1044008_book.book Page 1 Thursday, August 18, 2011 2:43 PM
Monopolar Setup Instructions
Monopolar Surgery Setup
Warning: Risk of Fire.
Replace Fuse as Marked.
250V, F8.0A (100-240)
Avertissement: Risque du feu.
Remplacez les fusibles comme marqués.
250 V F8.0A (100-240)
4
3
2
1
5
ForceTriad Energy Platform
front panel
ForceTriad Energy Platform
rear panel
page 2
1044008_book.book Page 3 Thursday, August 18, 2011 2:43 PM
Monopolar Surgery Setup
Note: Please read the ForceTriad Energy Platform User’s Guide and all appropriate instructions for use before
using the ForceTriad Energy Platform or surgical accessories.
1. Plug the system power cord into the rear panel receptacle of the ForceTriad Energy Platform and into a grounded
power receptacle. (Do not use a power strip or extension cord.)
2. Turn on the ForceTriad Energy Platform and verify that the self-test is successfully completed. When the system is
operational, the touchscreen appears.
Note: Do not touch the screens during power up.
3. If using a footswitch, connect it to the monopolar footswitch receptacle on the rear panel. This may require an
adapter to connect a standard four-pin monopolar footswitch.
4. Apply the REM Polyhesive™ Patient Return
Electrode to the patient and connect it to
the patient return electrode receptacle on
the front panel.
Confirm that the red REM indicator turns
from red to green.
5. Connect a monopolar instrument as
directed on the following pages.
Monopolar Setup Instructions
Patient return electrode connection
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Monopolar Setup Instructions
Standard Two-Button Electrosurgical Instruments
1. Connect the two-button instrument into either the Monopolar 1 or
Monopolar 2 instrument receptacle on the front panel of the energy platform.
Note: When attaching a monopolar instrument, align the instrument’s
connector pins with the three dots printed on the ForceTriad face plate below
the monopolar receptacles. Reversing the connector will limit the instrument’s
functionality and damage the connector.
Note: Each touchscreen controls the receptacle directly below the touchscreen
and can only control one instrument at a time. Do not plug in more than one
instrument under one touchscreen.
2. Confirm that the Standard Monopolar (Std Mono) tab appears in the
appropriate touchscreen.
Std Mono
Cut
1
Valleylab
Acc. Port
Coag
1
Pure
Fulg
Blend
Spray
REM
Monopolar touchscreen –
standard configuration
3. Select the power output level by touching the green up and down arrows for either the Cut or Coag mode.
4. Select the surgical mode:
a. For the Cut mode, touch either the yellow Pure or yellow Blend button.
b. For the Coag mode, touch either the blue Fulgurate or blue Spray button.
Note: If no surgical mode is selected, the Cut mode defaults to Pure and the Coag mode defaults to Fulgurate.
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Valleylab Mode-Enabled Electrosurgical Devices
1. Connect the Valleylab™ mode-enabled device into either the Monopolar 1
or Monopolar 2 instrument receptacle on the front panel of the energy
platform.
Note: Each touchscreen controls the receptacle directly below the
touchscreen and can only control one instrument at a time. Do not plug in
more than one instrument under one touchscreen.
2. Confirm that the Valleylab tab appears in the appropriate touchscreen.
Note: When a Valleylab mode-enabled device is connected, the system
selects the default power zone setting for the recognized instrument.
3. Adjust the power zone setting by touching the desired gold bar.
Std Mono
Cut
15
V
15
Coag
15
Valleylab
Acc. Port
5
4
3
2
1
REM
Manual
Monopolar touchscreen –
Valleylab configuration
4. While in the sterile field, move the slider control on the device to adjust power output within the selected power
zone.
Note: The Cut function can be disabled by pressing the Cut power display.
Monopolar Setup Instructions
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1044008_book.book Page 6 Thursday, August 18, 2011 2:43 PM
Monopolar Setup Instructions
Manual Power Control Mode
Touch the green Manual button to select specific power settings not available in the sterile field control setting.
Note: The slider cannot control power when the energy platform is in the Manual Power Control mode.
Monopolar Footswitching
The ForceTriad Energy Platform provides hardware and software options for monopolar footswitching. Standard
monopolar footswitching is a simple hardware configuration. Software-enabled footswitching provides footswitching
capabilities for both footswitching and handswitching accessories from the Monopolar 1 receptacle.
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Standard Monopolar Footswitching
1. Connect the instrument to the universal footswitch accessory port (UFP)
on the front panel of the ForceTriad Energy Platform.
Note: An E0502-1 or E0017 adapter is required when using the universal
footswitching accessory port with accessories that have pin diameters less
than 8 mm.
Std Mono
Cut
1
2. Confirm that the Accessory (Acc.) Port tab appears in the first touchscreen.
Note: Each touchscreen controls the receptacle directly below the
touchscreen and can only control one instrument at a time. Do not plug in
more than one instrument under one touchscreen.
3. Select the power output level by touching the green up and down arrows
for either the Cut or Coag mode.
Valleylab
Acc. Port
Coag
1
Pure
Fulg
Blend
Spray
REM
Monopolar touchscreen –
Acc. Port configuration
4. Select the surgical mode:
a. For the Cut mode, touch either the yellow Pure or yellow Blend button.
b. For the Coag mode, touch either the blue Fulgurate or blue Spray button.
Note: If no surgical mode is selected, the Cut mode defaults to Pure and the Coag mode defaults to Fulgurate.
Monopolar Setup Instructions
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Monopolar Setup Instructions
Software Enabled Monopolar 1 Footswitching
1. Enable Monopolar 1 footswitching at the system level: Touch the wrench icon—Setup—Features—
Mono 1. The mark in the check box indicates it is enabled.
2. Exit the menus by touching the green arrows at the bottom of each screen.
3. A footswitching button with a red X is added the Standard Monopolar and
Valleylab tabs in the left touchscreen. Select the desired tab.
4. Enable Monopolar 1 footswitching at the local level by touching the button.
The X is removed. Operation of handswitching or footswitching instruments
is now enabled from the Monopolar 1 footswitching port.
5. Attach a two-pedal footswitch or three-pedal Valleylab mode-enabled
footswitch to the monopolar footswitch receptacle on the back panel.
6. Attach any monopolar instrument to the Monopolar 1 instrument receptacle
on the front panel.
7. Select the settings for the procedure.
Std Mono
Cut
1
Valleylab
Acc. Port
Coag
1
Pure
Fulg
Blend
Spray
REM
X
Monopolar 1 Footswitching
enabled at system level
8. Step on the appropriate footswitch to deliver monopolar power to the attached instrument.
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Note: If Monopolar 1 footswitching has not been enabled, a box appears indicating FOOTSWITCH CONTROL NOT
ENABLED. Touch the green button with a check mark to enable Monopolar 1 footswitching from this screen.
Monopolar Setup Instructions
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1044008_book.book Page 11 Thursday, August 18, 2011 2:43 PM
Bipolar Setup Instructions
Bipolar Surgery Setup
Warning: Risk of Fire.
Replace Fuse as Marked.
250V, F8.0A (100-240)
Avertissement: Risque du feu.
Remplacez les fusibles comme marqués.
250 V F8.0A (100-240)
1
3
2
4
ForceTriad Energy Platform
front panel
ForceTriad Energy Platform
rear panel
page 12
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Bipolar Surgery Setup
Note: Please read the ForceTriad Energy Platform User’s Guide and all appropriate instructions for use before
using the energy platform or surgical accessories.
1. Plug the system power cord into the rear panel receptacle of the energy platform and into a grounded power
receptacle. (Do not use a power strip or extension cord.)
2. Turn on the system and verify that the self-test is successfully completed.
When the system is operational, the touchscreen appears.
Std Mono
Valleylab
Bipolar
Note: Do not touch the screens during power up.
3. Connect the bipolar footswitch to the bipolar-footswitch receptacle on
the rear panel.
Bipolar
1
4. Connect the instrument to the bipolar instrument receptacle on the front
panel.
Note: Each touchscreen controls the receptacle directly below the
touchscreen and can only control one instrument at a time. Do not plug
in more than one instrument under one touchscreen.
mA
Low
Standard
Macro
Bipolar touchscreen
5. Confirm that the Bipolar tab appears in the center touchscreen.
6. Select the power output level by touching the green up and down arrows.
7. Touch the Low, Standard, or Macro button to select the surgical mode.
Note: If no surgical mode is selected, the bipolar output defaults to the Standard mode.
Bipolar Setup Instructions
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Bipolar Setup Instructions
Autobipolar Function
Autobipolar allows the user to configure the system for automatic activation and cessation of bipolar energy.
1. Enable Autobipolar: Touch the wrench icon—Setup—Features—
AutoBipolar, then exit the menus by touching the green arrows at the
bottom of each screen.
Std Mono
Valleylab
Auto
Bipolar
2. When enabled, The Autobipolar button
appears and the tab changes
from Bipolar to Auto. Touch the Autobipolar button.
3. Select the power output mode: Low, Standard, or Macro.
4. Select the power output level by touching the green up and down arrows.
5. To change automatic activation parameters, touch the Setup button.
6. Set the desired parameters:
• Touch
to restrict RF activation to use of a footswitch.
• Touch
• Below
to enable RF activation without depressing a footswitch.
: touch the desired RF output delay value (seconds).
• Below
: touch the desired impedance value (ohm) at which RF
energy will be discontinued.
7. Touch the green arrow to return to the Autobipolar touchscreen. The
selected options and values are displayed.
8. Activate Autobipolar by closing the instrument tines or using a footswitch.
Auto
Auto
0.0 s
5
1500
Bipolar
Low
Setup
Standard
Macro
Autobipolar touchscreen
Std Mono
Auto
Valleylab
0.0 s
0.5 s
1.0 s
1.5 s
2.0 s
2.5 s
Auto
1500
1800
2000
2200
Autobipolar Setup touchscreen
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LigaSure Setup Instructions
LigaSure Tissue Fusion Setup
Warning: Risk of Fire.
Replace Fuse as Marked.
250V, F8.0A (100-240)
Avertissement: Risque du feu.
Remplacez les fusibles comme marqués.
250 V F8.0A (100-240)
2
3a
4a
1
3
4b
ForceTriad Energy Platform
front panel
ForceTriad Energy Platform
rear panel
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LigaSure Tissue Fusion Setup
Note: Please read the ForceTriad Energy Platform User’s Guide and all appropriate instructions for use before
using the ForceTriad Energy Platform or surgical accessories.
1. Plug the system power cord into the rear panel receptacle of the ForceTriad Energy Platform and into a grounded
power receptacle. (Do not use a power strip or extension cord.)
2. Turn on the system and verify that the self-test is successfully completed.
3. If using a footswitching LigaSure instrument, connect the footswitch to the
appropriate footswitch receptacle on the rear panel.
a. To use a footswitching LigaSure instrument connected to the LigaSure 1
instrument receptacle, attach the purple, seven-pin, LigaSure footswitch
connector plug to the upper, purple LigaSure 1 footswitch receptacle on the
rear panel.
b. To use a footswitching LigaSure instrument connected to the LigaSure 2
instrument receptacle, attach the orange, nine-pin, LigaSure footswitch
connector plug to the lower, orange LigaSure 2 footswitch receptacle on the
rear panel.
LigaSure touchscreen
4. Connect the instrument or instruments to the LigaSure instrument receptacles on the front panel.
a. Instruments attached to the LigaSure 1 receptacle are controlled from the upper, purple section of the LigaSure
touchscreen.
b. Instruments attached to the LigaSure 2 receptacle are controlled from the lower, orange section of the
LigaSure touchscreen.
Note: The ForceTriad Energy Platform automatically sets all instruments to 2 bars.
LigaSure Setup Instructions
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1044008_book.book Page 19 Thursday, August 18, 2011 2:43 PM
1044008_book.book Page 20 Thursday, August 18, 2011 2:43 PM
Troubleshooting and Definitions
Definitions
Pure Cut provides a clean, precise cut in any tissue with little or no hemostasis.
Blend Cut is a conventional blended waveform that provides slower cutting and additional hemostasis.
Valleylab Mode is a unique combination of hemostasis and dissection and allows the user to slow down for more
hemostasis and speed up for faster dissection. Thermal spread is equal or superior to Cut or Blend modes.
Coag Fulgurate coagulates tissue by sparking from the active electrode, through the air, to the patient tissue.
Coag Spray delivers wider fulguration; penetration is shallower and the affected tissue area is larger than with the
fulgurate mode.
Bipolar Low delivers precision and fine control over the amount of desiccation.
Bipolar Standard is a conventional bipolar output at low voltage.
Bipolar Macro may be used for bipolar cutting or rapid coagulation. Power remains constant over a wide range of
tissue types.
LigaSure Bar Settings shows as two green bars for all LigaSure instruments and is the default setting on the
LigaSure instrument setting screen.
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Troubleshooting
Refer to the ForceTriad Energy Platform User’s Guide
for a complete troubleshooting reference.
Situation
Possible Cause
Solution
ForceTriad energy platform
does not respond when
turned on
Disconnected power cord
or faulty outlet
Check power cord connections (ForceTriad energy platform and outlet).
Connect the power cord to a functional outlet. (Do not connect the power
cord to a power strip or extension cord.)
Faulty power cord
Replace the power cord.
Fuse drawer is open or
fuses are blown
Replace the blown fuse(s). Close the fuse drawer. Refer to the ForceTriad
Energy Platform Service Manual.
Internal component
malfunction
Use a backup ForceTriad energy platform. Contact your biomedical
engineering department or contact a Covidien technical service
representative for assistance.
Software malfunction
Turn the system off, then turn it on.
Internal component
malfunction
Note the code number and the information on the error screen and refer to
System Alarms in the ForceTriad Energy Platform User’s Guide.
System is on, but did not
complete the self-test
Use a backup ForceTriad energy platform. Contact your biomedical
engineering department or contact a Covidien technical service
representative for assistance.
Troubleshooting and Definitions
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Troubleshooting and Definitions
Situation
Possible Cause
Solution
ForceTriad energy platform
is on and instrument is
activated, but system does
not deliver output
Malfunctioning footswitch
or handswitching
instrument
Turn off the ForceTriad energy platform. Check and correct all instrument
connections.
Power is set too low
Increase the power setting. Refer to section, Changing the Energy-Delivery
Setting in the ForceTriad Energy Platform User’s Guide.
An alarm condition exists
Note the code number and the information on the error screen and refer to
System Alarms in the ForceTriad User’s Guide.
Turn on the ForceTriad energy platform. Replace the instrument if it
continues to malfunction.
In case of a REM alarm, refer to Correcting a REM Alarm Condition in the
ForceTriad Energy Platform User’s Guide.
The UNINTENTIONAL
INPUT screen appears
Internal component
malfunction
Contact your biomedical engineering department or contact a Covidien
technical service representative for assistance.
System does not detect
LigaSure instrument
Firmly insert the LigaSmart connector into the appropriate receptacle on the
front panel. Ensure the tissue fusion touchscreen indicates that it has
detected the instrument.
System does not detect
monopolar instrument
Firmly insert the Smart connector into the appropriate receptacle on the front
panel. Ensure the monopolar touchscreen indicates that it has detected the
instrument.
System does not detect
bipolar instrument
Firmly insert the connector into the appropriate receptacle on the front
panel. Ensure the bipolar touchscreen indicates that it has detected the
instrument.
Instrument buttons or
footswitch is stuck, or
something is making
contact with the
touchscreen
Check instrument buttons and footswitch pedals to ensure they are
operational. Clear any objects making contact touchscreens away from the
ForceTriad energy platform.
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1044008_book.book Page 23 Thursday, August 18, 2011 2:43 PM
Situation
Possible Cause
Solution
REM alarm illuminates red
and enlarges, an audio
tone sounds twice, and
monopolar energy is
disabled
Cord is improperly
connected to ForceTriad
energy platform
Verify that the patient return electrode cord is correctly connected to the
ForceTriad energy platform.
Patient return electrode or
cord is damaged
Inspect the plug, cord, and the connection of the cord to the patient return
electrode. If you find evidence of excessive wear, cracks, breaks, or other
visible damage, replace the patient return electrode and/or the cord.
Patient return electrode is
improperly applied to
patient
Verify that the patient return electrode is in contact with the patient, per the
package instructions for applying the patient return electrode.
If the REM alarm persists apply another REM Polyhesive Patient Return
Electrode. Refer to Correcting a REM Alarm Condition in the ForceTriad
Energy Platform User’s Guide.
INVALID INSTRUMENT
alert appears in
touchscreen
Invalid instrument is
connected
Disconnect invalid instrument from the Monopolar 2 port and attach it to the
Monopolar 1 port. Refer to instrument’s instructions for use for compatibility
instructions.
The UNKNOWN
INSTRUMENT screen
appears
The instrument does not
have a barcode recognized
by the current version of
the ForceTriad software
Disconnect the instrument and replace it with a device with an instrument
that has a barcode recognized by the software.
The CALIBRATION
NEEDED screen appears
The ForceTriad energy
platform requires
recalibration
Consult the ForceTriad Energy Platform Service Manual for instructions
regarding calibration.
Troubleshooting and Definitions
Update the ForceTriad energy platform’s software. Contact your biomedical
engineering department or contact a Covidien technical service
representative for assistance.
page 23
1044008_book.book Page 24 Thursday, August 18, 2011 2:43 PM
Troubleshooting and Definitions
Situation
Possible Cause
Solution
The CHECK INSTRUMENT
screen appears, six pulsed
tones sound, and RF
output is disabled
(LigaSure function only)
Excessive tissue/eschar on
electrode tips or jaws
Clean electrode tips and jaws with a wet gauze pad.
Electrodes have come
loose from the instrument
jaws
Re-insert the electrode into the instrument jaws making sure that all the
electrode pins are firmly seated.
Metal or other foreign
object is grasped within
jaws
Avoid grasping objects, such as staples, clips, or encapsulated sutures in the
jaws of the instrument.
Tissue grasped within jaws
is too thin
Open the jaws and confirm that a sufficient amount of tissue is inside the
jaws. If necessary, increase the amount of tissue and repeat the procedure.
Pooled fluids around
instrument tip
Minimize or remove excess fluids.
The maximum seal cycle
time has been reached
The system needs more time and energy to complete the seal. Reactivate the
seal cycle without removing or repositioning the instrument.
The seal cycle was
interrupted before
completion
The handswitch or footswitch was released before the end tone activated.
Reactivate the seal cycle without removing or repositioning the instrument.
Dual Instrument Error
screen appears in the
touchscreen
More than one instrument
is connected under this
touchscreen
Remove one of the instruments under the associated touchscreen.
The LigaSure Error screen
appears requesting proper
insertion of the two plugs
Connectors on LigaSure
Advance instrument are
switched or not making
proper contact
Check the two plugs on the Advance instrument to ensure they are securely
plugged into the correct receptacles. The LigaSmart connector should be
attached to either LigaSure receptacle, and the Smart connector should be
attached to the Monopolar 2 receptacle under the center touchscreen.
The REACTIVATE screen
appears, four pulsed tones
sound (LigaSure function
only)
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1044008_book.book Page 25 Thursday, August 18, 2011 2:43 PM
Situation
Possible Cause
Solution
The FOOTSWITCH
CONTROL NOT
ENABLED screen appears
A footswitch function was
attempted without
enabling Monopolar 1
footswitching
Enable Monopolar 1 footswitching by touching the button on this screen
with a green check mark.
The INVALID
INSTRUMENT for
Monopolar 1 screen
appears
A function was attempted
that is available only
through the Monopolar 1
receptacle
Disconnect the instrument and attach it to the Monopolar 1 receptacle.
Continuous monitor
interference
Malfunctioning monitor
Replace the monitor.
Faulty chassis-to-ground
connections
Check and correct the chassis ground connections for the monitor and for
the energy platform.
Check other electrical equipment in the room for defective grounds.
Abnormal neuromuscular
stimulation (stop surgery
immediately)
Electrical equipment is
grounded to different
objects rather than a
common ground. The
ForceTriad energy platform
may respond to the
resulting voltage
differences between
grounded objects
Plug all electrical equipment into line power at the same location. Contact
your biomedical engineering department or a Covidien technical service
representative for assistance.
Metal-to-metal sparking
Check all connections to the ForceTriad energy platform, patient return
electrode, and active electrodes.
Can occur during coag
Use a lower power setting for the fulgurate and the spray modes.
Abnormal 50 Hz-60 Hz
leakage currents
Contact your biomedical engineering department or contact a Covidien
technical-service representative for assistance.
Troubleshooting and Definitions
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1044008_book.book Page 26 Thursday, August 18, 2011 2:43 PM
Troubleshooting and Definitions
Situation
Possible Cause
Solution
Interference with other
devices only when the
ForceTriad energy platform
is activated
Metal-to-metal sparking
Check all connections to the energy platform, patient return electrode, and
instruments.
High settings used for
fulguration
Use lower power settings for fulguration.
Electrically inconsistent
ground wires in the
operating room
Verify that all ground wires are as short as possible and go to the same
grounded metal.
If interference continues
when the ForceTriad
energy platform is
activated, the monitor is
responding to radiated
frequencies
Ask your biomedical engineering department to check with the
manufacturer of the monitor.
Intermittent connections
or metal-to-metal sparking
Check the active and patient return electrode cord connections.
Pacemaker interference
Current traveling from
active to patient return
electrode during
monopolar electrosurgery
is passing too close to
pacemaker
Some manufacturers offer RF choke filters for use in monitor leads. The filters
reduce interference when the ForceTriad energy platform is activated and
minimize the potential for an electrosurgical bur at the site of the monitor
electrode.
It may be necessary to reprogram the pacemaker.
Use bipolar instruments, if possible.
If you must use a monopolar instrument, place the patient return electrode
as close as possible to the surgical site. Make sure the current path from the
surgical site to the patient return electrode does not pass through the vicinity
of the heart or the site where the pacemaker is implanted.
Always monitor patients with pacemakers during surgery and keep a
defibrillator available.
Consult the pacemaker manufacturer or hospital cardiology department for
further information when use of electrosurgical appliances is planned in
patients with cardiac pacemakers.
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Situation
Possible Cause
Solution
Internal Cardiac
Defibrillator (ICD)
activation
ICD is activated by energy
platform
Stop the procedure and contact the ICD manufacturer for instructions.
Troubleshooting and Definitions
page 27
1044008_book.book Page 28 Thursday, August 18, 2011 2:43 PM
Part No. 1044008
COVIDIEN, COVIDIEN with logo and Covidien logo are U.S. and
internationally registered trademarks of Covidien AG. All other brands
are trademarks of a Covidien company.
U.S. Patents 5,370,645; 5,372,596; 5,772,659; 6,068,627; 6,203,541;
7,137,980; 7,222,601; 7,416,437; 7,513,896; 7,648,499; 7,651,492;
7,666,693; 7,901,400; D567,761; D574,323.
Consult
instructions
for use
© 2011 Covidien. All rights reserved.
Made in USA. Printed in USA.
Covidien llc, 15 Hampshire Street, Mansfield, MA 02048 USA.
0086
Covidien Ireland Limited, IDA Business & Technology Park,
Tullamore
www.covidien.com
REV 08/2011
1-303-530-2300 [T]
1-800-255-8522 [T]