Forcetriad
Forcetriad
ForceTriad
               TM
Energy Platform
User’s Guide
ForceTriad
                        TM
Energy Platform
          Preface
          This guide and the equipment it describes are for use only by qualified medical
          professionals trained in the particular technique and surgical procedure to be performed.
          It is intended as a guide for using the Covidien ForceTriad Energy Platform only. Additional
          technical information is available in the ForceTriad Energy Platform Service Manual.
          Equipment covered in this manual
          ForceTriad Energy Platform with software version 3.6x
           Caution
          Indicates a hazardous situation which, if not avoided, may result in minor or moderate injury.
           Notice
          Indicates a hazard which may result in product damage.
           Important
          Indicates an operating tip or maintenance suggestion.
          Limited Warranty
          Covidien warrants each covered product listed below to be free from defects in material
          and workmanship for normal use and service for the period(s) set forth below. Covidien’s
          obligation under this warranty is limited to the repair or replacement, at its sole option, of
          any product, or part thereof, which has been returned to it (or its authorized distributor)
          within the applicable time period shown below after delivery of the product to the original
          purchaser, and which examination discloses, to Covidien’s satisfaction, that the product is
          defective. This limited warranty does not apply to any product, or part thereof, which has
          been repaired or altered in a way so as, in Covidien’s judgment, to affect its stability or
          reliability, or which has been subjected to misuse, neglect, or accident.
          The warranty periods for Covidien products are as follows:
Valleylab™ Argon Gas Delivery Unit II One year from date of shipment
                   product(s). There are no warranties which extend beyond the terms hereof. Covidien
                   disclaims any liability hereunder or elsewhere in connection with the sale of products and
                   for any form of indirect, tort, or consequential damages.
                   This limited warranty and the rights and obligations hereunder shall be construed under
                   and governed by the laws of the State of Colorado, USA. The sole forum for resolving
                   disputes arising under or relating in any way to this limited warranty is the District Court
                   of the County of Boulder, State of Colorado, USA.
                   Covidien reserves the right to make changes in covered products built or sold by it at any
                   time without incurring any obligation to make the same or similar changes to equipment
                   previously built or sold by it.
                   THE OBLIGATION TO REPAIR OR REPLACE A DEFECTIVE OR NONPERFORMING PRODUCT
                   IS THE SOLE REMEDY OF THE CUSTOMER UNDER THIS LIMITED WARRANTY. EXCEPT AS
                   EXPRESSLY PROVIDED HEREIN, COVIDIEN DISCLAIMS ALL OTHER WARRANTIES,
                   WHETHER EXPRESS OR IMPLIED, ORAL OR WRITTEN, WITH RESPECT TO
                   PRODUCTS, INCLUDING WITHOUT LIMITATION ALL IMPLIED WARRANTIES,
                   WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
          Software License
          COVIDIEN AG, Tyco Healthcare Group LP, and its affiliate EbD (collectively called
          “COVIDIEN” herein) own the entire right, title, and interest in and to all of the computer
          programs and all portions thereof, and associated documentation (collectively, the
          “Software”) provided to Customer as may be installed in the Products and equipment
          addressed herein or provided separately, and it has the sole right to grant licenses
          hereunder.
          The evaluation allowance herein and any ultimate price paid by Customer for the
          products incorporating the Software include as a portion of that evaluation allowance, or
          price, a license fee granting Customer only the rights set forth in this Software License.
          Customer further acknowledges and agrees that the Software is owned exclusively by
          COVIDIEN. The Software is licensed to be used on only one computing device or Product,
          and a valid license must be purchased for each computing device on which the Software
          is installed.
          Single User License Grant: COVIDIEN grants to Customer a limited, nonexclusive, non-
          sublicensable, nontransferable and revocable license to use the Software, exclusively at
          Customer’s location as identified by Customer as the ship-to location of the Product,
          solely in machine-readable object code form only on a single central processing unit
          owned or leased by Customer or otherwise embedded in equipment provided by
          COVIDIEN, and for the sole purpose of Customer’s internal business purpose in the
          operation of the Product or equipment purchased from, other otherwise provided by,
          COVIDIEN or its affiliates.
          Except to the extent expressly authorized in this Software License or by law, Customer
          shall not and shall not cause any third party to: (i) decompile, disassemble, or reverse
          engineer the Software; (ii) modify or create any derivative works (including, without
          limitation, translations, transformations, adaptations or other recast or altered versions)
          based on the Software, or alter the Software in any way; (iii) merge the Software with
          any other software or product not supplied by Supplier; (iv) use, copy, sell, sublicense,
          lease, rent, loan, assign, convey or otherwise transfer the Software except as expressly
          authorized by the Agreement; (v) distribute, disclose or allow use of the Software, in any
          format, through any timesharing service, service bureau, network or by any other means,
          to or by any third parties; (vi) remove or modify any copyright, confidential and/or
          proprietary markings, legends or restriction which are in the Software originally supplied
          to Customer; or (vii) violate any obligations with regard to COVIDIEN’s Confidential
          Information. To the extent that Customer is expressly permitted by applicable mandatory
          law to undertake any of the activities listed in the preceding sentence, Customer will not
          exercise those rights until Customer has given COVIDIEN thirty (30) days written notice of
          Customer’s intent to exercise any such rights unless an order of a government agency of
          competent jurisdiction will not so allow.
          Except for the limited license rights expressly granted in this Software License, COVIDIEN
          reserves all rights in and to the Software and any modifications thereto and derivations
          thereof, including, but not limited to, all title, ownership, intellectual property rights and
          all other rights and interests. Customer will own only the hardware or physical media on
          which the Software is stored or processed, if any.
                   Customer agrees that the Software, including the specific design and structure of
                   individual programs, constitute confidential information and trade secrets of COVIDIEN,
                   whether or not the programs may be copyrighted or copyrightable, and/or patented or
                   patentable. Customer agrees not to disclose, provide, or otherwise make available such
                   confidential information, trade secrets or copyrighted material in any form to any third
                   party. Customer agrees that it will make the Software available only to employees,
                   contractors, or consultants with a need to know, who are obligated to comply with all
                   license restrictions contained in this Software License Agreement and to maintain the
                   secrecy of the Software and all other Confidential Information. Customer is responsible
                   for the compliance of all users with these obligations.
                   Customer may, from time to time, request that COVIDIEN incorporate certain features,
                   enhancements or modifications into the Software. COVIDIEN may, in its sole discretion,
                   undertake to incorporate such changes and distribute the Software so modified to all or
                   any of COVIDIEN's customers. All such error corrections, bug fixes, patches, updates or
                   other modifications provided to COVIDIEN shall be the sole property of COVIDIEN.
                   This Software License is effective until terminated. Customer may terminate this License
                   at any time by destroying all copies of Software including any documentation. This
                   License will terminate immediately upon notice from COVIDIEN if Customer fails to
                   comply with any provision of this License or any supplier agreement. COVIDIEN may
                   terminate the Software licenses granted herein and exercise all available rights by giving
                   written notice, effective immediately, if within ten (10) business days of Customer’s
                   receipt of a reasonably detailed written request to cure, Customer has not cured all
                   breaches of this License’s limitations or restrictions. Upon such termination, Customer will
                   immediately pay all undisputed fees outstanding, cease use of all Software, return or
                   delete, at COVIDIEN’s request, all copies of the Software in Customer’s possession, and
                   certify compliance with all of the obligations herein to COVIDIEN in writing.
                   Limited Warranty: COVIDIEN represents and warrants to Customer that the Software
                   will perform substantially as described in COVIDIEN's then current documentation for
                   such Software for the longer of (a) the remaining warranty applicable to the product with
                   which such Software was delivered (not to exceed one year) or (b) ninety (90) days from
                   the date such Software was shipped or first made available to Customer for electronic
                   download from COVIDIEN’s service site. If you notify COVIDIEN of defects during the
                   warranty period, COVIDIEN will replace the Software or, at its option, refund the
                   purchase price. Your remedy for breach of this limited warranty shall be limited to
                   replacement or refund and shall not encompass any other damages. No dealer,
                   distributor, agent or employee of COVIDIEN is authorized to make any modification or
                   addition to the warranty and remedies stated above.
                   Notwithstanding these warranty provisions, all of COVIDIEN's obligations with respect to
                   such warranties shall be contingent on Customer’s use of the Software in accordance
                   with this Agreement and in accordance with COVIDIEN's instructions as provided by
                   COVIDIEN in the documentation, as such instructions may be amended, supplemented,
                   or modified by COVIDIEN from time to time. COVIDIEN shall have no warranty
                   obligations with respect to any failures of the Software which are the result of accident,
                   abuse, misapplication, extreme power surge or extreme electromagnetic field.
                   This warranty does not apply to any damages, malfunctions, or non-conformities caused
                   to or by: (i) Customer’s use of Software in violation of the license granted under the
                   Agreement or in a manner inconsistent with any provided documentation; (ii) use of non-
          COVIDIEN furnished equipment, software, or facilities with its equipment or Products; (iii)
          Customer’s failure to follow COVIDIEN’s installation, operation, repair or maintenance
          instructions; (iv) Customer’s failure to permit COVIDIEN timely access, remote or
          otherwise, to Products; (v) failure to implement all new Updates to Software provided
          under the Agreement; (vi) Products or equipment with their original manufacturer’s serial
          numbers altered, defaced or deleted; (vii) Products or equipment that have been altered,
          serviced or modified by a party other than COVIDIEN; or (viii) Software that has been
          subjected to abnormal physical or electrical stress, misuse, negligence or accident by
          Customer or a third party.
          DISCLAIMER: EXCEPT AS SPECIFIED IN THIS WARRANTY, ALL EXPRESS OR IMPLIED
          CONDITIONS, REPRESENTATIONS, AND WARRANTIES INCLUDING, WITHOUT
          LIMITATION, ANY IMPLIED WARRANTY OF MERCHANTABILITY, FITNESS FOR A
          PARTICULAR PURPOSE, OR ARISING FROM A COURSE OF DEALING, USAGE, OR TRADE
          PRACTICE, ARE HEREBY EXCLUDED TO THE EXTENT ALLOWED BY APPLICABLE LAW.
          IN NO EVENT WILL EITHER PARTY BE LIABLE FOR ANY LOST REVENUE, PROFIT, OR DATA,
          OR FOR SPECIAL, INDIRECT, CONSEQUENTIAL, INCIDENTAL, OR PUNITIVE DAMAGES
          HOWEVER CAUSED AND REGARDLESS OF THE THEORY OF LIABILITY ARISING OUT OF
          THIS SOFTWARE LICENSE EVEN IF SUCH PARTY HAS BEEN ADVISED OF THE POSSIBILITY
          OF SUCH DAMAGES. IN NO EVENT SHALL ONE PARTY’S LIABILITY TO THE OTHER PARTY,
          WHETHER IN CONTRACT, TORT (INCLUDING NEGLIGENCE), OR OTHERWISE, EXCEED THE
          PRICE PAID OR TO HAVE BEEN PAID BY CUSTOMER. THE FOREGOING LIMITATIONS SHALL
          APPLY EVEN IF THE ABOVE-STATED WARRANTY FAILS OF ITS ESSENTIAL PURPOSE. SOME
          STATES DO NOT ALLOW LIMITATION OR EXCLUSION OF LIABILITY FOR CONSEQUENTIAL
          OR INCIDENTAL DAMAGES.
          U.S. Government Rights. The Software is a “commercial item” developed exclusively at
          private expense, consisting of “commercial computer software” and “commercial
          computer software documentation” as such terms are defined or used in the applicable
          U.S. acquisition regulations. The Software is licensed hereunder (i) only as a commercial
          item and (ii) with only those rights as are granted to all other customers pursuant to the
          terms and conditions of this License. Customer shall not use, duplicate, or disclose the
          Software in any way not specifically permitted by this License. Nothing in this License
          requires COVIDIEN to produce or furnish technical data for or to Customer.
          If any provision of this Agreement shall be held by a court of competent jurisdiction to be
          illegal, invalid or unenforceable, the remaining provisions shall remain in full force and
          effect.
          This License Agreement contains the entire understanding and agreement between the
          parties respecting the Software. This Agreement may not be supplemented, modified,
          amended, released or discharged except by an instrument in writing signed by each party's
          duly authorized representative. All captions and headings in this Agreement are for
          purposes of convenience only and shall not affect the construction or interpretation of any
          of its provisions. Any waiver by either party of any default or breach hereunder shall not
          constitute a waiver of any provision of this Agreement or of any subsequent default or
          breach of the same or a different kind.
          The construction and performance of this Agreement will be governed by the laws of the
          State of Colorado without reference to its choice of law principles. The parties hereby
          submit to the jurisdiction of the courts of the State of Colorado.
                          Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
                          Conventions Used in this Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
                          Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .iii
                          Software License . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
                          Chapter 1. Overview and General Features
                          ForceTriad Energy Platform Front Panel. . . . . . . . . . . . . . . . . . . 1-2
                          Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
                               Indications for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
                          System Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
                               Touchscreens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
                               Common Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
                          Power Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         1-6
                              Monopolar Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                 1-7
                              Bipolar Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .             1-7
                              LigaSure Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .              1-8
                          Chapter 2. Patient and Operating Room Safety
                          General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   2-2
                              Setting Up the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                 2-2
                              Fire/Explosion Hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                 2-4
                              Energy Platform. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .              2-5
                              Active Instruments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .               2-5
                              Implanted Electronic Devices (IEDs) . . . . . . . . . . . . . . . . . .                         2-6
                              After Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .           2-6
                          Monopolar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
                             Patient Return Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
                             Inadvertent Radio Frequency (RF) Burns . . . . . . . . . . . . . . 2-8
                          Laparoscopic Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
                          Bipolar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
                          LigaSure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
                               LigaSure in Laparoscopic Procedures . . . . . . . . . . . . . . . . 2-11
                          Servicing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
                          Shunt Cords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
                          Conductive Fluid In the Surgical Site . . . . . . . . . . . . . . . . . . . . 2-12
                          Chapter 3. System Setup
                          Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
                               Before Startup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
          This chapter provides an overview of the features and functions of the ForceTriad
          Energy Platform.
           Caution
          Read all warnings, cautions, and instructions provided with this system before use.
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          use. Specific instructions for electrosurgical instruments are not included in this manual.
1 2 3
4 5 6 7 8 9 10 11
System Conventions
                 Touchscreens
                 The ForceTriad Energy Platform features a user-friendly interface with three touchscreens
                 that allow the user to control system functions. The active touchscreen or touchscreens
                 will illuminate, and the unavailable touchscreens will dim.
Common Symbols
                                Bipolar Mute On/   Turn on/off the audio tones produced by the
                                Off                system that indicate the increase or decrease of
                                                   current during a bipolar procedure.
                                     System Tray          The system tray contains controls that allow you
                                                          to access and adjust system settings including
                                                          screen brightness and main menu options as well
                                                          as a connection indicator.
              Power Modes
              As a safety feature, simultaneous activation of multiple instruments is not possible on the
              ForceTriad Energy Platform.
           Notice
          To provide expected functionality from a hand piece, proper insertion is required. Refer to the
          orientation drawing near the receptacles for proper insertion orientation.
          Cut Modes
          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 with
          simultaneous hemostasis.
          Valleylab Mode
          Valleylab mode is a unique combination of hemostasis and dissection that allows the user
          to slow down for more hemostasis and speed up for faster dissection. Thermal spread is
          equal to or less than cut or blend modes.
          Coag Modes
          Fulgurate coagulates tissue by sparking from the active electrode, through air, to the
          patient tissue.
          Spray delivers wider fulguration; penetration is shallower and the affected tissue area is
          larger than with the Fulgurate mode.
          Bipolar Modes
          Three bipolar modes are available:
          Low delivers precision and fine control over the amount of desiccation.
          Standard is a conventional bipolar output at low voltage.
          Macro (macrobipolar) may be used for bipolar cutting or rapid coagulation. Power
          remains constant over a wide range of tissue types.
          Autobipolar
          The autobipolar feature senses tissue impedance between the two bipolar electrodes, then
          uses the impedance information to automatically start or stop bipolar RF energy delivery.
          Optionally, the user may choose between footswitch start and auto start, or program a
          delay between auto start and RF activation.
          Note: When using autobipolar mode, the tissue in the grasp of the bipolar device must
          have an impedance less than 1000 Ω. The activation impedance safety feature will not
          deliver RF power to the tissue if it is not within the specified range. This is a factory-set
          value that cannot be reset by the user.
              LigaSure Mode
              The LigaSure tissue-fusion mode can be used on arteries, veins, pulmonary vasculature,
              and lymphatics up to and including 7 mm in diameter and tissue bundles. This system
              provides precise energy delivery and electrode pressure to vessels for a controlled time
              period to achieve a complete and permanent fusion of the vessel lumen. The system has
              been designed to produce minimal sticking, charring, or thermal spread to adjacent tissue.
               Warning
              Do not attempt to fuse lung tissue with LigaSure mode or instruments.
              LigaSure Instruments
              The LigaSure instruments that complete the ForceTriad tissue-fusion system include
              multiple reusable and single-use instruments for open and laparoscopic procedures. Each
              reusable instrument requires a corresponding single-use electrode. The LigaSure function
              is only available when using Covidien LigaSure instruments.
          The safe and effective use of electrosurgery depends to a large degree upon
          factors solely under the control of the operator. There is no substitute for a
          properly trained and vigilant surgical team. It is important that the operating
          instructions supplied with this or any electrosurgical equipment be read,
          understood, and followed.
          Electrosurgery has been used safely in millions of procedures. Before starting any
          surgical procedure, the surgeon should be trained in the particular technique and
          surgical procedure to be performed, should be familiar with the medical literature
          related to the procedure and potential complications, and should be familiar with
          the risks versus the benefits of utilizing electrosurgery in the procedure.
General
          Patient Safety Use the energy platform only if the power-up self-test has been completed as
          described in this manual, otherwise inaccurate power outputs may result.
          Caution
          When using a smoke evacuator in conjunction with the ForceTriad Energy Platform, set the system
          volume control at a level that ensures that the activation tones can be heard.
          Connect only Covidien-approved footswitches. Using footswitches from other manufacturers may
          cause equipment malfunction.
          Warning
          Hazardous Electrical Output This equipment is for use only by trained, licensed physicians.
          Do not use electrosurgical equipment unless properly trained to use it in the specific procedure
          being undertaken. Use of this equipment without such training can result in serious, unintended
          patient injury, including bowel perforation and unintended, irreversible tissue necrosis.
          Always use the lowest power setting that achieves the desired surgical effect. The active electrode
          should be utilized only for the minimum time necessary in order to lessen the possibility of
          unintended burn injury. Accidental and unintended burn injury has occurred during procedures in
          small surgical fields and on small appendages. Pediatric applications and/or procedures performed
          on small anatomic structures may require reduced power settings. The higher the current flow and
          the longer the current is applied, the greater the possibility of unintended thermal damage to
          tissue, especially during use on small structures.
          Do not wrap the instrument cords or patient return electrode cords around metal objects. This may
          induce currents that could lead to shocks, fires, or injury to the patient or surgical team.
          Electric Shock Hazard Do not connect wet instruments to the energy platform. Ensure that all
          instruments and adapters are correctly connected and that no metal is exposed at any connection
          points.
          Confirm proper power settings before proceeding with surgery. If the proper power settings are
          not known, set the power to a low setting and cautiously increase the power until the desired
          effect is achieved. If increased power settings are requested, check the patient return electrode and
          all instrument connections before major power-setting adjustments.
           Warning
          Contact between the active electrode and any metal will greatly increase current flow and can
          result in unintended surgical effect.
          While using electrosurgery, the patient should not be allowed to come into direct contact with
          grounded metal objects (e.g., surgical-table frame, instrument table, etc.). If this is not possible
          during certain procedures (e.g., those in which noninsulated head frames are used), use extreme
          caution to maximize patient safety:
          •   Use the lowest power setting that achieves the desired effect.
• Place dry gauze between the patient and the grounded object if possible.
                                                                                                                               Safety
          •   Do not use metal needle monitoring electrodes.
           Caution
          Read all warnings, cautions, and instructions provided with this energy platform before using.
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          using. Specific instructions for electrosurgical instruments are not included in this manual.
          For surgical procedures where the current could flow through delicate parts of the body, the use
          of bipolar techniques may be desirable in order to avoid unwanted coagulation.
          Examine all instruments and connections to the system before using. Ensure that the instruments
          function as intended. Improper connection may result in arcs, sparks, instrument malfunction, or
          unintended surgical effects.
          Do not turn the activation tone down to an inaudible level. The activation tone alerts the surgical
          team when the energy platform is delivering RF energy.
          A non-functioning ForceTriad Energy Platform may cause interruption of surgery. A backup system
          should be available for use.
          Studies have shown that smoke generated during electrosurgical procedures can be potentially
          harmful to patients and the surgical team. These studies recommend adequately ventilating the
          smoke by using a surgical-smoke evacuator or other means.1
          Inadvertent activation may occur while installing, removing, or bending electrodes. Ensure that the
          instrument cord is not connected to the ForceTriad Energy Platform or that the system is OFF.
          1. U.S. Department of Health and Human Services. National Institute for Occupational Safety and
             Health (NIOSH). Control of Smoke from Laser/Electric Surgical Procedures. HAZARD CONTROLS,
             Publication No. 96-128, September, 1996
          Notice
          Connect the power cord to a properly grounded power receptacle having the correct voltage.
          Otherwise, product damage may result.
          Important
          If required by local codes, connect the energy platform to the hospital equalization connector with
          an equipotential cable.
          Fire/Explosion Hazard
          Warning
          Danger: Explosion Hazard Do not use electrosurgery in the presence of flammable anesthetics.
          Fire Hazard Do not place active instruments near or in contact with flammable materials (such
          as gauze or surgical drapes). Electrosurgical instruments that are activated or hot from use can
          cause a fire. When not in use, place electrosurgical instruments in a safety holster or safely away
          from patients, the surgical team, and flammable materials.
          Fire Hazard Sparking and heating associated with electrosurgery can be an ignition source. Keep
          gauze and sponges wet. Keep electrosurgical electrodes away from flammable materials and
          oxygen (O2) enriched environments.
          Use of electrosurgery in O2 rich environments increases the risk of fire. Therefore, take measures
          to reduce the O2 concentration at the surgical site.
          Avoid enriched O2 and nitrous oxide (N2O) atmospheres near the surgical site. Both O2 and N2O
          support combustion and may result in fires and burns to patients or surgical personnel.
          If possible, stop supplemental oxygen at least one minute before and during use of electrosurgery.
          Do not activate the energy platform until flammable vapors from skin-preparation solutions and
          tinctures have dissipated.
          Avoid the accumulation of naturally occurring flammable gases that may accumulate in body
          cavities such as the bowel.
          Prevent pooling of flammable fluids and the accumulation of flammable or oxidizing gases or
          vapors under surgical drapes or near the surgical site.
          Tissue buildup (eschar) on the tip of an active electrode may create embers that pose a fire hazard,
          especially in oxygen-enriched environments. Keep the electrode clean and free of all debris.
          Facial and other body hair is flammable. Water soluble surgical lubricating jelly may be used to
          cover hair close to the surgical site to decrease flammability.
          Verify that all anesthesia circuit connections are leak free before and during use of electrosurgery.
           Warning
          Fire Hazard During Oropharyngeal Surgery
          Verify endotracheal tubes are leak free and that the cuff seals properly to prevent oxygen leaks.
          If an uncuffed tube is in use, pack the throat with wet sponges around the uncuffed tube, and be
          sure to keep sponges wet throughout the procedure.
          Question the need for 100% O2 during oropharyngeal or head and neck surgery.
          If necessary, scavenge excess O2 with separate suction.
                                                                                                                             Safety
          Each instrument receptacle on this energy platform is designed to accept only one instrument at a
          time. Follow the instructions provided with electrosurgical instruments for proper connection and
          use.
           Caution
          Do not stack equipment on top of the energy platform or place the energy platform on top of
          electrical equipment. This is an unstable configuration and does not allow for adequate cooling.
          Provide as much distance as possible between the energy platform and other electronic equipment
          (such as monitors). Do not cross or bundle electronic-device cords. This energy platform may cause
          interference with other electronic equipment.
          Active Instruments
           Caution
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          using. Specific instructions for electrosurgical instruments are not included in this manual.
          Inspect instruments and cords for breaks, cracks, nicks, and other damage before every use. If
          damaged, do not use. Damaged instruments or cords may result in injury or electrical shock to the
          patient or surgical team.
          Use only instruments that can withstand the maximum output (peak) voltage for each output
          mode as listed in Chapter 9, Technical Specifications. Using an instrument with a voltage rating
          that is lower than the maximum output voltage may result in injury to the patient or the operator,
          or damage to the instrument.
          All Covidien instruments have voltage ratings that are greater than the maximum output voltages
          in the ForceTriad Energy Platform and are thus fully compatible.
          Information on voltage ratings for non-Covidien instruments should be obtained from the
          instrument’s manufacturer.
           Warning
          Use electrosurgery and tissue fusion with caution in the presence of internal or external
          pacemakers. Interference produced by the use of electrosurgical devices can cause a pacemaker to
          enter an asynchronous mode or can block the pacemaker effect entirely. Consult the pacemaker
          manufacturer or hospital cardiology department for further information when use of
          electrosurgery or tissue-fusion appliances is planned in patients with cardiac pacemakers.
          If the patient has an implanted electronic device (IED), contact the IED manufacturer for instructions
          before performing an electrosurgical or tissue-fusion procedure. Electrosurgery or tissue fusion may
          cause multiple activations of ICDs, or interfere with the intended function of other IEDs.
          After Surgery
           Warning
          Electric Shock Hazard Always turn off and unplug the energy platform before cleaning.
           Caution
          Do not reprocess, reuse or resterilize instruments labeled “disposable” or “single use only.”
           Notice
          Do not clean the energy platform with abrasive cleaning or disinfectant compounds, solvents, or
          other materials that could scratch the panels or damage the energy platform.
          Monopolar
           Warning
          Simultaneously activating suction/irrigation and electrosurgical current may result in increased
          arcing at the electrode tip, burns to unintended tissues, or shocks and burns to the surgical team.
          Some surgeons may elect to “buzz the hemostat” during surgical procedures. It is not
          recommended, and the hazards of such a practice probably cannot be eliminated. Burns to the
          surgeon’s hands are possible. To minimize the risk take these precautions:
• Do not lean on the patient, the table, or the retractors while buzzing the hemostat.
• Activate cut rather than coag. Cut has a lower voltage than coag.
• Firmly grasp as much of the hemostat as possible before activating the energy platform. This
                                                                                                                                  Safety
              disperses the current over a larger area and minimizes the current concentration at the finger
              tips.
          •   Buzz the hemostat below hand level (as close as possible to the patient) to reduce the
              opportunity for current to follow alternate paths through the surgeon’s hands.
• Use the lowest power setting possible for the minimum time necessary to achieve hemostasis.
          •   Activate the energy platform after the instrument makes contact with the hemostat. Do not
              arc to the hemostat.
          •   When using a coated- or nonstick-blade electrode, place the edge of the electrode against the
              hemostat or other metal instrument.
          The safe use of monopolar electrosurgery requires proper placement of the patient return
          electrode. To avoid electrosurgical burns beneath the patient return electrode, follow all directions
          provided with the product.
          Do not cut a patient return electrode to reduce its size. Patient burns due to high current density
          may result.
          To avoid patient burns, ensure that the patient return electrode firmly and completely contacts the
          skin. Always check the patient return electrode periodically and after the patient is repositioned
          and during procedures involving long periods of activation.
            Warning
            Use of duty cycles greater than 25% (10 seconds active followed by 30 seconds inactive) will
            increase the risk that heat build-up under a return electrode may be high enough to injure the
            patient. Do not continuously activate for longer than one minute.
            Notice
            Capacitive pads and other non-CQM patient return electrodes may not work with the ForceTriad
            Energy Platform.
            Important
            A statement of compatibility from the CQM patient return electrode manufacturer should be
            obtained prior to the use of a non-Covidien CQM patient return electrode.
            To reduce the risk of an inadvertent electrosurgical burn at the electrode or probe site, place the
            electrode and/or probe as far away as possible from the electrosurgical site and/or patient return
            electrode. Protective impedances (resistors or RF inductors) installed in the monitoring leads may
            reduce the risk of such burns. Consult the hospital biomedical engineer for further information.
            In some circumstances, the potential exists for alternate site burns at points of skin contact (e.g.,
            between the arm and the side of the body). This occurs when electrosurgical current seeks a path
            to the patient return electrode that includes the skin-to-skin contact point. Current passing
            through small skin-to-skin contact points is concentrated and may cause a burn. This is true for
            ground referenced and isolated output electrosurgical energy systems.
            To reduce the potential for alternate site burns, do one or more of the following:
            •   Avoid skin-to-skin contact points, such as fingers touching leg or knee touching knee when
                positioning the patient.
            •   Place insulation, such as dry gauze or towel, between contact points to ensure that contact
                does not occur.
            •   Position the patient return electrode to provide a direct current route between the surgical site
                and the return electrode which avoids skin-to-skin contact areas.
          Laparoscopic Procedures
           Warning
          For laparoscopic procedures, be alert to these potential hazards:
          •   Laparoscopic surgery may result in gas embolism due to insufflation of gas in the abdomen.
          •   The electrode tip may remain hot enough to cause burns after the electrosurgical current is
              deactivated.
• Inadvertent activation or movement of the activated electrode outside of the field of vision may
          •   Localized burns to the patient or physician may result from electrical currents carried through
              conductive objects (such as cannulas or scopes). Electrical current may be generated in
              conductive objects through direct contact with the active electrode, or by the active instrument
                                                                                                                                      Safety
              (electrode or cable) being in close proximity to the conductive object.
          •   Do not use hybrid trocars that have a non-conductive locking anchor placed over a conductive
              sleeve. For the operative channel, use all-metal or all-plastic systems. At no time should
              electrical energy pass through hybrid systems. Capacitive coupling of RF current may cause
              unintended burns.
          •   When using laparoscopic instrumentation with metal cannulas, the potential exists for
              abdominal-wall burns to occur due to direct electrode contact or capacitive coupling of RF
              current. This is most likely to occur in instances where the energy platform is activated for
              extended periods at high power levels inducing high-current levels in the cannula.
          •   Ensure that the insulation of single-use and reusable laparoscopic instrumentation is intact and
              uncompromised. Compromised insulation may lead to inadvertent metal-to-metal sparking
              and neuromuscular stimulation and/or inadvertent sparking to adjacent tissue.
          •   Do not activate electrodes while in contact with other instruments as unintended tissue injury
              may occur.
          Do not activate the energy platform in an open-circuit condition. To reduce the chances of
          unintended burns, activate the energy platform only when the active electrode is near or touching
          the target tissue.
          •   Use the lowest power setting that achieves the desired surgical effect and use a low-voltage
              waveform (Pure Cut, Blend, or Valleylab mode) to lessen the potential for the creation of
              capacitive currents.
          •   Carefully insert and withdraw active electrodes from cannulas to avoid possible injury to the
              patient or damage to the devices.
          Bipolar
          Caution
          Bipolar instruments must be connected to the bipolar instrument receptacle only. Improper
          connection may result in inadvertent system activation.
          LigaSure
          Warning
          LigaSure instruments are intended for use ONLY with the ForceTriad Energy Platform and the
          LigaSure vessel sealing system. Use of these instruments with other Covidien generators or with
          generators produced by other manufacturers may not result in electrical output for which these
          instruments were designed and thus may not result in the desired clinical effect.
          If the seal-complete tone has not sounded, an optimal seal may not have been achieved. Reactivate
          the RF energy until a seal-complete tone is heard.
          The LigaSure tissue-fusion function has not been shown to be effective for tubal sterilization or
          tubal coagulation for sterilization procedures. Do not use this function for these procedures.
          Use caution during surgical cases in which patients exhibit certain types of vascular pathology
          (atherosclerosis, aneurysmal vessels, etc.). For best results, apply the seal to unaffected vasculature.
          Do not activate the energy platform in the LigaSure mode until the tissue-fusion instrument has
          been applied with the proper pressure. Activating the energy platform before this is done will result
          in an improper seal and may increase thermal spread to tissue outside the surgical site.
          Tissue fusion requires the application of RF energy and pressure from the instrument. Tissue to be
          sealed must be firmly grasped between the instrument jaw electrodes. Tissue in the jaw hinge or
          outside the instrument jaw will not be sealed even if thermal blanching occurs.
          LigaSure instruments that require single-use electrodes must be used with the correct electrode
          type. Use of these instruments with any other electrodes could result in injury to the patient or
          surgical team, or cause damage to the instrument.
          Conductive fluids (e.g, blood or saline) in direct contact with LigaSure instruments or in close
          proximity may carry electrical current or heat, which may cause unintended surgical effects or
          burns.
          Caution
          Energy based devices, such as electrosurgical pencils or ultrasonic scalpels, that are associated with
          thermal spread should not be used to transect seals.
          Avoid placing fingers in the handle ratchet mechanism or between the ring handles or jaws as
          applicable depending on the type of instrument. Injury to the user may result.
          •   Inadvertent activation or movement of the activated LigaSure instrument outside of the field
              of vision may result in injury to the patient.
• Do not activate the LigaSure function in an open-circuit condition. Activate the energy platform
                                                                                                                                 Safety
              only when the instrument is near or in direct contact with the target tissue to reduce the
              possibility of unintended burns.
          •   Carefully insert and withdraw LigaSure instruments from cannulas to avoid possible damage to
              the devices and/or injury to the patient.
          Servicing
           Warning
          Electric Shock Hazard Do not remove the energy platform cover. Contact qualified personnel for
          service.
           Notice
          Refer to this system’s service manual for maintenance recommendations, and function and output-
          power verification procedures.
          Shunt Cords
           Warning
          Some surgical instruments (e.g., colonoscopes) may allow substantial leakage current that could
          burn the surgeon. If the instrument manufacturer recommends the use of a shunt cord (s-cord) to
          direct the current back to the energy platform, an E0507-B adaptor must also be used. To avoid a
          REM alarm, REM Polyhesive patient return electrode with the E0507-B adaptor must be used.
                    Use of duty cycles greater than 25% (10 seconds active followed by 30 seconds inactive) will
                    increase the risk that heat build-up under a return electrode may be high enough to injure the
                    patient. Do not continuously activate for longer than one minute.
          This chapter describes how to set up the energy platform, turn it on, and configure
          system settings.
           Caution
          Read all warnings, cautions, and instructions provided with this system before use.
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          use. Specific instructions for electrosurgical instruments are not included in this manual.
Setup
        Before Startup
        1. Verify the system is off by pressing the power switch off (O).
        2. Place the energy platform on a flat, stable surface such as a table, platform, boom
           system, or ForceTriad cart. Refer to the procedures for your local institution or your
           local codes.
        3. Plug the system power cord into the rear panel receptacle.
        4. Plug the system power cord into a grounded power receptacle.
        Note: Do not plug into a power strip or extension cord.
System Functions
        Activation Log
        The Activation Log allows the user to view the last 1000 activations and REM alerts.
        1. Touch the wrench icon         on the right side of the right touchscreen. The main-menu
           display will appear in the left touchscreen.
          2. Touch Activation Log in the main menu. The activation log will appear on the center
             touchscreen.
          3. Touch the single up or down arrow to the right of the activation log to scroll through
             the log one line at a time.
          4. Touch the green arrow button on the bottom-right corner of the main menu screen to
             return the ForceTriad Energy Platform to the previous setup configuration. The last
             settings will be displayed.
          Service Display
          Refer to the ForceTriad Energy Platform Service Manual for complete service instructions.
          Restore
          Select the Restore button in the main menu to restore the ForceTriad Energy Platform to
          the previous setup configuration. The touchscreens will display the last settings entered
          prior to shutting the system off.
          Setup
          The Setup menu allows the user to change the language that the system touchscreens
          display, set the time and date, and access the features menu.
                                                                                                                        System Setup
          Language Setup
          1. Touch the wrench icon         on the right side of the right touchscreen. The main menu
             display will appear in the left touchscreen.
          2. Touch Setup in the main menu. The setup display will appear in the left touchscreen.
          3. Touch Language in the setup menu. A list of languages will appear in the left
             touchscreen.
          4. Touch the single up or down arrow to the right of the list to scroll through the list one
             line at a time.
             or
             Touch the double up or down arrow to scroll through the list one page at a time.
          5. Touch the desired language. A confirmation box will appear and request the user to
             confirm that a language change is desired.
          6. To proceed with the language change, touch the green check-mark button. The
             language will be activated and the confirmation box will close.
             or
             To reject the language change, touch the red ‘X’ button. The language setting will
             return to the previously selected language.
          Features Menu
          The features menu displays software features and applications that can be enabled or
          disabled at the system level.
          •   Autobipolar—Configures automatic activation and cessation of energy from the
              Auto tab.
          •   Mono 1 Footswitching —Enables footswitching control of both handswitching and
              footswitching devices attached to the Monopolar 1 receptacle.
          •   Other features or applications—Other features and applications may be on this
              menu based on special configurations or purchased applications
          The default software settings for autobipolar mode and monopolar 1 footswitching are
          enabled or disabled at the system level from the Features menu. Once enabled, the feature
          is available on the affected screen and can be turned on and off.
          Autobipolar and monopolar settings selected on the Features menu determine the options
          available from the Bipolar and Monopolar touch screens. The settings can be turned on
          and off locally from buttons available on the affected screens.
System Setup
                   Autobipolar
                   Autobipolar mode on the Features menu enables and disables autobipolar function at the
                   system level, controlling whether autobipolar function is available on the Bipolar tab of the
                   center screen.
                   Enable/Disable Autobipolar at the system level:
                   1. Touch the wrench icon         on the right side of the right touchscreen. The main-menu
                      display will appear in the left touchscreen.
                   2. Touch Setup in the main menu. The setup display appears in the left touchscreen.
                   3. Touch Features in the setup menu. Available options appear in the left touchscreen.
                      The factory default for all features is disabled.
                   4. To enable, touch AutoBipolar. A check appears in the accompanying box.
Bipolar
1 2
                                                                          A
                                                                                  mA
                    Bipolar Tab (This label changes to Auto if autobipolar mode is turned on)
                   ཱ Autobipolar Mode Button (shows autobipolar mode is enabled but not turned on)
          Mono 1 Footswitching
          The Monopolar 1 footswitching option on the Features menu enables and disables
          footswitching on the Monopolar 1 Std Mono and Valleylab tabs. The
          Accessories Port tab (Acc. Port) is not affected. If enabled on the Features menu,
          footswitching can then be turned on and off on the Std Mono and Valleylab tabs as well
          as on the This feature is not enabled touchscreen as described in the following note.
          Enabling and Disabling Monopolar 1 Footswitching:
          1. Touch the wrench icon        on the right side of the right touchscreen. The main-menu
             display appears in the left touchscreen.
          2. Touch Setup in the main menu. The setup display appears in the left touchscreen
          3. Touch Features in the setup menu. Available options appear in the left touchscreen.
             The default setting for all features is disabled.
                                                                                                                     System Setup
          4. To enable the feature, touch Mono 1      . A check appears in the accompanying box.
          Note: If Monopolar 1 footswitching has not been enabled, the following touchscreen
          appears. Enable Monopolar 1 footswitching by selecting the button with the green check
          mark.
          Demo Mode
           Warning
          Demo mode is intended for demonstration purposes only. Demo mode is not intended for clinical
          use.
                                                                                                                         System Setup
          Touch the wrench icon         on the right side of the right touchscreen. The main menu
          display appears in the left touchscreen.
             Note: Touching the Demo-mode screen will remove it briefly from all touchscreens.
          2. Proceed with any practice or demonstration scenarios. While in Demo mode, the REM
             alarm and the dual-instrument error alarm are deactivated but RF power will still be
             delivered.
             Note: In Demo mode the energy platform will not sense instrument type, so the
             appropriate tab must be selected manually for the connected instrument.
                   3. To exit Demo mode, either turn the system off and restart it, or follow the steps in the
                      Exit Demo Mode section that follows.
          This chapter describes the monopolar surgery features of the ForceTriad Energy
          Platform.
           Caution
          Read all warnings, cautions, and instructions provided with this system before use.
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          use. Specific instructions for electrosurgical instruments are not included in this manual.
3 4 5 6 7
                  2
                                                                                         250 V F8.0A (100-240)
                  3
                                            4            5             6
           USB Port
          ཱ Ethernet Port
          ི RS232 Port
          ཱི Interlink Cable Port
          ུ Monopolar Footswitch Receptacle (requires adapter to connect standard four-pin
             monopolar footswitch)
          ཱུ Expansion Port
          ྲྀ Fuse Port
Monopolar Function
                   Warning
                  Electric Shock Hazard
                  •   Do not connect wet instruments to the system.
                  •   Ensure that all instruments and adapters are correctly connected and that no metal is exposed
                      at any connection point.
                  Connect instruments to the proper receptacle. Improper connection may result in inadvertent
                  instrument activation or other potentially hazardous conditions. Follow the instructions provided
                  with electrosurgical instruments for proper connection and use.
                  The instrument receptacles on this energy platform are designed to accept only one instrument at
                  a time.
           Caution
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          use. Specific instructions are not included in this manual.
          Inspect instruments and cords (especially reusable instruments and cords) for breaks, cracks, nicks,
          and other damage before every use. If damaged, do not use. Failure to observe this precaution may
          result in injury or electrical shock to the patient or surgical team.
           Notice
          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
          limits the instrument's functionality and will damage the connector.
          Monopolar Footswitch
          Monopolar footswitches control instruments connected to the accessory receptacle or the
          Monopolar 1 receptacle. The two receptacles are controlled by the left panel.
          The ForceTriad Energy Platform provides hardware and software options for monopolar
          footswitching.
          Standard footswitching devices attached to the universal footswitching accessory
          receptacle on the front panel can be controlled with a Covidien footswitch attached to the
          Monopolar footswitch receptacle on the back panel.
          Software footswitching control can be enabled for both footswitching and handswitching
          instruments when Monopolar 1 footswitching is enabled from the features menu. (See
          page 3-7.) Monopolar 1 footswitching also accommodates a Valleylab-mode enabled
          three-pedal footswitch to provide Valleylab-mode functionality to all instruments.
           Caution
          Connect only Covidien-approved footswitches. Using footswitches from other manufacturers may
          cause equipment malfunction.
                Setup:
                1. If needed, attach the footswitch adapter to the Monopolar footswitching receptacle
                   on the back panel.
                2. Plug the footswitch connector into the adapter, or if an adapter is not needed, directly
                   into the Monopolar footswitching receptacle.
                3. If needed, attach the E05021 or E0017 adapter to the universal footswitching
                   accessory receptacle.
                4. Plug the footswitching instrument cord into the universal footswitching accessory
                   receptacle (or the adapter, if one was attached in the previous step).
                 Important
                 Cut and coag footswitch activation is also available at this point from the Valleylab tab for
                 ForceTriverse™ instruments controlled by a two-pedal footswitch.
7. Enable Monopolar 1 footswitching by touching the button with the green check mark.
          introduced into the surgical site. Under these conditions a greater risk may exist that the heating
          under a fully applied return electrode may be high enough to injure the patient.
          When using a Covidien energy platform or a patient return electrode during these types of surgical
          procedures, the user should seek written guidance in the form of detailed user instructions from
          the manufacturer of the active accessory regarding the currents and duty cycles that can be
          expected. In some instances, the application of additional patient return electrodes may help
          mitigate the increased risk.
                 platform. A reduction in surface area contact or poor conductivity between the patient
                 and the return electrode can cause the current to become concentrated, potentially
                 resulting in burns at the return electrode site.
                 During a surgical procedure, the amount of current delivered during a given time period
                 determines the amount of heating that occurs under the return electrode. REM Polyhesive
                 patient return electrodes are designed for use during conventional electrosurgical
                 procedures and duty cycles (on time compared to off time). Users should consult
                 Chapter 9, Technical Specifications for the recommended maximum duty cycle
                 specifications.
                 The REM system continuously measures the resistance at the return electrode site and
                 compares it to a standard range of safe resistance (between 5 Ω and 135 Ω), thus
                 eliminating intermittent false alarms that could result from small changes in resistance.
                 The REM system also adapts to individual patients by measuring the initial contact
                 resistance between the patient and the patient return electrode and lowering the baseline
                 resistance if the contact resistance drops.
                 A REM alarm sounds and the system stops producing output power when either of the
                 following occurs:
                 •   The measured resistance is below 5 Ω or above 135 Ω, the limits of the standard range
                     of safe resistance.
                 •   An increase in contact resistance is greater than 40% from the baseline measurement.
           Warning
          The safe use of monopolar electrosurgery requires proper placement of the patient return
          electrode. To avoid electrosurgical burns beneath the patient return electrode, follow all directions
          on the product package for proper return electrode placement and use.
          Do not cut a patient return electrode to reduce its size. Patient burns due to high-current density
          may result.
          1. Place the patient return electrode on the patient. Refer to the patient return electrode
             instructions for proper return electrode placement.
          2. Connect the REM Polyhesive patient return electrode plug to the patient return
             electrode receptacle on the energy platform.
          The REM indicator icon on the touchscreen illuminates red to indicate that the REM
          Polyhesive patient return electrode is disconnected from the energy platform or improperly
          applied to the patient.
          The REM indicator icon on the touchscreen illuminates green when the system senses that
          the REM Polyhesive patient return electrode is properly connected to the energy platform
          and patient.
                                                                                                                        Monopolar Function
                 When a REM alarm occurs, the large red and yellow REM icon is displayed for a few
                 seconds and then disappears. The small green REM icon turns red.
                 Monopolar Electrodes
                 Connect a monopolar instrument to the Monopolar 1 or Monopolar 2 instrument
                 receptacle on the front of the energy platform. See the Covidien instrument’s Instructions
                 for Use (IFU) for which receptacle to use.
                  Notice
                 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
                 limits the instrument's functionality and will damage the connector.
                                                                    2
               1        Std Mono      Valleylab      Acc. Port
                         Cut                  Coag
                         1                     1
                          Pure                    Fulg
                                                          REM
                                      3
                                                                     4
                         Blend                 Spray
1 3
          Power Bars: The five gold bars in the center of the Valleylab tab represent the five power
          bars available for the particular instrument attached to the energy platform receptacle.
          The system automatically selects the default power bar setting for the particular
          instrument. Power bars can only be changed at the touchscreen interface on the energy
          platform.
          Note: Refer to the individual instrument instructions for power-bar output in watts.
          Slider Position (if available on the instrument): The energy platform detects the
          current position of the instrument’s slider switch, and the slider position indicator on the
          right side of the Valleylab tab displays this slider position. Slider position can only be
          changed by the instrument user in the sterile field.
           Warning
          The slider, if available on the instrument, increases and decreases power output. Verify slider
          position prior to activation.
          2. Adjust the power output for cut, Valleylab mode, and coag, if available, by pressing
             the associated green up or down buttons on the energy platform touchscreen.
          3. For instruments with a slider, return to the sterile-field control mode by touching the
             “X” button. The Valleylab mode control screen re-appears on the touchscreen, and the
             power zone and slider position resets based on the current instrument configuration.
                                    Cut                   Coag
                                     1                     1
                                                                                                                    Monopolar Function
                                      Pure                  Fulg
                                                                      REM
Blend Spray
          The Accessory Port tab allows the user to control the power mode and power output level
          at the system interface for any footswitching instrument connected.
                 1. Select the power output mode waveform by pressing the associated button. The
                    waveforms available in the cut mode are Pure and Blend. In the coag mode, the
                    waveforms available are Fulgurate or Spray.
                 2. Set the power to the desired output level by pressing the green up and down arrow.
                    Power output is displayed in watts.
                 3. Activate the cut mode by stepping on the cut or yellow pedal on the footswitch. The
                    cut display will illuminate yellow and a tone will sound for the duration of the
                    activation.
                       Activate the coag mode by stepping on the coag or blue pedal on the footswitch. The
                       coag display will illuminate blue and a tone will sound for the duration of the
                       activation.
           Caution
          Read all warnings, cautions, and instructions provided with this system before use.
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          use. Specific instructions for electrosurgical instruments are not included in this manual.
1 2 3
                    Power Switch
                   ཱ Bipolar Touchscreen
                   ི Bipolar Instrument Receptacle
                                                                                                                                                           Bipolar Surgery
          Rear Panel Bipolar Features
                                          1
           Bipolar Footswitch Receptacle
           Important
          Do not plug into a power strip or extension cord.
          3. Turn on the system and verify that the self-test is successfully completed.
          4. If using a footswitch, connect it to the bipolar footswitch receptacle on the rear panel.
           Warning
          Use only Covidien footswitches such as the E6009 or E6019. Use of other manufacturer’s
          footswitches is not recommended.
          5. Connect the instrument to the bipolar instrument receptacle on the front panel.
          6. Verify or change the mode and power settings.
                   Warning
                  Electric Shock Hazard
                  •   Do not connect wet instruments to the energy platform.
                  •   Ensure that all instruments and adapters are correctly connected and that no metal is exposed
                      at any connection point.
                  Connect instruments to the proper receptacle. Improper connection may result in inadvertent
                  instrument activation or other potentially hazardous conditions. Follow the instructions provided
                  with electrosurgical instruments for proper connection and use.
The instrument receptacles on this system are designed to accept only one instrument at a time.
                   Caution
                  Read the instructions, warnings, and cautions provided with electrosurgical instruments before
                  use. Specific instructions are not included in this manual.
                  Inspect instruments and cords (especially reusable instruments and cords) for breaks, cracks, nicks,
                  and other damage before every use. If damaged, do not use. Failure to observe this precaution may
                  result in injury or electrical shock to the patient or surgical team.
                  Footswitch
                  The ForceTriad Energy Platform in bipolar mode can accommodate a three-pin, single-
                  pedal bipolar footswitch.
                  If footswitching is to be used with a bipolar instrument, attach the bipolar footswitch
                  connector plug to the bipolar footswitch receptacle on the rear panel.
                   Warning
                  Use only Covidien footswitches such as the E6009 or E6019. Use of other manufacturer’s
                  footswitches is not recommended.
                                                                                                                       Bipolar Surgery
          Bipolar Electrode Function
          1. Connect a bipolar instrument to the bipolar instrument receptacle on the front panel.
             Note: The Bipolar or Monopolar touchscreens can control only one instrument at one
             time. If more than one instrument is attached below this touchscreen, an error
             message appears on the touchscreen. Both devices are inactive until one of the devices
             is removed.
             When a bipolar instrument is connected, the Bipolar tab appears on top on the center
             touchscreen.
Bipolar
                     2
                                       1                                                 4
mA
                 Autobipolar Function
                 The ForceTriad Energy Platform is equipped with an autobipolar feature that allows the
                 user to configure the system for automatic activation and cessation of bipolar energy.
                 Autobipolar mode must be enabled in the feature menu before the autobipolar function
                 can be used. Refer to Autobipolar on page 3-6 for instructions on how to enable
                 autobipolar mode.
                 When the autobipolar mode is enabled, a green button “A” button              appears on the
                 Bipolar tab.
Bipolar
1 3
                               2
                                                                          A
                                                                                   mA
                 Activation Impedance
                 The impedance of the tissue grasped by the bipolar device must be within a factory-set
                 range of less than 1000 Ω to activate. The activation impedance range is a safety feature
                 that prevents power delivery if the grasped tissue is not within the anticipated range.
                                                                                                                                  Bipolar Surgery
          Tissues such as scar tissue, moles, and others with low blood flow are likely to have
          impedance greater than 1000 Ω. While grasping a high-impedance tissue, the ForceTriad
          will not activate regardless of customer-set preferences.
          Note: The autobipolar function requires the use of these Covidien reusable footswitching
          bipolar cords: E0020V, E0021S, E0022W, E360150, or E360150L.
           Warning
          Use of different Covidien cord models or cords from other manufacturers may not achieve proper
          electrical output for this device, thereby failing to produce the desired clinical effect. For example,
          Autobipolar activation/deactivation settings may not work properly using cords other than those
          specified by Covidien.
          1. Press the “A” button      . The tab title will change from Bipolar to Auto, and the
             screen below will appear.
Bipolar Setup
          2. Select the power-output mode waveform by touching the associated button at the
             bottom of the tab. The waveforms available in the autobipolar mode are Low,
             Standard, and Macro.
          3. Set the power to the desired output level by touching the green up and down arrows.
             Power output is displayed in watts. The minimum setting for autobipolar is 5 W.
          4. To change the autobipolar activation parameters, touch the green Setup
             button         . The setup display will appear in the Auto tab.
                                                                 0.0 s                  1500
                                                                 0.5 s
                                           Auto                                         1800
                                                                 1.0 s
                                                                 1.5 s                  2000
                                                                 2.0 s
                                                                 2.5 s                  2200
                   Important
                  Autobipolar activation will occur only if the tissue in the forceps is in the activation impedance less
                  than 1000 Ω. The device will not activate if the tissue has an impedance outside this range.
                 10. To return the energy platform to bipolar functionality, touch the green Bipolar button.
                     The bipolar tab will replace the autobipolar tab.
                       or
                       Turn the system off. The next time the system is turned on, it will default to the bipolar
                       function, and the bipolar tab will be visible.
          This chapter describes how to set up and operate the LigaSure tissue-fusion
          function of the ForceTriad Energy Platform.
           Caution
          Read all warnings, cautions, and instructions provided with this system before use.
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          use. Specific instructions for electrosurgical instruments are not included in this manual.
2 3 4
                   LigaSure Touchscreen
                  ཱ Power Switch
                  ི LigaSure 1 Receptacle (purple)
                  ཱི LigaSure 2 Receptacle (orange)
                  ུ Footswitch Symbol (purple)
                  ཱུ Footswitch Symbol (orange)
2 1
           Important
          Do not plug into a power strip or extension cord.
          3. Turn on the system and verify that the self-test has successfully completed.
          4. If using a footswitch, connect it to the appropriate LigaSure footswitch receptacle on
             the rear panel.
          5. Connect the instrument or instruments to the LigaSure instrument receptacles on the
             front panel.
          6. Verify the bar setting.
                 Two LigaSure instruments can be set up at one time through this touchscreen, but only
                 one instrument can be activated at one time.
                 During instrument activation, the status bar in the corresponding LigaSure control panel
                 illuminates blue, and a tone sounds for the duration of energy delivery.
                  Important
                  If using an instrument that causes the hand-activation button to appear on the LigaSure control
                  panel, see Hand-Activation On/Off Button on page 6-8.
LigaSure Receptacles
          LigaSure 2 Receptacle
          The LigaSure 2 receptacle is located directly below the LigaSure 1 receptacle under the
          LigaSure touchscreen and is outlined in purple with an orange footswitch icon to the right
          of it. This receptacle accepts all LigaSure instruments and can read either the dot patterns
          or bar codes on the Smart connector. Instruments attached to the LigaSure 2 receptacle
          are controlled from the lower, orange section of the LigaSure touchscreen.
           Warning
          Electric Shock Hazard
          •   Do not connect wet instruments to the energy platform.
          •   Ensure that all instruments are correctly connected and that no metal is exposed at any
              connection point.
          Connect instruments to the proper receptacle. Improper connection may result in inadvertent
          instrument activation or other potentially hazardous conditions. Follow the instructions provided
          with LigaSure instruments for proper connection and use.
The instrument receptacles on this system are designed to accept only one instrument at a time.
           Caution
          Read the instructions, warnings, and cautions provided with LigaSure instruments before use.
          Specific instructions are not included in this manual.
                  Caution
                  Inspect instruments and cords (especially reusable instruments and cords) for breaks, cracks, nicks,
                  and other damage before every use. If damaged, do not use. Failure to observe this precaution may
                  result in injury or electrical shock to the patient or surgical team.
Footswitch
                  Purple
                 ཱ Orange
                 The ForceTriad Energy Platform in LigaSure mode can accommodate two single-pedal
                 LigaSure footswitches.
                 If the LigaSure instrument connected to the LigaSure 1 instrument receptacle is to be
                 activated with a footswitch, attach the purple, seven-pin, LigaSure footswitch connector
                 plug to the purple LigaSure 1 footswitch receptacle on the rear panel.
                 If the LigaSure instrument connected to the LigaSure 2 instrument receptacle is to be
                 activated with a footswitch, attach the orange, nine-pin, LigaSure footswitch connector
                 plug to the orange LigaSure 2 footswitch receptacle on the rear panel.
                 To use a footswitch with an instrument that causes the hand-activation button to appear
                 on the LigaSure control panel, turn off hand activation (handswitching). See Hand-
                 Activation On/Off Button on page 6-8.
                 Start System
                 1. Plug the system power cord into the rear panel receptacle.
                 2. Plug the system power cord into a grounded wall receptacle.
                  Important
                  Do not plug into a power strip or extension cord.
LigaSure Instruments
          Reusable-Instrument Assembly
           Warning
          To prepare the reusable LigaSure instruments to be used for the procedure, refer to the
          following steps for general preparation. To find detailed directions for each instrument,
          please refer to the individual instrument instructions that accompany each instrument
          electrode.
          1. Slip the base of the disposable electrode’s white shaft onto the retaining post on the
             instrument ring handle.
          2. Snap the body of the white electrode shaft onto the instrument handle. The white
             shaft of the electrode must be completely flush on the reusable-instrument shaft.
          3. Snap each electrode into the appropriate instrument jaw, matching electrode
             curvature to jaw curvature. Insert the proximal pin first. Verify that there is no gap
             between the electrode and the instrument jaw.
           Important
          Bent or broken electrode pins will not function properly and may result in an alert situation. In this
          case, the electrode must be discarded.
          4. Gently ratchet the instrument closed on a folded 4x4 to ensure the electrodes are
             properly seated in the instrument jaws.
                   Hand-Activation-On Button
                  In this example, the hand-activation-on button appears in the lower left corner of the
                  LigaSure 2 control panel. Touching the hand-activation-on button toggles to the hand-
                  activation-off button:
                  Invalid Instrument
                  If the ForceTriad Energy Platform does not recognize the attached instrument, the status
                  bar will display the words “INVALID INSTRUMENT.” Refer to the following steps to resolve the
                  issue.
                  1. Confirm that a LigaSure instrument is in use.
                  2. Reconnect the instrument using firm pressure to insert the instrument into the
                     LigaSure 1 or LigaSure 2 instrument receptacle.
                  3. If “INVALID INSTRUMENT” continues to appear in the status bar, use a new LigaSure
                     instrument or electrode.
LigaSure Settings
          The green bars on the LigaSure vessel-fusion display panel represent different levels of
          desiccation. Two green bars are the default setting for all LigaSure tissue-fusion
           Notice
          The one- and three-bar seal cycles may result in tissue sticking due to longer dessication periods.
          1. The instrument setting can be adjusted by touching one of the three setting buttons
             on the respective LigaSure 1 or LigaSure 2 control panel. The button touched along
             with the buttons to the left of it become green, and the standby button turns grey.
          2. As a safety feature, the LigaSure mode can be set on standby pressing the standby
             button         until the instrument is needed.
             When on standby, no energy will be delivered through the LigaSure instrument.
             Attempting to activate the instrument will sound a single, short tone.
          3. To bring the energy platform out of standby, press a desired bar setting. Previous bar
             settings will not be stored in standby.
                  Alert Situations
                  A pulsed tone will sound when an alert condition occurs, and the LigaSure touchscreen
                  will display an alert message that instructs the user on the corrective actions to take. When
                  an alert condition occurs, energy delivery will be interrupted, but will be available
                  immediately after the alert condition has been corrected.
                  The two alert conditions are:
                  •   Check Instrument
                  •   Reactivate
                  Check Instrument
                  A six-pulsed tone will sound when the Check Instrument screen is displayed.
                  If this message appears, the user should:
                  1. Release the footswitch pedal or activation button.
                  2. Open the instrument jaws and inspect for a successful seal.
                  3. Follow the suggested corrective action on the Check Instrument screen.
                  If possible, reposition the instrument and regrasp tissue in another location, then
                  reactivate the seal cycle.
                  Regrasp thicker tissue – Thin tissue; 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.
                  Reinsert electrodes – Electrodes may have become dislodged from the instrument.
                  Check for clips / Regrasp tissue – Avoid grasping objects, such as staples, clips or
                  encapsulated sutures, in the jaws of the instrument.
                  Clean electrode tips – Use a wet gauze pad to clean surfaces and edges of instrument
                  jaws.
                  Remove excess fluids – Pooled fluids around the instrument tip; minimize or remove
                  excess fluids.
          Reactivate
          A four-pulsed tone will sound when the Reactivate screen is displayed.
          If this message appears the user should:
          1. Release the footswitch pedal or hand switching button.
          2. Reactivate the seal cycle without repositioning the instrument.
After Surgery
Reprocessing Instruments
                Sterilization Parameters
                The hinges on reusable LigaSure instruments are extremely tight and require longer
                sterilization times to ensure steam penetration into the hinge.
                Steam Sterilization - Wrapped
           Caution
          Read all warnings, cautions, and instructions provided with this system before use.
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          use. Specific instructions for electrosurgical instruments are not included in this manual.
                  REM Alarms
                  If the ForceTriad Energy Platform does not sense the correct impedance for the connected
                  REM Polyhesive patient return electrode, monopolar energy will be disabled, the REM
                  symbol will illuminate red and enlarge on both the center and left touchscreen displays,
                  and an alarm tone will sound twice. The REM symbol will return to its smaller size but will
                  remain red, and RF energy will remain disabled until the REM alarm is corrected.
                  When you correct a REM alarm condition, the system is enabled and the REM-alarm
                  indicator illuminates green.
                  Covidien recommends the use of REM Polyhesive patient return electrodes. Return
                  electrodes from other manufacturers may not provide proper impedance to work correctly
                  with the ForceTriad Energy Platform.
          Correcting Malfunctions
          If a solution is not readily apparent, use the table below to help identify and correct specific
          malfunctions. After you correct the malfunction, verify that the system completes the self-
          test as described in Chapter 3, System Setup.
                                                                                                                           Troubleshooting
                                                                          representative for assistance.
           Energy platform does not      Disconnected power cord or       Check power cord connections
           respond when turned on        faulty wall outlet               (energy platform and wall
                                                                          outlet). Connect the power
                                                                          cord to a functional outlet.
                   System is on, but did not      Software malfunction             Turn off, then turn on the
                   complete the self-test                                          system.
                   Energy platform is on and      Malfunctioning footswitch or     Turn off the energy platform.
                   instrument is activated, but   handswitching instrument         Check and correct all
                   system does not deliver                                         instrument connections.
                   output
                                                                                   Turn on the energy platform.
                                                                                   Replace the instrument if it
                                                                                   continues to malfunction.
                                          System does not detect bipolar     Firmly insert the connector into
                                          instrument                         the appropriate receptacle on
                                                                             the energy platform front
                                                                             panel. Ensure the bipolar
                                                                             touchscreen indicates that it
                                                                             has detected the instrument.
                                                                                                                               Troubleshooting
                                          Metal or other foreign object is   Avoid grasping objects, such as
                                          grasped within jaws                staples, clips, or encapsulated
                                                                             sutures in the jaws of the
                                                                             instrument.
           REACTIVATE screen              The seal cycle was interrupted     Reactivate the seal cycle
           appears, a four-pulsed tone    before completion. The             without removing or
           sounds, and RF output is       handswitch or footswitch was       repositioning the instrument.
           disabled                       released before the end tone
                                          activated.
                                          Additional time and energy are
                                          needed to complete the fusion
                                          cycle
                                                                                                                                Troubleshooting
                                                                            pacemaker is implanted.
                                                                            Always monitor patients with
                                                                            pacemakers during surgery
                                                                            and keep a defibrillator
                                                                            available.
           Internal Cardiac Defibrillator   ICD is activated by energy      Stop the procedure and
           (ICD) activation                 platform                        contact the ICD manufacturer
                                                                            for instructions.
                System Alarms
                Most system alarms require some action on your part to correct the condition; however,
                some are corrected automatically. Use the following list to determine how to correct an
                alarm condition.
                After correcting the alarm condition, verify that the system completes the self-test as
                described in Chapter 3, System Setup.
                                                                                                       Troubleshooting
                                                 on page 4-1.
                Invalid Instrument Alert for Monopolar 1   Disconnect the instrument and attach
                                                           it to Monopolar 1 port.
                Invalid Instrument Alert for Monopolar 2   Disconnect the instrument and attach
                                                           it to the Monopolar 2 port. See
                                                           Valleylab Mode Functionality on page
                                                           4-12.
                                                                                                            Troubleshooting
                                                     Refer to the instrument’s instructions
                                                     for use for compatibility instructions.
           Caution
          Read all warnings, cautions, and instructions provided with this system before use.
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          use. Specific instructions for electrosurgical instruments are not included in this manual.
          Cleaning
           Warning
          Electric Shock Hazard Always turn off and unplug the energy platform before cleaning.
           Notice
          Do not clean the energy platform with abrasive cleaning or disinfectant compounds, solvents, or
          other materials that could scratch the panels or damage the energy platform.
          1. Turn off the system and unplug the power cord from the wall outlet.
          2. Thoroughly wipe all surfaces of the energy platform and power cord with a damp cloth
             and mild cleaning solution or disinfectant. The energy platform will withstand the
             effects of cleaning over time without degrading the enclosure or display quality.
          Product Service
          Covidien recommends that all ForceTriad systems be returned to the manufacturer for all
          service requirements. If any service is required without returning the system to the
          manufacturer, Covidien recommends that only qualified personnel service the ForceTriad
          system.
          Covidien defines qualified personnel as a person with electrosurgical equipment repair
          experience, such as biomedical personnel, and/or individuals who have taken official
          Covidien training courses.
                   Software Upgrades
                   ForceTriad software upgrades are available over the internet directly from Covidien by
                   using Valleylab Exchange. For more information, go to http://www.valleylab.com and click
                   the link to Valleylab Exchange Software Update System.
           Caution
          Read all warnings, cautions, and instructions provided with this system before use.
          Read the instructions, warnings, and cautions provided with electrosurgical instruments before
          use. Specific instructions for electrosurgical instruments are not included in this manual.
Performance Characteristics
General
                                                                                                                         Technical Specifications
          Operating Parameters
Internal Memory
                  Activation Tone
                  The audio levels stated below are for activation tones (cut, Valleylab, coag, bipolar, and
                  LigaSure modes) and alarm tones (REM and system alarms) at a distance of one meter.
Alarm Tone
                                                                                                                       Technical Specifications
          REM Contact Quality Monitor
                  Autobipolar
                  The ForceTriad Energy Platform is equipped with an autobipolar feature that allows for
                  automatic activation of bipolar energy.
                  Note: The autobipolar electrode function requires the Reusable Footswitching Bipolar
                  Cord: E0020V, E0021S, E0022W, E360150, or E360150L.
                   Warning
                   Use of different Covidien cord models or cords from other manufacturers may not achieve proper
                   electrical output for this device, thereby failing to produce the desired clinical effect. For example,
                   Autobipolar activation/deactivation settings may not work properly using cords other than those
                   specified by Covidien.
Minimum power 5W
                                                                                                                   Technical Specifications
          Measurement Accuracy
Inactive
Active
Mode – BP Low
Load/Power < 30 W ≥ 30 W
Mode – BP Standard
Load/Power < 50 W ≥ 50 W
Mode – BP Macro
                  Duty Cycle
                  Under maximum power settings and rated load conditions, the ForceTriad Energy Platform
                  is capable of operating a duty cycle of 25%, defined as 10 seconds active and 30 seconds
                  inactive, in any mode for a period of 4 hours.
                   Caution
                   Use of duty cycles greater than 25% (10 seconds active followed by 30 seconds inactive) will
                   increase the risk that heat build-up under a return electrode may be high enough to injure the
                   patient. Do not continuously activate for longer than one minute.
                                                                                                                            Technical Specifications
          Input Power
              Input mains voltage, full regulation   Input mains voltage, full regulation
              range 90–132 VAC                       range 208–264 VAC
              Input mains voltage, operating range   Input mains voltage, operating range
              85–132 VAC                             170–264 VAC
              Mains line frequency range (nominal)   Mains line frequency range (nominal)
              50 Hz to 60 Hz                         50 Hz to 60 Hz
           Important
          Contact your local Covidien representative for alternative internationally approved power-cord
          options.
          Input Frequency
          The ForceTriad Energy Platform operates within specification at all line-input frequencies
          between 48 Hz and 62 Hz. The user does not need to reconfigure the ForceTriad Energy
          Platform for different line frequencies.
                  Input Current
                  The ForceTriad Energy Platform draws no more than 10 A at input voltages between 100 V
                  and 240 V.
                  Backup Power
                  The ForceTriad Energy Platform retains all user programmed features, calibration, and
                  statistical data when switched off and unplugged. The ForceTriad Energy Platform
                  operates within specification when switched over to a supplied-line power by hospital
                  backup systems.
                  ECG Blanking
                  An ECG blanking port is provided to signal other devices that the ForceTriad Energy
                  Platform is active. The receptacle is a 2.5 mm mono jack. It is electrically isolated from the
                  internal ground referenced electronics with the shell electrically connected to the chassis
                  for ESD protection.
                                                                                                                                              Technical Specifications
          Standards and IEC Classifications
          The ForceTriad Energy Platform meets all pertinent clauses of the IEC 60601-1 second
          edition and IEC 60601-2-2 third edition.
                                               ATTENTION
                                               Consult accompanying documents
                                               DANGER
                                               Explosion risk if used with flammable anesthetics
                                               To reduce the risk of electric shock, do not remove the cover. Refer
                                               servicing to qualified service personnel.
Symbols
Footswitch
                                                                                                               Technical Specifications
          Class I Equipment (IEC 60601-1)
          Accessible conductive parts cannot become live in the event of a basic insulation failure
          because of the way in which they are connected to the protective earth conductor.
           Notice
          The ForceTriad Energy Platform requires special precautions regarding EMC and needs to be
          installed and put into service according to the EMC information provided in the ForceTriad Energy
          Platform service manual.
          Portable and mobile RF communications equipment can affect the ForceTriad Energy Platform.
          Refer to the EMC information provided in the ForceTriad Energy Platform service manual.
          The system should not be used adjacent to or stacked with equipment other than specified in the
          ForceTriad Energy Platform User Guide and Service Manual. If adjacent or stacked use is necessary,
          the system should be observed to verify normal operation in the configuration in which it will be
          used.
          The system intentionally applies RF energy for diagnosis or treatment during activation. Observe
          other electronic medical equipment in the vicinity during the system activation for any possible
          adverse electromagnetic effects. Ensure adequate separation of electronic medical equipment
          based on observed reactions.
          The use of accessories, other than specified in the ForceTriad Energy Platform User Guide and
          Service Manual, may result in increased emissions or decreased immunity of the system.
                                                                                                                                 Technical Specifications
          Output Characteristics
           Caution
          To avoid injury to the patient or surgical team, use only instruments rated for use at, or greater
          than, the maximum peak voltages listed below. For example, bipolar instruments must have
          voltage ratings of 250 V peak or greater, as shown in the “Open Circuit Peak Voltage (max)”
          column.
           Bipolar
           Low                  250 V           500 V            100 Ω       95 W         1.42        N/A
           Standard             175 V           350 V            100 Ω       95 W         1.42        N/A
           Macro                250 V           500 V            100 Ω       95 W         1.42        N/A
           Monopolar Cut
           Cut                  1050 V          2100 V           300 Ω       300 W        1.42        N/A
           Blend                1485 V          2970 V           300 Ω       200 W        2.7         50%
           Monopolar
           Coag
           Fulgurate            3050 V          6100 V           500 Ω       120 W        5.55        6.5%
           Spray                3625 V          7250 V           500 Ω       120 W        6.6         4.6%
5 W to 40 W available in 1 W increments
5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
45 W to 95 W available in 5 W increments
45 50 55 60 65 70 75 80 85 90
95
1 W to 40 W available in 1 W increments
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
45 W to 95 W available in 5 W increments
45 50 55 60 65 70 75 80 85 90
95
                                                                                                        Technical Specifications
          Monopolar Cut
1 W to 40 W available in 1 W increments
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
45 W to 95 W available in 5 W increments
45 50 55 60 65 70 75 80 85 90
95
190 200 210 220 230 240 250 260 270 280
290 300
Monopolar Blend
1 W to 40 W available in 1 W increments
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
45 W to 95 W available in 5 W increments
45 50 55 60 65 70 75 80 85 90
95
190 200
                                                                                                        Technical Specifications
          Valleylab
1 W to 40 W available in 1 W increments
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
45 W to 95 W available in 5 W increments
45 50 55 60 65 70 75 80 85 90
95
190 200
Monopolar Coag
1 W to 40 W available in 1 W increments
1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
45 W to 90 W available in 5 W increments
45 50 55 60 65 70 75 80 85 90
95
                                                                                                                    Technical Specifications
          Output Waveforms
          Tissue Sensing Technology, an automatic adjustment, controls all modes. As tissue
          resistance increases from zero, the energy platform outputs constant current followed by
          constant power followed by constant voltage. The maximum output voltage is controlled
          to reduce capacitive coupling and video interference and to minimize sparking.
Bipolar
Monopolar Cut
Valleylab
Monopolar Coag
Monopolar Graphs
                 Pure Cut
                 Output power versus impedance for Pure cut power
                                  350
300
250
                                  200                                                                                 100%
                         1                                                                                            50%
                                  150
100
50
                                      0
                                          0        750         1500         2250         3000         3750         4500
350
300
250
200
                     1                                                                                             300 ohms
                         150
100
50
                              0
                                  0           50         100          150          200          250          300
                                                                       2
                                                                                                                   Technical Specifications
          Peak voltage versus power setting for Pure cut power
1200
1000
800
            1
                    600
                                                                           Open Circuit
                    400
200
                      0
                          0       50    100    150    200    250     300
           Peak voltage
          ཱ Power setting
          Blend
          Output power versus impedance for Blend power
                     250
200
                     150
                                                                           100%
                1
                                                                           50%
                     100
50
                          0
                              0   750   1500   2250   3000   3750   4500
                                                2
250
200
150
                     1                                                           300 ohms
                         100
50
                          0
                                   0       35    70   105    140     175
1300
975
                                                                                 Open Circuit
                     1    650
325
                               0
                                       0    35   70   105    140     175
                                                       2
                  Peak voltage
                 ཱ Power setting
                                                                                                                 Technical Specifications
          Fulgurate
          Output power versus impedance for Fulgurate power
125
100
                   75
                                                                       100%
              1                                                        50%
                   50
25
                    0
                        0       750   1500   2250   3000   3750     4500
120
100
80
                                                                           500 ohms
              1     60
40
20
                        0
                            0    20     40     60    80       100    120
3500
3000
2500
                          2000
                     1
                                                                                     Open Circuit
                          1500
1000
500
                             0
                                     0    20     40     60     80    100       120
                  Peak voltage
                 ཱ Power setting
                 Spray
                 Output power versus impedance for Spray power
125
100
                           75
                                                                                    100%
                      1                                                             50%
                           50
25
                            0
                                 0       750   1500   2250   3000   3750     4500
                                                                                                                Technical Specifications
          Output power versus power setting for Spray power
125
100
75
              1                                                           500 ohms
                  50
25
                   0
                        0       20    40    60       80       100   120
3750
3000
2250
              1                                                           Open Circuit
                  1500
750
                        0
                            0    20    40    60      80       100   120
           Peak voltage
          ཱ Power setting
                 Valleylab
                 Output power versus impedance for Valleylab power
250
200
150
                      1                                                                  100%
                                                                                         50%
                          100
50
                            0
                                0    750   1500   2250     3000      3750         4500
250
200
150
                     1                                                                   300 ohms
                          100
50
                           0
                                0    35     70      105      140         175
                                                                                                                 Technical Specifications
          Peak voltage versus power setting for Valleylab power
2500
2000
1500
             1                                                           Open Circuit
                 1000
500
                      0
                           0   35    70      105      140         175
           Peak voltage
          ཱ Power setting
Bipolar Graphs
          Bipolar Low
          Output power versus impedance for Bipolar Low power
90
75
60
                 1                                                       100%
                      45
                                                                         50%
                      30
15
                       0
                           0   360   720     1080     1440        1800
                                               2
90
75
60
                         45                                                       100 ohms
                     1
                         30
15
                          0
                               0     18     36       54        72          90
250
200
150
                     1                                                             Open Circuit
                         100
50
                          0
                               0     18     36        54       72          90
                  Peak voltage
                 ཱ Power setting
                                                                                                                 Technical Specifications
          Bipolar Standard
          Output power versus impedance for Bipolar Standard power
90
75
                  60
                                                                         100%
                                                                         50%
              1
                  45
30
15
                  0
                       0    375     750       1125     1500   1875
90
75
                  60
                                                                         100 ohms
             1    45
30
15
                   0
                       0     18      36           54     72      90
                                          2
350
300
250
                          200
                     1                                                              500 ohms
                          150
100
50
                            0
                                0       18    36     54        72        90
                  Peak voltage
                 ཱ Power setting
                 Note: Maximum peak voltage in the Bipolar Standard mode occurs at 500 Ω, not open
                 circuit.
                 Bipolar Macro
                 Output power versus impedance for Bipolar Macro power
90
75
                            60
                                                                                    100%
                      1     45                                                      50%
30
15
                                0
                                    0   375   750    1125     1500      1875
                                                      2
                                                                                                             Technical Specifications
          Output power versus power setting for Bipolar Macro power
90
75
60
                                                                       100 ohms
              1   45
30
15
                   0
                        0   18        36       54       72       90
                                           2
250
200
150
              1                                                        Open Circuit
                  100
50
                   0
                        0   18        36       54       72        90
                                           2
           Peak voltage
          ཱ Power setting
                 LigaSure
                 Output power versus impedance for LigaSure power
175
140
                                    105
                                                                                                          1.0 A
                                                                                                          3.5 A
                      1                                                                                   5.5 A
                                     70
35
                                      0
                                          0        95         190             285    380       475
200
160
                                                                                                          1.0 A
                          120
                                                                                                          3.5 A
                      1                                                                                   5.5 A
                           80
40
                            0
                                0             95        190                 285     380        475
                  Peak voltage
                 ཱ Load impedance (ohms)
               COVIDIEN, COVIDIEN with logo and Covidien logo are U.S. and
               internationally registered trademarks of Covidien AG.
               Other brands are trademarks of a Covidien company.
               Prolystica is a registered trademark of STERIS Corporation.
               Enzol is a registered trademark of Johnson and Johnson Medical Inc.
©2013 Covidien.