pads.
manufacturer for
precautions
to avoid interference.
• Use ECG cables with RF suppressors/chokes to prevent electrosurgical
• Do not apply
Universal
Pad
where
fluids may pool.
5. Pad removal
current from flowing through the ECG electrodes.
• Do not remove by pulling on cable or cord.
• UseUniversal
3M cables and
adapters
required with
3M Universal Pads.
• Do not apply
Pad
overasinjection
site.
5. Pad removal
• Start at corner. Peel back slowly at 180 degree angle to prevent skin
• Check expiration date on package. 3M Universal Pads are safe to use for
• Select a suitable
sitepackage
remoteis opened.
from any warming device.
• Do not remove
trauma. by pulling on cable or cord.
14 days after
2. To Reduce the Risk of Burns, Do Not Overload the Universal Pad with Too
• Start at corner. Peel back slowly at 180 degree angle to
For more information on electrosurgery, or to obtain a copy of the 3M High Current
Much Current
4. Pad Application
skinBulletin
trauma.
Technical
(70-2009-8640-7), go to http://www.3M.com/groundingpad
• Do not activate the electrosurgical device or active accessory for more prevent
than
60
seconds
in
any
2-minute
period,
as
this
will
overload
the
To reduce the risk of burns and pressure necroses:
For more
onofelectrosurgery,
copyand active
Noticeinformation
to manufacturers
radio frequency (RF)obtain
medical adevices
Universal Pad with current and may result in a patient burn.
• Inspect Universal
Pad, cord,
Do nottime,
useand a conductive accessories: All 3M Universal Pads conform to Section 4.2.3.1 of the AAMI HF-18
• Any combination
of high and
power,cable.
long activation
of
the
3M
High
Current
Technical
Bulletin
(70-2009-8640-7).
Standard, 2001 Edition, which specifies that a grounding pad must be capable of
irrigantor
(e.g.,
saline) may overload the Universal Pad with current and
if cut, modified,
damaged.
carrying a current of 700 milliamperes (mA) for a continuous period of 60 seconds.
may result in a patient burn. To reduce this risk:
• Apply one end
of
Universal
Pad
and
smoothly
press
to
Manufacturers
of RF medical devices
or accessories
should not (RF)
recommend 3M
Notice
to manufacturers
of radio
frequency
o Use non-conductive solutions unless specific medical reasons
Universal Pads for use with RF medical devices or accessories that can deliver a
otherwise.
other end. Avoidindicate
air entrapment.
medical
devices
and
active
accessories:
All
3M™
current load to the Universal Pad that exceeds the AAMI HF-18 Standard.
o Use the lowest possible power setting.
• Avoid stretching
folding
either
Padis or
Universal Pads conform to Section 201.15.101.5 of the ANSI/
o Useorshort
activation
times.Universal
If long activation
necessary,
patient’s skin. allow time between activations to allow the tissue under
AAMI/IEC 60601-2-2:2009 Standard, which specifies that a
Universal Pad to cool.
• Do not use electrode
gel. Universal Pads with the 1157C Y-adapter.
o Use two split-style
grounding pad must be capable of carrying a current of 700
If you do notPad
receive
the desired surgical
effect,
and verify the
• Do not wrap oUniversal
completely
around
a stop
limb.
milliamperes
3 (mA) for a continuous period of 60 seconds.
correct distention/irrigation solution and good Universal Pad contact
REM is a trademark of Valleylab.
Do not overlap.before proceeding with electrosurgery or increasing the power 3M™Made
certifies
that
in U.S.A.
by the 3M™ 9100 Series Split Style Universal
ARM is a trademark of Conmed/Aspen Labs.
setting.
3M Health Care
• Do not reposition
Universal Pad after initial application.
Electrosurgical
Pads, when used in NESSY
accordance
with
these
is a trademark
of ERBE.
St. Paul, MN. 55144-1000
©3M 2007 All rights reserved.
(USA) 1-800-228-3957
If patient is repositioned, confirm full pad-to-skin contact Instructions
for Use, meet the requirements
of
the
ANSI/AAMI/
3M is a trademark of 3M Co.
www.3M.com
and integrity of all connections.
IEC 60601-2-2:2009 standard for compatibility when used
• Do not place compression stocking or device over
with high frequency (HF) electrosurgical generators with CQM
Universal Pad.
systems that operate with both a maximum impedance limit
• Do not coil or wrap cord or cable around limb or metal
(not to exceed 150 ohms) and a differential (dynamic) impedobject.
ance limit (not to exceed 40%). Manufacturers of RF medical
• Do not allow cord or cable to lie on or under patient.
devices or accessories should not recommend 3M™ Universal
• Do not place cable clamp under patient.
Pads for use with RF medical devices or accessories that can
Use of two Universal Pads with 1157C Y-adapter:
deliver a current load to the Universal Pad that exceeds the
• Patients with dry skin, adipose tissue and/or poor
ANSI/AAMI/IEC 60601-2-2:2009 Standard.
vascularization may require two Universal Pads.
Split Style
• Do not use electrode gel.
• Do not wrap Universal Pad completely around a limb. Do not overlap.
• Do not reposition Universal Pad after initial application. If patient is
repositioned, confirm full pad-to-skin contact and integrity of all
connections.
• Do not place compression stocking or device over Universal Pad.
• Do not coil or wrap cord or cable around limb or metal object.
• Do not allow cord or cable to lie on or under patient.
• Do not place cable clamp under patient.
Use of two Universal Pads with 1157C Y-adapter:
dry skin,
tissue,
and/or poor vascularization
• Do •notPatients
plugwith
cords
intoadipose
1157C
Y-adapter
until after may
require two Universal Pads..
each
Universal
Pad
has
been
applied.
• Do not plug cords into 1157C Y-adapter until after each Universal Pad has
been applied.
• Preferred
placement of each pad is bilaterally (i.e.,
Preferred placement of each pad is bilaterally (i.e., left and right side)
left•and
right
side) equally distant from surgical site.
equally distant from surgical site.
5
Instructions for Use - 3M™ Electrosurgical Patient Plates 1100 and 8100 Series
Read and save this document. Make sure everyone who
will use this product knows and understands all information
contained within this document and AORN recommended
practices for electrosurgery. READ WARNING.
period, as this will overload the patient plate with current
and may result in a patient burn.
• Any combination of high power, long activation time,
and a conductive irrigant (e.g.,saline) may overload the
patient plate with current and may result in a patient
Product Description
burn. To reduce this risk:
3M Electrosurgical Patient Plates (i.e. grounding pads,
3. Select an Appropriate Site
3. Select an Appropriate
Site - Use non-conductive solutions unless specific medical
™
Patient3M
Plates
Electrosurgical
Patient
Plates
neutral electrodes)
provide
a safe
return
path necroses:
for
To reduce
the risk
of burns
and pressure
To reduce the risk of burns and pressure necroses:
reasons
otherwise.
• Select a smooth, well-vascularized,
muscular area close
surgical
site well-vascularized,
• toSelect
a smooth,
muscularindicate
area close to
surgical site
English
1100 electrosurgical
and
8100 Series
English
current.
Patient
Plates
consist
of
a
that allows full patient plate-to-skin contact.
that allows full patient plate-to-skin contact.
Use
the
lowest
possible
power setting.
• Site
must
besurrounded
clean, dry,who
and will
free
ofahair.
site.
• application
Site must be
clean, dry, and free of hair. Remove hair at application site.
conductive
adhesive
area
byuse
non-conductive
sure everyone who
will
usesave
this this document.
Read
and
Make
sure
everyone
thisRemove hair at
•
Locate
patient
plate
closer
to
the
surgical
site
than
to
the
ECG
electrodes.
• Locate patient plate
closer to-the
surgical
site than
to the ECG times.
electrodes.If long activation is
Use
short
activation
information contained
within
this
product
knows
and understands
allpatient
information
contained
withinis
thisfluid resistant.
border
adhesive.
plate
backing
•The
Remove
metal jewelry.
• Remove metal jewelry.
practices for electrosurgery.
document and AORN recommended
practices
for electrosurgery.
necessary,
allow
time
between
activations to allow
• single
Avoid placement
over bony
prominences,and
metal non
prostheses,
or scar
tissue. over bony prominences, metal prostheses, or scar
•sterile.
Avoid
placement
tissue.
Patient
use only,
disposable
READ
WARNINGplates are
• Avoid placement such that current flows through a metal
prosthesis
or
• Avoid
placement
such that current
flows
through
a metalpatient
prosthesis plate
or
the
tissue
under
to
cool.
ExplanationPatient
of Symbols:
plates are supplied
pre-corded
non-corded.
conductive implant.
For patientsor
with
implanted electronicconductive
devices, contact
implant. For patients with implanted electronic devices, contact
U
se
two
split-style
patient
plate
with
the 1157C
s for use.
device manufacturer
for precautions to avoid interference.device manufacturer for precautions to avoid interference.
• Attention, see instructions
for use.
The •3M™
1146,
1181
Electrosurgical
• 1148-LP,
Do not apply patient
plateand
where1182
fluids may
pool.
•
Do
not
apply
patient
plate
where
fluids
may
pool.
2010-10AZ
hourglass are symbols
that represent
The lot in a box and the hourglass are symbols that represent
Y-adapter.
• Do designed
not apply patientfor
plateuse
over injection
site.
• Do not apply patient plate over injection site.
n date. The hourglass isPatient
followed lot
byPlates
on
pediatric
patients
number andare
expiration date. The hourglass
is followed
by
•
Select
a
suitable
site
remote
from
any
warming
device.
•
Select
a
suitable
site
remote
from
any warming
If you
do notdevice.
receive the desired surgical effect, stop
represents the expiration date (year
a year and month which represents the expiration date (year
and should
notPlate
be Application
used on patients greater than
15kg
4.
4. Plate
Application
e entire line after the hourglass
and month: 2010-10). The entire line after the hourglass
and
verify
the
To reduce the risk of burns and pressure necroses: To reduce the risk of burns and pressure necroses: correct distention/irrigation solution
er 2010-10AZ).
represents the lot number 2010-10AZ).
(33 lbs).
• Use the largest plate that will fit.
• Use the largest plate that will fit.
and good patient plate contact before proceeding
2 • Do not reuse. • Inspect patient plate, cord, and cable. Do not use if cut,• modified,
or
Inspect patient
plate, cord, and cable. Do not use if cut, modified, or
with electrosurgery or increasing the power setting.
damaged.
damaged.
• Shock hazard warning.
• Apply patient plate onto skin with long edge toward surgical
site.patient plate onto skin with long edge toward surgical site.
• Apply
WARNING
er latex.
• Contains no natural
rubber
latex.
• Apply one end of patient plate and smoothly press to other
end. one
Avoid
• Apply
endairof patient plate and smoothly press to other end. Avoid air
Improper use of entrapment.
Electrosurgical Patient Plates canentrapment. 3. Select an Appropriate Site
Product Description
g pads, neutral
electrodes) provide
a Plates (i.e.•grounding
3M Electrosurgical
Patient
pads, neutral
electrodes)
provideplate
a or patient’s
Avoid stretching
or folding
either patient
skin. stretching To
• Avoid
or folding
either patient
plate or
skin.
reduce
the risk
ofpatient’s
burns
and pressure necroses:
electrosurgical
burns
or
pressure
necroses.
tient Plates safe
consist
of acause
conductive
return
path
for electrosurgical
current.
Patient
Plates consist
• Do not
use electrode
gel. of a conductive
• Do not use electrode gel.
plate
• Scompletely
elect a around
smooth,
muscular area close
border adhesive.
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patient
plate by a safety,
adhesive
surrounded
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border
adhesive.
patient
plate
• Do not
wrap patient
plateThe
completely
around a limb. below.
Do
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Do overlap.
not wrap patient
a limb.well-vascularized,
Do not overlap.
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instructions
gle use only,
disposable
and
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is fluid
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Patient plates
arenot
single
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and not
• Do
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Do not isreposition patient plate
after initial site
application.
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patient isfull patient plate-to-skin
to
surgical
that
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anyorofnon-corded.
these
instructions
increases
or non-corded.
Patient
plates
are areto
sterile.
Patient
plates
supplied
pre-corded
Patient
plates arecontact
repositioned,
confirm full
plate-to-skin
and integrity
of all
repositioned,
confirm full plate-to-skin contact and integrity of all
Us) used incompatible
surgical procedures
contact.
with electrosurgical
generators
(ESUs) used inburns
surgical procedures
connections.
connections.
the
risk
of
electrosurgical
or
pressure
necroses.
1, Electrosurgical
defineddevices,
by the ANSI/AAMI Standard HF-18:2001,
Electrosurgical
• Do not place
compressiondevices,
stocking or device over patient
plate.
• Do
not place compression stocking or device over patient plate.
• Site must be clean, dry, and free of hair. Remove hair at
Electrosurgical Devices (AAMI HF-18).• Do not coil or wrap cord or cable around limb or metal•object.
Do not coil or wrap cord or cable around limb or metal object.
•
Do
not
allow
cord
or
cable
to
lie
on
or
under
patient.
• Do not allow cord or cableapplication
to lie on or under
patient.
site.
WARNING
• Do Plates
not place
clamp
under patient.
• Do not place cable clamp under patient.
tes can cause
electrosurgical
Improper
use of Electrosurgical Patient
cancable
cause
electrosurgical
• L
ocate
patient
Use for
ofsafety,
two patient
1157C Y-adapter:
Instructions
Safe
Use of two patient plates with 1157C Y-adapter:plate closer to the surgical site than to the
ety, follow burns
all of the
instructions
or pressure
necroses. For patient
followplates
all Use
of with
the instructions
• instructions
Patients with increases
dry skin, adipose
• Patients may
with dry skin, adipose
and/or poor vascularization may
ctions increases
risk of
below.the
Failure
to follow any of these
the risktissue,
of and/or poor vascularization
ECGtissue,
electrodes.
require
two patient
plates.
require two patient plates.
.
electrosurgical
burnsAppropriate
or pressure necroses.
1. Use
Pads,
Equipment,
and Accessories
•
Remove
jewelry.
• Do not plug cords into 1157C Y-adapter until after each• patient
Do notplate
plughas
cords into 1157C Y-adaptermetal
until after
each patient plate has
Instructions for Safe
Use
• D
oes
the
electrosurgical
generator
have
a
Contact
Quality
been
applied.
been
applied.
Accessories
1. Use Appropriate Pads, Equipment, and Accessories
• A
void
placement
over bony prominences, metal
•System
Preferred placement
of each plate is bilaterally (i.e., left• and
right side)
Preferred
placement of each plate is bilaterally (i.e., left and right side)
Monitoring
ve a
• Does the electrosurgical
generator
have a(e.g. REM™, ARM™, NESSY™)?
equally
distant
from
surgical
site.
prostheses,
or
scar
tissue.
equally
distant
from
surgical
site.
g. REM™,
Contact Quality Monitoring System (e.g. REM™,
ARM™, NESSY™)?
• A
void
placement
such
that current flows through a metal
NO- use solid-style
YES- use split-style
ates.
o If NO - use solid-style patient plates.
prosthesis
or
conductive
implant. For patients with imlates.
o If YES - use
split-style
patient plates.
patient
plates.
patient plates.
planted electronic devices, contact device manufacturer
chokes to prevent•electrosurgical
Use ECG cables with RF suppressors/chokes to prevent electrosurgical
• For patients 15kg or less use 3M™ 1146,
electrodes.
for precautions to avoid interference.
current from flowing through the ECG electrodes.
ed with 3M patient
• plates.
Use 3M cables
and adapters1181
as required
3M patient
plates.
1148-LP,
or with
1182
Electrosurgical
Patient
•
Do not apply patient plate where fluids may pool.
M patient plates are
safe toexpiration
use for date on package. 3M patient plates are safe to use for
• Check
5. Plate
removal
5. Plate removal
are
designed for use on pediatric
14 days afterPlates
package isthat
opened.
•
Do not apply patient plate over injection site.
• Do not remove by pulling on cable or cord.
• Do not remove by pulling on cable or cord.
verload the2.Patient
Plate with
Too
To Reduce
the patients.
Risk of Burns, Do Not Overload the Patient Plate with Too
• Start at corner. Peel back slowly at 180 degree angle to• prevent
skin
Start
at
corner.
Peel
back
slowly at 180
degree angle
to prevent
skin from any warming device.
• Select
a suitable
site
remote
Much Current
trauma.
trauma.
vice or active accessory
for activate
more
• Do not
the
electrosurgical
device
or
active
accessory
for
more
• Use ECG cables with RF suppressors/chokes to prevent
od, as this will overload
thanthe
60 patient
seconds in any 2-minute period, as this will overload the patient
Plate Application
For more information on from
electrosurgery,
or tothrough
obtain a copy
the
3M
High Current
Forofmore
information
on 4.
electrosurgery,
or to obtain a copy of the 3M High Current
electrosurgical
flowing
the
ECG
patient burn.
plate with current
and may result incurrent
a patient burn.
Technical Bulletin (70-2009-8640-7), go to http://www.3M.com/groundingpad
Technical Bulletin (70-2009-8640-7),
go tothe
http://www.3M.com/groundingpad
activation time, and
conductive
• aAny
combination of high power, long activation time, and a conductive
To
reduce
risk of burns and pressure necroses:
electrodes.
patient plate with current
may
irrigantand
(e.g.,
saline) may overload the patient plate with current and may
Notice to manufacturers of radio frequency (RF) medical
devices
and active of radio
• Use
the largest
plate
thatandwill
fit.
to manufacturers
frequency
(RF) medical
devices
active
s risk:
result
patient
To
reduce this
risk:adapters as required withNotice
in a• Use burn.
3Maccessories:
cables
and
3M
patient
All 3M patient plates conform to Section 4.2.3.1
of the AAMI
HF-18
accessories:
All 3M
patient plates conform to Section 4.2.3.1 of the AAMI HF-18
less specific medical reasons
o Use non-conductive solutions unless specific medical reasons
• I
nspect
patient
plate,
cord,
and
Standard, 2001 Edition, which specifies that a patient plate
must be2001
capable
of which specifies that a patient plate must be capable of cable. Do not use if cut,
Standard,
Edition,
indicateplates.
otherwise.
carrying a current of 700 milliamperes (mA) for a continuous
perioda of
60 seconds.
carrying
current
of
700 milliamperes
(mA) for aor
continuous
period of 60 seconds.
modified,
damaged.
etting.
o Use• theClowest
power setting.
heckpossible
expiration
on package.
3M patient
plates
are
Manufacturers
ofdate
RF medical
devices or accessories
should
not
recommend
Manufacturers
of RF3Mmedical devices or accessories should not recommend 3M
g activation is necessary,
allow
timeactivation
o Use
short
times. If long activation is necessary, allow time
• A
pply
patient
plate
onto
long edge toward
plates14
for use
withafter
RF medical
devices orisaccessories
thatplates
can deliver
patient
for usea with RF medical devices or accessories that
can skin
deliver with
a
safe
to patient
use
for
days
package
opened.
tissue under patient platebetween
to cool.
activations
to allow
the tissue
under patient
plate to cool.
current
load
to
the
patient
plate
that
exceeds
the
AAMI
HF-18
Standard.
current
load
to
the
patient
plate
that
exceeds
the
AAMI
HF-18
Standard.
with the 1157C Y-adapter.
surgical site.
o Use two split-style patient plates with the 1157C Y-adapter.
surgical effect, stop and
o Ifverify
you the
do not receive the desired surgical effect, stop and verify the
2.
To
Reduce
the
Risk
of
Burns,
Do
Not
Overload
the
• Apply one end of patient plate and smoothly press to
ion and good patient platecorrect
contactdistention/irrigation solution and good patient plate contact
rgery or increasing thePatient
power
before proceeding
with
electrosurgery
or increasing
the power
Plate3
with
Too Much
Current
other end. Avoid air entrapment.
3
setting.
REM is a trademark of Valleylab.
REM is a trademark
Valleylab. either patient plate or patient’s
• Do not activate
the
electrosurgical
device
or
active
• Avoid stretching
oroffolding
Made in U.S.A. by
Made in U.S.A. by
ARM is a trademark of Conmed/Aspen Labs.
ARM is a trademark of Conmed/Aspen Labs.
3M Health Care
3M Health Care
is a trademark
of ERBE.
accessory
for more than 60 secondsNESSY
in any
2-minute
skin. NESSY is a trademark of ERBE.
St. Paul, MN. 55144-1000
St. Paul, MN. 55144-1000
LOT
6
(USA) 1-800-228-3957
www.3M.com
Solid Style
Split Style
Solid Style
Split Style
LATEX
©3M 2007 All rights
reserved.
(USA)
1-800-228-3957
3M is a trademark
of 3M Co.
www.3M.com
©3M 2007 All rights reserved.
3M is a trademark of 3M Co.
lectrosurgery.
Solid Style
• Avoid placement over bony prominences, metal prostheses, or scar tissue.
• Avoid placement such that current flows through a metal prosthesis or
conductive implant. For patients with implanted electronic devices, contact
device manufacturer for precautions to avoid interference.
• Do not apply patient plate where fluids may pool.
ymbols that represent
• Do not apply patient plate over injection site.
rglass is followed by
• Select a suitable site remote from any warming device.
expiration date (year
4.
Plate
Application
er the hourglass • Do not use electrode
5. Plate removal
gel.
To reduce the risk of burns and pressure necroses:
• Do not remove by pulling on cable or cord.
• Do not •wrap
patient
plate
completely
around
a
limb.
Use the largest plate that will fit.
Inspect patient plate, cord, and cable. Do not use if cut, modified,
or• Start at corner. Peel back slowly at 180 degree angle to
Do not •overlap.
damaged.patient plate after initial application. If
prevent skin trauma.
• Do not reposition
• Apply patient plate onto skin with long edge toward surgical site.
patient •is Apply
repositioned,
confirm
full
plate-to-skin
contact
one end of patient plate and smoothly press to other end. Avoid air
For more information on electrosurgery, obtain a copy
and integrity
of all connections.
entrapment.
electrodes) provide
Avoidcompression
stretching or folding
eitherorpatient
plate
or patient’s
a • Do not •place
stocking
device
over
patient skin.of the 3M High Current Technical Bulletin (70-2009-8640-7).
sist of a conductive
•
Do
not
use
electrode
gel.
plate.
Notice to manufacturers of radio frequency (RF)
e. The patient plate
• Do not wrap patient plate completely around a limb. Do not overlap.
• D
o
not
coil
or
wrap
cord
or
cable
around
limb
or
metal
devices and active accessories: All 3M™ patient
sposable and not
• Do not reposition patient plate after initial application. If patientmedical
is
Patient plates are
object. repositioned, confirm full plate-to-skin contact and integrity of plates
conform
to Section 201.15.101.5 of the ANSI/AAMI/IEC
all
gical procedures • Do not allow
connections.
cord or cable to lie on or under patient.
60601-2-2:2009 Standard which specifies that a patient plate
al devices,
Do not place compression stocking or device over patient plate.
• Do not •place
cable clamp under patient.
must be capable of carrying a current of 700 milliamperes
• Do not coil or wrap cord or cable around limb or metal object.
Use of two patient
plates
with
1157C
Y-adapter:
(500 milliamperes for pediatric patient plates) for a continu• Do not allow cord or cable to lie on or under patient.
• P
atients
with
dry
skin,
adipose
tissue
and/or
poor
•
Do
not
place
cable
clamp
under
patient.
ous period of 60 seconds. 3M™ certifies that the 3M™ 8100
electrosurgical
Use
of
two
patient
plates
with
1157C
Y-adapter:
of the instructions
vascularization may require two patient plates.
Series and 1100 Series Electrosurgical Patient Plates, when
Patients with dry skin, adipose tissue, and/or poor vascularization may
s the risk of
• Do not •plug
cords
into
1157C
Y-adapter
until
after
each
used in accordance with these Instructions for Use, meet the
require two patient plates.
patient •plate
has
been
applied.
of the ANSI/AAMI/IEC 60601-2-2:2009 standard
Do not plug cords into 1157C Y-adapter until after each patientrequirements
plate has
applied. of each plate is bilaterally (i.e., left
• Preferred been
placement
for compatibility when used with high frequency (HF) electro• Preferred
placement
of each
is bilaterally
side) generators with CQM systems that operate with both
and right
side) equally
distant
fromplate
surgical
site. (i.e., left and right
surgical
equally distant from surgical site.
nt electrosurgical
ient plates.
are safe to use for
tient Plate with Too
ccessory for more
overload the patient
and a conductive
ith current and may
edical reasons
necessary, allow time
atient plate to cool.
C Y-adapter.
stop and verify the
atient plate contact
sing the power
5.
a maximum impedance limit (not to exceed 150 ohms) and
a differential (dynamic) impedance limit (not to exceed 40%).
Manufacturers of RF medical devices or accessories should
not recommend 3M™ patient plates for use with RF medical
devices or accessories that can deliver a current load to the
patient plate that exceeds the ANSI/AAMI/IEC 60601-2-2:2009
Standard.
Plate removal
• Do not remove by pulling on cable or cord.
• Start at corner. Peel back slowly at 180 degree angle to prevent skin
trauma.
For more information on electrosurgery, or to obtain a copy of the 3M High Current
Technical Bulletin (70-2009-8640-7), go to http://www.3M.com/groundingpad
Notice to manufacturers of radio frequency (RF) medical devices and active
accessories: All 3M patient plates conform to Section 4.2.3.1 of the AAMI HF-18
Standard, 2001 Edition, which specifies that a patient plate must be capable of
carrying a current of 700 milliamperes (mA) for a continuous period of 60 seconds.
Manufacturers of RF medical devices or accessories should not recommend 3M
patient plates for use with RF medical devices or accessories that can deliver a
current load to the patient plate that exceeds the AAMI HF-18 Standard.
3
Made in U.S.A. by
3M Health Care
St. Paul, MN. 55144-1000
(USA) 1-800-228-3957
www.3M.com
REM is a trademark of Valleylab.
ARM is a trademark of Conmed/Aspen Labs.
NESSY is a trademark of ERBE.
©3M 2007 All rights reserved.
3M is a trademark of 3M Co.
7
Frequently Asked Questions
Generator and Grounding Pad
Compatibility
Q: Can you use a split style grounding pad on any
generator?
Q: Can 3M Grounding Pads be used with ANY medical
device that generates or uses radiofrequency (RF)
current?
A: No. For older generators which are not equipped with a
CQM, only solid style grounding pads can be used. If a split pad
is mistakenly used, the generator will refuse to work.
A: NO. 3M Grounding pads are intended for use with standard
electrosurgical generators for the purposes of tissue cutting
and coagulation as described in the ANSI/AAMI/IEC 60601-22:2009 standard. 3M Grounding Pads have not been approved
for other medical uses such as cryogenic tissue freezing or
pain management procedures. If there is any question about an
RF medical device, the manufacturer should be asked to certify
in writing that their device is safe and efficacious for use with
grounding pads that comply with the ANSI/AAMI/IEC 60601-22:2009 standard.
Q: What happens if you try to use any brand of solid
style pad (including 3M, Valleylab, Conmed, Aspen, and
Megadyne) with a generator equipped with a CQM?
Q: What does CQM stand for?
A: CQM is the abbreviation for Contact Quality Monitor, and is
the generic term used for REM™, ARM™, NESSY™, all of which
are trademarks of individual generator manufacturers.
Q. How does a CQM protect the patient against
electrosurgical burns?
A: The CQM is designed to be used with split style grounding
pads, and will not permit the generator to work if the grounding
pad does not have adequate electrical contact with the patient.
8
A: The generator will sense that a solid pad has been connected to it, and will automatically deactivate the CQM circuit.
Q: What will happen if a grounding pad starts to come
loose under the drapes during surgery?
A: If a split style pad is being used with a generator equipped
with a CQM, an alarm will sound and the generator will be
deactivated. If a solid pad is being used, there will be no alarm
even if the pad becomes completely detached from the patient.
Q: In an O.R. with a mix of generators where some
have CQM and some do not, would it be possible to
standardize on a single brand of solid pad for the
whole O.R.?
A:While this would be possible, this would deactivate the
CQM in the generators, and result in a loss of 3M’s
indemnification coverage. 3M strongly recommends that
no type of solid grounding pad ever be used with a CQM
generator.
Frequently Asked Questions
Clinical Considerations
Grounding Pad Cables & Adapters
Q: Should grounding pads be placed under warming
blankets or warming devices?
Q: What is the most common solid grounding pad
adapter plug in the world?
A: No. The use of a warming blanket or warming device over
a grounding pad elevates the skin temperature at the pad site
and does not allow the heat from under the pad to escape
properly. If it is not possible to keep the pad away from the
warming blanket/device, then the warming blanket/device
should not be used at the same time as the electrosurgical
generator.
A: It is generally known as the “1/4 inch phono plug”. The
3M part numbers for this plug are 1151C for corded grounding pads and 3151C for non-corded pads. There are more
old generators that use this plug style than all the other types
combined.
Q: What conditions can make a grounding pad stick
more aggressively to a patient, and possibly cause some
delamination of the conductive adhesive from the pad
upon removal?
A: A Y-adapter is used to connect two split style pads to an
electrosurgical generator with a CQM. It is 3M part number
1157C. It is used when one split pad alone will not satisfy the
CQM system on the generator due to high skin impedance or
excessive adipose tissue on the patient.
A: Applying a grounding pad to a weight-bearing site will
significantly increase its adhesion to the patient. In addition,
perspiration from a patient will be absorbed by the conductive
adhesive on the pad making it softer and stickier. Additional
care and a very slow removal technique should be used on any
grounding pad that is strongly adhered to the patient.
Q: What is a Y-adapter, and when is it used?
Q: Does the red tab side of a 3M reusable grounding pad
cable have to face a certain direction when attached to
a 3M non-corded grounding pad?
A: No. The conductors inside the reusable cable will make
contact with the pad either way.
Q: Can you ETO sterilize a grounding pad?
Q: What is the 3M 1178C adapter used for?
A: The pad by itself may not be sterilized, but it may be left
sealed in its original packaging and placed on the outside of a
kit which will undergo ETO sterilization. This will sterilize the exterior of the package, but the pad will remain non-sterile. This
sterilization must not compromise the integrity of the package.
If the plate is exposed to ETO, residuals left in the adhesive or
gel can cause a severe skin reaction.
A: It is used with CQM generators which may have small or
worn connector pins in the grounding pad receptacle. It will
make good electrical contact with the generator receptacle
itself and then allow the split style pad to be plugged into
the 1178C adapter.
Q: If a patient is only under local anesthetic for a
surgical procedure, it is possible that they may feel
some sensation of heat under the grounding pad?
A: Although uncommon, this is possible and perfectly normal.
In the extremely unlikely circumstance that the sensation is
so hot as to be uncomfortable, the grounding pad should be
checked to make sure that it is still in full contact with the
patient.
9
Competitive Grounding Pad Cross-Reference
Notes on Competitive Grounding Pad Cross-Reference:
Grounding Pad
Manufacturer
Grounding Pad
Brand Name
Conmed
Macrolyte®
Conmed
Macrolyte®
Conmed
Macrolyte®
There are two reasons for this:
Conmed
Macrolyte®
1. It is not possible to keep an up-to-date list of every
brand of grounding pad sold in the world. Many different
brands are introduced and/or become obsolete every year.
Conmed
Macrolyte®
Conmed
Macrolyte®
Conmed
Macrolyte®
2. Due to the fact that the CQM on generators (such as
REMTM, ARMTM, NESSYTM, etc.) are deactivated when
any type of solid style grounding pad is used with them,
there are instances where the customer is using the
wrong kind of grounding pad with their generator. This is
a safety issue that cannot be solved by simple substitution
of a 3M solid ground pad for another brand of solid pad.
Conmed
Macrolyte®
Conmed
SureFit™
Conmed
SureFit™
Conmed
SureFit™
Conmed
SureFit™
Conmed
Macrolyte®
For these reasons, the correct procedure is to first
determine whether the generator is designed to be used
with split or solid grounding pads and then to select the
proper 3M grounding pad based on that information.
A 3M adapter will be required if the generator is only
designed to work with solid grounding pads.
Conmed
Macrolyte®
Conmed
Macrolyte®
Conmed
Macrolyte®
Conmed
ThermoGard®
Conmed
ThermoGard®
NOTE 1: The 3M 1148-LP, 1149C-LP and 9135-LP
grounding pads do not require the use of the 3M 1172C
adapter.
Conmed
ThermoGard®
Conmed
ThermoGard®
Conmed
ThermoGard®
Conmed
ThermoGard®
Conmed
ThermoGard®
Valleylab
Polyhesive™ II
Valleylab
Polyhesive™ II
Valleylab
Polyhesive™ II
Valleylab
Polyhesive™ II
Valleylab
Polyhesive™ II
Valleylab
Polyhesive™ II
Valleylab
Polyhesive™ II
Valleylab
Polyhesive™ II
This listing represents the major brands sold in the United
States. There are a large number of independent and
foreign brands that have been deliberately omitted from
this list.
10
Reference Number
Recommended 3M Part #
Alternate 3M Part #
400-2100
9135-LP
1149C-LP
400-2349
9130
1149
400-2700
9130F
1149F
402-2204
9165
1179
402-2204-15
9165L
402-2508
9165
1181
402-2750
9160
1180
402-2800
9160F
1180F
410-2000
9165
410-2100
9165L
410-2200
9160F
410-2400
9160
425-2200
9135-LP
1148-LP
425-2725
9130
1146
440-2400
No 3M equivalent
450-2300
No 3M equivalent
51-7310
9165
1179
51-7410
9160
1180
51-7710
9165
1181
51-7810
9135-LP
1149C-LP
51-7910
9135-LP
1148-LP
7-382
9165
1179
7-383
9165
1181
E7506
9135-LP
1149C-LP
E7507
9165
1179
E7507-DB
9165L
E7509
9160
1180
E7509B
9160F
1180F
E7510-25
9165
1181
E7510-25DB
9165L
E7512
No 3M equivalent
11
Listing for Electrosurgical Generators
which Use Solid Style Grounding Pads
Notes: Split style grounding pads cannot be used with these generators as they will usually keep the generator from
producing surgical current.
Generator
Manufacturer Name
Generator
Model Number
Non-Corded Solid
Pad Adapter
Non-Corded Solid
Pad Adapter Kit
3M
600
3153C
21153K
ACMI
Acmitron C-650
3151C
3151C
3151C
3153C
3153C
3153C
3151C
3151C
21151K
21151K
21151K
21153K
21153K
21153K
21151K
21151K
3151C
3151C
3151C
3151C
3151C
3151C
3151C
3151C
21151K
21151K
21151K
21151K
21151K
21151K
21151K
21151K
ACMI
Bicap
ACMI
Bicap II (BC-200)
ACMI
Pneumotome P-100
ACMI
Pneumotome P-101
ACMI
PneumotomeP-200A
ACMI
Wrappler C-650
ACMI
Wrappler C-650-FO
American Cytoscope Mfg. Inc - see ACMI
Aspen
100
Aspen
771
Aspen
772
Aspen
773
Aspen
3000
Aspen
9600
Aspen
9900
Aspen
2000-BP-11
12
Aspen
200-BP
3151C
21151K
Aspen
5000 Power Plus
3151C
21151K
Aspen
701-766
3151C
21151K
Aspen
737XL 3151C
21151K
Aspen
753E
3151C
21151K
Aspen
Aspen
Aspen
Aspen
Aspen
Blendtomes
Hyfrecator
MF-180
MF-360
MF-360A
3153C
3151C
3151C
3151C
3151C
21153K
21151K
21151K
21151K
21151K
Listing for Electrosurgical Generators which Use Solid Style Grounding Pads (cont.)
Generator
Manufacturer Name
Generator
Model Number
Non-Corded Solid
Pad Adapter
Non-Corded Solid
Pad Adapter Kit
Aspen
MF-450
3151C
21151K
Birtcher - see Aspen
Boston Medical
Boston Medical
Boston Scientific
Boston Scientific
Boston Scientific
Bovie
Bovie
Bovie
Bovie
Bovie
Bovie
Bovie
Bovie
Bovie
Bovie
INS 1000
Montgomery Nerve
820-T
821-T
Enhart II 1172C
400
400B
400SR
405A
Bantam
BS
CSV
CSV II
RFG
RFG 313
3153C
3153C
Use 21172 cable
Use 21172 cable
Use 21172 cable
3151C
3151C
3151C
3153C
3153C
3151C
3151C
3151C
3153C
3153C
21153K
21153K
Use 21172 cable
Use 21172 cable
Use 21172 cable
21151K
21151K
21151K
21153K
21153K
21151K
21151K
21151K
21153K
21153K
Bovie
RFG 313B
3153C
21153K
Bovie
RFG 3CF
Use 21172 cable
Use 21172 cable
Bovie
Solid State
3151C
21151K
Bovie
Specialist
3173C
21173K
Bovie
URO
3151C
21151K
3151C
3151C
3151C
3151C
3153C
3153C
3153C
3153C
21151K
21151K
21151K
21151K
21153K
21153K
21153K
21153K
Bard - see Aspen
Bovie
Burdick
Burdick
Cameron-Miller
Cameron-Miller
Cameron-Miller
Cameron-Miller
Cameron-Miller
X10
SU-7
SU-8
26-1290
80-1983 80-8010 80-8060 80-8086 Mon-It Sentry 13
Listing for Electrosurgical Generators which Use Solid Style Grounding Pads (cont.)
Generator
Generator
Manufacturer Name
Model Number
CIRCON - see ACMI
Concept - see Aspen
Conmed - see Aspen
Cooper
1000
Cooper
6000
Davol - see EMS
Electra - see EMS
Elmed - see Martin/Elmed/Wolf
EMS
Clinic 2000
EMS
EMD 101-2000
EMS
System 2000
EMS
System 3000
EMS
System 5000
EP Tech - see Boston Scientific
LNG Neuro-Gen 901
Martin/Elmed/Wolf 56
Martin/Elmed/Wolf
2000
Martin/Elmed/Wolf 100L
14
Non-Corded Solid
Pad Adapter
Non-Corded Solid
Pad Adapter Kit
3151C
Use 21172 cable
21151K
Use 21172 cable
3151C
3151C
3151C
3151C
3151C
21151K
21151K
21151K
21151K
21151K
3170C
3155C
3171C
3171C
21170K
21155K
21171K
21171K
Martin/Elmed/Wolf 2040U
3155C
21155K
Martin/Elmed/Wolf 300B
3171C
21171K
Martin/Elmed/Wolf 400RFS
3155C
21155K
Martin/Elmed/Wolf 600RF
3155C
21155K
Martin/Elmed/Wolf 600RFS
3155C
21155K
Martin/Elmed/Wolf
Martin/Elmed/Wolf
Martin/Elmed/Wolf
Martin/Elmed/Wolf
Martin/Elmed/Wolf
Martin/Elmed/Wolf
Martin/Elmed/Wolf Martin/Elmed/Wolf
Electrotome 120
Electrotome 170
Electrotome 170RF Electrotome 60
Electrotome 600RF Elmed 150
Laboratome 569_A-120
Teletome 800RF 3155C
3155C
3155C
3155C
3155C
3151C
3155C
3155C
21155K
21155K
21155K
21155K
21155K
21151K
21155K
21155K
Listing for Electrosurgical Generators which Use Solid Style Grounding Pads (cont.)
Generator
Generator
Manufacturer Name
Model Number
Maxxim Medical - see Bovie
MDT - see Bovie
Medtronic
8010
Medtronic
ATAKRII
Microvasive
Endostat
Microvasive
Endostat II
NDM - see Aspen
Neomed/Richards
3000 Series
Olympus
PSD & UES Models
Radionics - see Bovie
Non-Corded Solid
Pad Adapter
Non-Corded Solid
Pad Adapter Kit
3153C
3153C
3151C
3151C
21153K
21153K
21151K
21151K
3151C
not available
not available
Siemens
3153C
21153K
Statham
3153C
21153K
3151C
3151C
3153C
21151K
21151K
3153C
21153K
21151K
Richards - see Neomed/Richards
Ritter - see Bovie
Sybron - see Bovie
Utah Medical
Utah Medical
Valleylab
Valleylab
Wolf - see Martin/Elmed/Wolf
21153K
15
Listing for Electrosurgical Generators
which Use Split Style Grounding Pads
Notes: Split style grounding pads should always be used with these generators.While these generators will
accept solid style pads, the use of any brand of solid pad (including 3M, Conmed, Valleylab, and Megadyne) will
cause the CQM system (such as REM™, ARM™, NESSY™, and PSS™) to automatically turn itself off.
16
Generator
Manufacturer Name
Aaron Medical Systems
Aaron Medical Systems
Aspen
Bard
Bard
Bard
Birtcher
Birtcher
Birtcher
Birtcher
Bovie Medical Systems
Conmed
Conmed
ERBE
ERBE
NDM
Generator
Model Number
Model 1250
Model 2250
Excalibur, all models
4400 Power Plus
4400 with Thermogard
5000 w/PSS upgrade
4400 Power Plus
4400 with Thermogard
5000 w/PSS upgrade
Argon Beam Systems
IDS-300
Argon Beam Systems
Sabre, all models
ICC, all models
VIO, all models
Powerpoint 1000
Valleylab
All Force models
Valleylab
Upgraded SSE models
Valleylab
Upgraded Surgistats
Non-Corded Split
Pad Cable
21174
21174
21174
21174
21174
21174
21174
21174
21174
21174ABC
21174
21174ABC
21174
21174
21174
21174
21174
21174
21174
3M Electrosurgical Grounding Pads 1100 Series Small
The 3M 1146, 1148-LP, 1181 and 1182 grounding pads all have a conductor area of approximately 10
square inches, have a white foam backing, and are intended for use when a larger pad is too big to use
at a recommended placement site.
1146
Small non-corded solid
grounding pad for use with a
3M 21172 reusable cable and a
3M 31xxC series adapter plug
1181
Small precorded split
grounding pad
1148-LP
Small precorded solid
grounding pad for use with a
3M 31xxC series adapter plug
1182
Small non-corded split
grounding pad for use with a
3M 21174 reusable cable
17
3M Electrosurgical Grounding Pads 1100 Series
The 3M 1149, 1149C-LP, 1179 and 1180 grounding pads all have a conductor area of approximately
20 square inches and have a white foam backing.
1149
or 1149F 5-pack
Non-corded solid grounding
pad for use with a 3M 21172
reusable cable and a 3M
31xxC series adapter plug
1179
Precorded split grounding pad
18
1149C-LP
Precorded solid grounding pad
for use with a 3M 31xxC series
adapter plug
1180
or 1180F 5-pack
Non-corded split grounding pad for
use with a 3M 21174 reusable cable
3M Electrosurgical Grounding Pads 8100 Series
The 3M 8149F and 8180F grounding pads both have a conductor area of approximately 20 square inches and
fluid resistant non-woven backing which allows heat to pass through up to 25% faster than foam.
8149F
5-pack
Non-corded solid grounding
pad for use with a 3M 21172
reusable cable and a 3M 31xxC
series adapter plug
8180F
5-pack
Non-corded split grounding
pad for use with a 3M 21174
reusable cable
19
3M Electrosurgical Grounding Pads 9100 Series
The 3M 9130, 9135, 9135-LP, 9160 and 9165 Universal Grounding Pads all have a conductor area of 15 square
inches and come with the patented 3M Green Safety Ring technology which allows them to perform the same as
grounding pads that are up to 33% larger in conductor area.In addition, they have fluid resistant, non-woven backing
which allows heat to pass through up to 25% faster than foam and they have no minimum age or weight limit.
9130
Universal precorded solid
grounding pad for use with a 3M
31xxC series adapter plug
9160
9165
or 9160F 5-pack
Universal non-corded split
grounding pad for use with a 3M
21174 reusable cable
20
9135-LP
or 9130F 5-pack
Universal non-corded solid
grounding pad for use with a 3M
21172 reusable cable and a 3M
31xxC series adapter plug
Universal precorded split
grounding pad
Expiration and Shelf Life Information
3M Electrosurgical Pads are considered safe to use up to 14 days after package seal has been broken. Shelf life
expiration date appears on each package. To the right of the hourglass (see illustration on package), we are now
stating the year of expiration followed by the month of expiration in that year. The day of expiration will always
be the last day of that month. If for example, “2012-10 AT” were to appear to the right of the hourglass, year of
expiration would be year 2012, month would be October and day would be the 31st.
“Lot number” will now become “lot code.” The lot code will be made up of two letters that will follow the numbers
for year and month. For example, if “2012-10 AT” were to appear to the right of the hourglass, the lot code would
be: “AT.” These two letters will vary from AA to ZZ during the month.
The new lot code will not state the date of manufacture. However, because our electrosurgical pads have a threeyear shelf life, subtracting three-year shelf life from the expiration date will tell us the date of manufacture.
Expiration Year
Expiration
Month
(Always last day
of the month.)
Lot Color
2012 - 10 AT
Date of Manufacture Subtract
3 Years from Expiration Year
(October, 2012 for our example.)
21
Electrosurgical Generator Adapters
for Solid Style Grounding Pads
Notes: All 3M 31xxC series adapters may be used with non-corded 3M solid style grounding pads and when
used in conjunction with a 3M 21172 reusable cable. This combination of adapter, reusable cable and grounding
pad are for generators that use solid style grounding pads. These adapters may be used with corded 3M solid
style grounding pads.
3151C
For use with 3M solid style
grounding pads in conjunction with a 3M 21172 reusable
grounding pad cable.
3M Order #3151C - 3M Part # 70-2007-2685-2
3153C
For use with 3M solid style
grounding pads in conjunction with a 3M 21172 reusable
grounding pad cable.
3M Order #3153C - 3M Part # 70-2007-2686-0
22
3154C
For use with 3M solid style
grounding pads in
conjunction with a 3M 21172
reusable grounding pad cable.
3M Order #3154C - 3M Part # 70-2007-2687-8
3155C
For use with 3M solid style
grounding pads in
conjunction with a 3M 21172
reusable grounding pad cable.
3M Order #3155C - 3M Part # 70-2007-2688-6
3171C
For use with 3M solid style
grounding pads in
conjunction with a 3M 21172
reusable grounding pad cable.
3M Order #3171C - 3M Part # 70-2007-2690-2
23
Electrosurgical Generator Adapters
for Split Style Grounding Pads
1157C
(also called a “Y” adapter)
For use with two 3M split style
grounding pads with preattached
cords or for use with two 3M
21174 cables and non-corded
3M split style grounding pads.
3M Order #1157C - 3M Part # 70-2005-2302-8
1178C
For use with 3M split style
grounding pad with preattached
cord or for use with a 3M 21174
reusable cable and non-corded
3M split style grounding pad.
3M Order #1178C - 3M Part # 70-2007-0497-4
1178CL
(5’ cable length)
For use with 3M split style
grounding pad with preattached
cord or for use with a 3M 21174
reusable grounding pad cable
when a 15’ long connection is
needed.
3M Order #1178C - 3M Part # 70-2007-1355-3
24
Reusable Cables for Use with Non-Corded
3M Solid Style Grounding Pads
21172
(10’ cable length)
For use with 3M
non-corded solid style
grounding pads.
3M Order #21172 - 3M Part # 70-2007-0191-3
21172L
(15’ cable length)
For use with 3M
non-corded solid style
grounding pads.
3M Order #21172L - 3M Part # 70-2007-0192-1
25
Reusable Cables for Use with Non-Corded
3M Split Style Grounding Pads
21174
(10’ cable length)
For use with 3M
non-corded split style
grounding pads.
3M Order #21174 - 3M Part # 70-2007-0195-4
21174L
(15’ cable length)
For use with 3M
non-corded split style
grounding pads.
3M Order #21174L - 3M Part # 70-2007-0196-2
21174ABC
(10’ cable length)
For use with 3M
non-corded split style
grounding pads.
26
3M Order #21174ABC - 3M Part # 70-2007-0197-0
Adapter Kits for use with Non-Corded
3M Solid Style Grounding Pads
Adapter kits are a combination of a 3M 3100 series adapter and a 3M 21172 reusable cable that are designed to be
used with 3M non-corded solid style grounding pads. The sole purpose of these kits is to allow the customer to order a
single product for use with their electrosurgical generator and 3M non-corded solid style grounding pads. Shown below is
the 3M 21151K adapter kit which is the 3151C adapter and a 21172 reusable cable. Adapter kits are available for every
type of 3M 3100 series adapter offered and in all cases the 3rd and 4th digit of the 3100 adapter will be identical to the
4th and 5th digit of the corresponding adapter kit.
3M 3151C adapter
+ 3M 21172 reusable cable
3M 21151K adapter kit
21151K
(10’ cable length)
For use with 3M non-corded solid style
grounding pads.
3M Order #21151K - 3M Part # 70-2007-2778-5
27
28
3M 3153C adapter
+ 3M 21172 reusable cable
3M 3171C adapter
+ 3M 21172 reusable cable
3M 21153K adapter kit
3M 21171K adapter kit
3M Order #21153K - 3M Part # 70-2007-2780-1
3M Order #21171K - 3M Part # 70-2007-2784-3
21153K
21171K
(10’ cable length)
(10’ cable length)
For use with 3M non-corded solid style
grounding pads.
For use with 3M non-corded solid style
grounding pads.
Common Electrosurgical Generator
Grounding Pad Receptacles
Generator Receptacles Designed for Split Style Grounding Pads
The receptacle for split style grounding pads is almost an industry standard. This receptacle is rectangular in
shape and measures 0.8 inches (20 mm) wide by 0.4 inches (10 mm) high.Within this receptacle are two metal
pins, symmetrically spaced, located 0.4 inches (10 mm) away from each other. In addition, there is a small, round
hole located midway between these two metal pins.
In the case of Valleylab generators, the tip of a small micro-switch can be seen protruding into the area of
the hole.With all other brands of generators, the hole is empty. Both the 3M split style grounding pads with a
preattached cord and the 3M 21174 reusable grounding pad cable are designed to fit into these receptacles.
Valleylab Generators All Other Generator Brands
Note: In areas outside of the United States, some newer brands of generators that are designed only for use with
solid style grounding pads may have a receptacle similar to this. In all cases, however, there is one key difference
between this solid plate receptacle and the two shown above. For generators that use solid plates, there is no
hole between the two metal pins. In this case, use the 3M 21172 reusable cable with a 3M non-corded, solid
style grounding pad.
Generator Receptacles Designed for Solid Style Grounding Pads
The most common receptacle type in every country in the world for electrosurgical generators that use solid style
grounding pads is the one that accepts the 3M 3151C adapter. This receptacle type is the one that was used in
the original Bovie generators since the 1930’s and is known as “the quarter inch phono jack”. It is a round hole
that is .250 inches (6.35 mm) in diameter. A picture of this type of receptacle is shown below along with the plug
that fits into it.
29
Generator Receptacles Designed for Solid Style Grounding Pads (cont.)
The second most common receptacle type for electrosurgical generators that use solid style grounding pads is
the one that accepts the 3M 3153C adapter. This receptacle is a round hole that is approximately 5/32 inches (4
mm) in diameter. This receptacle is found on a wide variety of older European electrosurgical generators and also
the Valleylab Surgistat generator. A picture of this type of receptacle is shown below along with the plug that fits
into it.
There is a much less common receptacle type that is visually similar to the “quarter inch phono jack” except that
both the receptacle and the plug that fit into it are smaller. This receptacle is a round hole that is .175 inches
(4.45 mm) in diameter and accepts the 3M 3173C adapters. This receptacle can be confused with the larger 1/4
inches (6.35 mm) receptacle due to the fact that the plugs that fit into both holes are similar in design. If a 3M
3151C is found to be too big to fit into the receptacle, then it is most likely designed for the 3173C adapter plug.
A picture of this type of receptacle is shown below along with the plug that fits into it.
As mentioned above in the section on generator receptacles designed for split style grounding pads, there is a
receptacle style that is similar except for the fact that there is no hole between the two metal pins. This receptacle can be found on some newer brands of electrosurgical generators that are sold outside of the United States
and Europe. This receptacle has the same dimensions, but is designed to accept the 3M 21172 reusable cable
for use with non-corded 3M solid style grounding pads. A picture of this type of receptacle is shown below along
with the plug that fits into it.
30
Cable and Adapter Cleaning Information
Cleaning, Disinfection and Sterilization
Cables
• Clean with warm, soapy water and a soft brush or sponge.
• Do not immerse the entire cable in cleaning solution.
• Sonic cleaning may be used on the clamp only.
• Do not use harsh abrasives or chemicals to clean the cable.
• Reusable cables can be subjected to 3M™ Steri-Vac™ EO Sterilizer using a warm cycle (55°C), followed by a
16-hour mechanical aeration period at 55°C.
NOTE: 3M Reusable Cables have not been tested for other manufacturer’s EO sterilizers or EO sterilizer
equipment. CAUTION: 3M makes no claims regarding the efficacy of the process as a means of infection
control. Consult your hospital’s Infection Control Officer or Epidemiologist.
• Do not steam sterilize the cable.
• Be certain the cable/clamp is completely dry after cleaning.
Adapters
Cleaning the adapter is generally not needed, however, if it becomes contaminated, follow these instructions:
• Clean with warm, soapy water and a soft brush or sponge.
• Do not immerse the adapter in cleaning solution.
• Do not use harsh abrasives or chemicals to clean the adapter.
• Do not steam sterilize the adapter.
• Be certain the adapter is completely dry after cleaning.
31
Reusable Cable Instructions for Use
3M™ Electrosurgical Reusable Cable
Read all safety information and instructions before using this product.
Explanation of Symbols:
Attention, see Instructions for Use.
Shock hazard warning.
Product Description:
The 3M Electrosurgical Reusable Cable is an accessory in an electrosurgical system. The cable uses plastic
insulated conductive wire strands with a metallic connector that fits into the electrosurgical unit (ESU) and a
clamping mechanism that securely connects to a 3M dispersive electrode (patient plate, grounding pad, Bovie
pad, return electrode, etc.). These reusable cables meet AAMI/ANSI Standards and Recommended Practices,
HF 18-1993, for electrosurgical accessories.
Indications for Use:
The 3M Electrosurgical Reusable Cable is designed to provide a safe pathway for the return of electrosurgical
radio frequency (RF) current when used with 3M non-corded dispersive electrodes (return electrodes, patient
plates, Bovie pads, grounding pads, etc.). These cables are only for use with 3M non-corded dispersive electrodes. The cables are adapted to work with most electrosurgical units (ESUs) where electrosurgery is utilized.
Each cable has a specific ESU connector to match a variety of manufacturer’s ESU’s. Please consult a 3M
Electrosurgical Products representative if you have questions about the reusable cable for your specific ESU. Use
of this product for unintended applications could lead to an unsafe condition.
Precautions:
• Improper application of use of any electrosurgical accessory (reusable cable, adapter or dispersive electrode)
may result in electrosurgical shock or burn.
• To prevent electrical shock, only plug ESU connectors into appropriate ESUs. Do not allow the ESU cable
connector to touch any earth ground potential (floor, grounded metal object, etc.).
• 3M manufactures these cables to be used multiple times. No cable is indestructible. Because it is an
essential component, each cable should be carefully inspected monthly. Instructions for cable inspection
and continuity testing are described in the Inspection Procedures section of this document.
• Do not use if the product has been damaged or modified in any manner.
• If concerned about the function or quality of any electrosurgical device or accessory, replace it.
• Do not use cable as a tool to remove the dispersive electrode from the patient. If utilized in this fashion, skin
stripping or other skin injuries can occur.
• The Contact Quality Monitoring System (CQMS, REM™, ARM™, NESSY™, etc.) will not function if the
incorrect reusable cable is used. The type of ESU will determine which cable should be used.
32
Shock hazard warning!
Instructions for Use:
• Visually inspect cable, clamp and connector for damage prior to each use.
• Inspect connector to ensure correct fit with the ESU to be used.
• Apply electrosurgical dispersive electrode to patient following the manufacturer’s instructions.
• Ensure clamp lever is in the open (up) position. Insert the tab of the dispersive electrode
into slot on the clamp. See figure 1.
Figure 1
• Make certain the entire tab of the dispersive electrode is centered in the clamp and
inserted up to the electrode backing material.
• Depress the clamp lever arm to the fully closed (down) position, flush with the top of the clamp. See figure 1.
• Verify the function of the ESU’s audible alarm circuit by turning on the ESU before attaching the cable. An alarm
should sound. If no alarm sounds, check the alarm volume adjustment. If not working properly, return the ESU
for service.When the alarm sounds, insert the cable connector into the ESU dispersive electrode receiver and the
alarm should cease. If it does not, try the procedure again. If the alarm does not stop after repeating the procedure,
exchange the ESU and/or cable and try the test again.
• Once the cable continuity is established, check the ESU’s CQM System if applicable. If the CQM System alarms at
this time or during surgery, carefully check dispersive electrode to patient contact, cable and clamp connections.
If the alarm fault is not found, replace the dispersive electrode and/or cable. If this does not satisfy the alarm fault,
replace the ESU.
• At the conclusion of the surgical procedure, remove the clamp from the dispersive electrode, then remove the
dispersive electrode from the patient.
• The cable is reusable.
Cleaning Procedure:
• Clean with warm, soapy water and a soft brush or sponge.
• Do not immerse the entire cable in cleaning solution.
• Sonic cleaners may be used on the clamp only.
• Do not use harsh abrasives or chemicals to clean the cable.
• Do not autoclave cable as it will melt.
• Be certain the cable clamp is completely dry after cleaning.
33
Inspection Procedures
Visual Inspection
1. Clean cable assembly as recommended to remove dirt, tape, patient skin preparation solution or body fluids.
2. Inspect cable insulation for nicks and cuts. Inspect clamp for plastic fractures and seam separation. Insure
that the locking lever sits flush with the top of the clamp body when in the down position.
3. Hold the clamp and wire so that the insulation can be viewed at the clamp/wire interface while bending.
See figure 2.
4. B end and flex the cable side to side while viewing. If the insulation is cracked, this will be seen during
maximum flexing of the cable at the outside radius. See figure 3. Discard the cable if the insulation is
cracked or it fails visual inspection.
Electrical Inspection
Equipment needed for this inspection is a multi-meter or volt-ohm meter with extension leads and a small piece
of metal (shim stock or a cut off tab from the end of a 3M split style dispersive electrode) to insert into the clamp
end of a reusable cable. The following inspection technique is based on electrical continuity of individual reusable
cable wires.
1. Set the multi-meter or volt-ohm meter to measure resistance or continuity.
2. Insert a piece of shim stock or a cut split tab into each individual contact area of the clamp on the reusable
cable assembly and close the clamp lever. Ensure that the shim stock pieces do not come into contact with
each other.
3. A ttach the meter leads to the shim stock and the corresponding plug pin of the cable connector. The lead
should be securely attached to obtain a stable resistance measurement.
4. Measure the resistance of the cable while flexing the wire at the cable/connector interface. If the measured
resistance indicates discontinuity, the cable should be discarded and replaced with a new one. Repeat steps
3 and 4 to measure resistance for the second wire.
5. T his inspection should be preformed monthly or as directed by hospital policy for similar electrosurgical
devices.
6. Replace cables when electrical testing confirms discontinuity.
Figure 1
34
Figure 1
Adapter Cable Instructions for Use
3M™ Electrosurgical Adapters
Read all safety information and instructions before using this product.
Explanation of Symbols:
Attention, see Instructions for Use.
Shock hazard warning.
Product Description:
The 3M Electrosurgical Adapter is a reusable accessory in an electrosurgical system. The adapter consists of
a metallic conductive connector designed to fit into the electrosurgical unit (ESU, generator, etc.) and a plastic
insulated connector receptacle that receives a 3M corded dispersive electrode plug.
Indications for Use:
The 3M Electrosurgical Adapter is designed to provide a safe pathway for the return of electrosurgical radio
frequency (RF) current when used with 3M corded dispersive electrode (return electrode, patient plate, Bovie
pad, grounding pad, etc.). These adapters are only for use with 3M corded dispersive electrodes. The adapters
are designed to work with most electrosurgical units (ESUs) where electrosurgery is utilized. Each adapter has a
specific ESU connector to match a variety of manufacturer’s ESU’s. Please consult a 3M Electrosurgical Products
representative if you have questions about an adapter for your specific ESU. Use of this product for unintended
applications could lead to an unsafe condition.
Precautions:
• Improper use of any electrosurgical accessory (reusable cable, adapter or dispersive electrode) may result in
electrosurgical shock or burn.
• To prevent electrical shock, only plug ESU adapters into the appropriate ESU. Do not allow ESU adapter to touch
any earth ground potential (floor, grounded metal object, etc.).
• 3M manufactures these adapters to be used multiple times. No adapter is indestructible.
Because it is an essential component, each adapter should be carefully inspected at intervals
as directed by hospital policy for similar electrosurgical products. Instructions for adapter
inspection and continuity testing are described in the Inspection Procedures section of this
document.
• Do not use if the product has been damaged or modified in any manner.
• If concerned about the function or quality of any electrosurgical device or accessory, replace it.
35
Shock hazard warning!
Instructions for Use:
• Visually inspect adapter for damage prior to each use.
• Inspect plug connector to ensure correct fit with the ESU to be used.
• Apply electrosurgical dispersive electrode to patient following the manufacturer’s instructions.
• Verify the function of the ESU audible alarm circuit by turning the ESU on before attaching dispersive electrode
to adapter. An alarm should sound. If no alarm sounds, check the alarm volume adjustment. If ESU is not working properly, return it for service. Once the alarm sounds, insert the dispersive electrode plug into adapter and
the alarm should cease. If it does not, try the procedure again. If the alarm does not stop after repeating this
procedure, exchange the ESU and/or adapter and try the test again.
• Once the cable continuity is established, check the CQM System if a split style dispersive electrode is used. If
the CQM System alarms at this time or during surgery, carefully check dispersive electrode to patient contact,
cable and adapter connections and the active electrode. If the alarm fault is not found, replace the dispersive
electrode and/or adapter or the active electrode. If this does not satisfy the alarm fault, replace the ESU.
• At the conclusion of the surgical procedure, remove the dispersive electrode cord from the adapter, then
remove the dispersive electrode from the patient.
• The adapter is reusable.
Cleaning Procedure:
Cleaning the adapter is generally not needed, however if it becomes contaminated, follow these
instructions:
• Clean with warm, soapy water and a soft brush or sponge.
• Do not immerse the adapter in cleaning solution.
• Do not use harsh abrasives or chemicals to clean the cable.
• Do not autoclave cable as it will melt.
• Be certain the adapter is completely dry after cleaning, before next use.
36
Inspection Procedures
Visual Inspection
1. Clean adapter as recommended to remove dirt, tape, patient skin preparation solution or body fluids.
2. Inspect adapter for plastic fractures and seam separation.
3. Adapter should no longer be used when it fails visual inspection.
Electrical Inspection
Equipment needed for this inspection is a multi-meter or volt-ohm meter with extension leads. The following
inspection technique is based on electrical continuity of individual adapter lead wires.
1. Set the multi-meter or volt-ohm meter to measure resistance or continuity.
2. A ttach the meter leads to the corresponding plug pin receiver. The lead should be securely attached to
obtain a stable resistance measurement.
3. M
easure the resistance of each adapter lead. If the measured resistance indicates discontinuity, the adapter
should be discarded and replaced with a new one. Repeat steps 2 and 3 to measure resistance for the second
lead.
4. This inspection should be preformed as directed by hospital policy for similar electrosurgical devices.
5. Replace adapter when electrical inspection confirms discontinuity.
37
3M Cable and Adapter Part Numbers
3100 Series Electrosurgical Generator Adapters for 3M Non-Corded Solid Style Grounding Pads
(see page 22 for pictures)
3M Order Number
3M Stock Number
3151C
3153C
3154C
3155C
3171C
70-2007-2685-2
70-2007-2686-0
70-2007-2687-8
70-2007-2688-6
70-2007-2690-2
Electrosurgical Generator Adapters for 3M Split Style Grounding Pads
(see page 24 for pictures)
38
3M Order Number
3M Stock Number
1157C
1178C
1178CL
70-2005-2302-8
70-2007-0497-4
70-2007-1355-3
3M Cable and Adapter Part Numbers
Reusable Cables for Use with Non-Corded 3M Grounding Pads
(see page 25 for pictures)
3M Order Number
Solid Style
21172
21172L
Split Style
21174
21174L
21174ABC
3M Stock Number
70-2007-0191-3
70-2007-0192-1
70-2007-0195-4
70-2007-0196-2
70-2007-0197-0
Adapter Kits for Use with 3M Non-Corded Solid Style Grounding Pads
(see page 27 for pictures)
3M Order Number
3M Stock Number
21151K
21153K
21171K
70-2007-2778-5
70-2007-2780-1
70-2007-2784-3
39
Infection Prevention Division
3M Health Care
3M Center, Building 275-4E-01
St. Paul, MN 55144-1000
U.S.A.
1 800 228-3957
www.3m.com/healthcare
Macrolyte and ThermoGard are registered trademarks of Conmed.
SureFit is a trademark of Conmed.
Polyhesive is a trademark of Covidien.
REM is a trademark of Covidien.
ARM is a trademark of Conmed/Aspen Labs.
NESSY is a trademark of ERBE.
3M is a trademark of 3M.
Please recycle. Printed in U.S.A.
© 3M 2005, 2007, 2012 All rights reserved.
70-2009-7127-6