Energy Flashcards
Vessel sealing indication for harmonic focus + shears with ATT is ?
Up to an including 5mm indicated
The 4 steps to proper use of ENSEAL X1 are ?
Close, seal, cut, open
The offset electrodes of the ENSEAL G2 device ?
Reduce lateral thermal spread
For ENSEAL X1 devices the GEN 11 generator with adaptive tissue technology ?
Optimises the energy delivery based on the unique properties of the tissue
What is the angle of articulation on the ENSEAL G2 ?
110 degrees
Harmonic HD1000i incorporates what?
Integrated transducer
Name the major ligasure competitor to ENSEAL X1, Harmonic Focus + and Harmonic Ace +
Ligasure Impact, small jaw and Maryland
Adaptive tissue technology facilitates ——————-
Strong and secure sealing of vessels up to and including 7mm
Adaptive tissue technology works differently in ENSEAL and HARMONIC devices what does it measure in each?
ATT measures electrical impedance in ENSEAL devices and Mechanical impedance in HARMONIC
Adaptive tissue technology is?
Always on and actively monitoring the conditions of the tissue in the jaws of the device
Hyperthyroidism ( overactive ) thyroid may lead to ?
Weight loss, increased HR and nervousness
In a hemithyroidectomy the surgeon would divide the thyroid along the midline at which anatomical landmark?
The isthmus
The posterior wall of the thyroid gland is the location of what 4 structures?
The 4 parathyroid glands
The ENSEAL X1 does not have an integrated transducer but it does have which 3 features ?
Silicone coated jaws
360 degree single hand rotation
Adaptive tissue technology
Positive temperature coefficient PTC is the only technology today that automatically?
Maintains tissue temp during surgery at approximately 100 degrees Celsius
HARMONIC HD1000i using advanced haemostasis mode can seal vessels how much faster than previous generations ?
40% faster than Ace +7
On the handle of the HD1000i what buttons would you find ?
Single energy button plus advanced hemostasis button
With the harmonic family of devices electrical current is converted into mechanical energy where?
Harmonic handpiece
Tell me about the MIN and MAX settings with regard to cutting speed and blade displacement?
MIN priority is coagulation decreased cutting speed and blade displacement
MAX priority is cutting increased cutting speed and blade displacement
Advanced hemostasis is comprised of 3 modes?
P - Pre heating
V - Vessel sealing
T - Transection
Mega soft pt return electrode is best described as a ?
Top gel / conductive mesh / bottom gel
ACE mode unique to the Mega power ESU
Automatically controls the output power to provide a consistent cutting effect
Ohs law ?
Voltage = current x resistance V = I x R
How are bipolar forceps different to monopolar devices ?
Electricity passes between the 2 tines of a bipolar instrument
