INSTRUCTIONS FOR USE

ELECTROSURGICAL UNIT

ESG-100

REF: WB991036 (220…240 V~)

WB991046 (100...120 V~)

W7092100_03 (2018-12)
Olympus ESG-100 EN Instructions for Use

Contents
1 Important information
1.1 Intended use
1.2 Applicability of endoscopic treatment
1.3 Instructions for use
1.4 User qualification
1.5 Environment of use
1.6 Electrosurgical unit compatibility
1.7 Repair and modification
1.8 Signal words
1.9 Danger, warnings and cautions
1.10 Reporting serious incidents
2 General description
3 Inspection prior to use
4 Symbols, definitions and functions
4.1 Symbols and descriptions
4.1.1 Front panel
4.1.2 Rear panel
4.1.3 Packaging
4.2 Front panel
4.2.1 Buttons / Switches
4.2.2 Indicators
4.2.3 Displays
4.2.4 Connectors
4.3 Rear panel
5 Accessories
5.1 Footswitch
5.2 P-cord
5.3 A-cord
5.4 Peristaltic pump unit AFU-100 and communication cable
6 Installation and commissioning
6.1 Installation of equipment
6.2 Connection to an AC mains power supply
6.3 Equipotential bonding
6.4 Connection of footswitch
6.5 Connection to the peristaltic pump unit AFU-100

W7092100_03 3
Instructions for Use EN Olympus ESG-100

7 Operation
7.1 Power supply
7.2 Acoustic signals and tone volume adjustments
7.3 Neutral electrode (for monopolar treatment only)
7.3.1 Split type neutral electrode
7.3.2 Non-split neutral electrode
7.3.3 Connection of the neutral electrode
7.4 Connection of instruments
7.5 Mode selection
7.6 Output power setting
7.7 Activation of selected mode
7.8 Performing the electrosurgical intervention
7.9 Procedure after use
8 Cleaning, storage and disposal
8.1 Cleaning
8.2 Storage
8.3 Disposal of the unit
9 Troubleshooting
9.1 Footswitch operation
9.2 Neutral electrode operation
9.3 Error codes and measures
9.4 Periodic safety checks
9.5 Returning the electrosurgical unit for repair
10 Service operation mode
11 System chart
12 Specifications
12.1 Mode characteristics
12.2 Output characteristics
12.3 Technical data
13 Electromagnetic compatibility

4 W7092100_03
Olympus ESG-100 EN Instructions for Use

1 Important information
1.1 Intended use
The ESG-100 is an electrosurgical unit for tissue coagulation and cutting in general and
endoscopic surgery in conjunction with designated electrosurgical accessories,
endoscopes applicable for electrosurgery, light sources and ancillary equipment.
Contraindications:
Electrosurgical interventions are contraindicated if, in the judgment of the physician,
tissue coagulation and cutting could have a negative effect on the state of the patient.
Electrosurgical tissue coagulation and cutting may be contraindicated for patients with
cardiac pacemakers, a weakened immune system or blood coagulation disorders.

1.2 Applicability of endoscopic treatment

If there is an official standard on the applicability of endoscopic treatment as defined by
a national or local medical administration, or other institution, such as an academic
society, follow that standard when performing the procedure.
Before performing any endoscopic treatment, study the properties, purposes, effects
and possible risks thoroughly (nature, extent, probability and imminence) associated
with the planned treatment and any alternative therapeutic method that can be
performed. Carry out endoscopic treatment only when its benefits outweigh its risks.
Fully explain to the patient the possible benefits and risks of endoscopic treatment as
well as those of any therapeutic method(s) that can be performed instead of endoscopy,
and perform endoscopic treatment only after patient consent is granted. During
endoscopic treatment, continue to evaluate the potential benefits and risks, and stop the
treatment if the risks become greater than the possible benefits to the patient.

1.3 Instructions for use

These instructions for use contain essential information on using this electrosurgical unit
safely and effectively. Before use, thoroughly review these instructions for use and the
instructions for use of all equipment which will be used during the procedure. Use the
equipment as instructed. Keep this and all related instructions for use in a safe,
accessible location. If you have any questions or comments about any information in
these instructions for use, please contact Olympus or your distributor.

1.4 User qualification

If there is an official standard that defines the qualifications required for medical
personnel using electrosurgical generators as defined by a national or local medical
administration or other institution, such as an academic society, follow this standard. If
there is no such standard, the user must be a physician or medical personnel under
supervision of a physician and must have received appropriate training in using this
electrosurgical unit. These instructions for use, therefore, do not explain or discuss
endoscopic or electrosurgical procedures.
In addition, the user must undergo an instruction / training for the use of this unit. The
instruction / training will be provided by authorised representatives of Olympus or your
distributor during installation and commissioning.
Federal Law of the USA restricts this device to use by, or on the order of, a
physician.

W7092100_03 5
Instructions for Use EN Olympus ESG-100

1.5 Environment of use

This product is only intended to be used in hospitals and medical rooms or equivalent
with appropriate specialized equipment.

1.6 Electrosurgical unit compatibility

Refer to chapter 11 (System chart) to confirm that this electrosurgical unit is compatible
with the ancillary equipment being used. Using incompatible equipment can result in
patient injury and / or equipment damage.

1.7 Repair and modification

This electrosurgical generator does not contain any user-serviceable parts. Do not
disassemble, modify, or attempt to repair it; patient or user injury and / or equipment
damage may result. Repairs must only be carried out by Olympus or a firm authorised
by Olympus. Some problems that appear to be malfunctions may be corrected by
referring to chapter 9 (Troubleshooting). If the problem cannot be resolved using the
information in chapter 9, contact Olympus or your distributor.

Do not service or maintain any part of the product while in use with a patient.

1.8 Signal words

The following signal words are used throughout these instructions for use:

DANGER Indicates an imminently hazardous situation which, if not avoided, will

d result in death or serious injury.
WARNING Indicates a potentially hazardous situation which, if not avoided, could
result in death or serious injury.
CAUTION Indicates a potentially hazardous situation which, if not avoided, may
result in minor or moderate injury. It may also be used to alert against
unsafe practices or potential equipment damage.

NOTE Indicates additional helpful information.

1.9 Danger, warnings and cautions

High frequency leakage current or spark discharge may cause user and / or patient
burns. Always prepare for an emergency operation in case of unintentional patient burn,
bleeding and perforation.

Follow the dangers, warnings and cautions given below when handling this
electrosurgical unit. This information is to be supplemented by the dangers, warnings
and cautions given in each chapter.

User-related error prevention

WARNING Improper use
The safety and effectiveness of electrosurgical interventions depends not only on the
design of the equipment used, but also to a major extent on factors which are under the

6 W7092100_03
Olympus ESG-100 EN Instructions for Use

control of the user. It is therefore extremely important to read, understand and follow the
instructions supplied with the electrosurgical unit and the accessories in order to ensure
safety and effectiveness.
Always use the electrosurgical unit as outlined in these instructions for use. Improper
use will not only impede functions and prevent optimum performance, but may cause
equipment damage and / or complications. Before each use, always inspect the
equipment as outlined in these instructions for use.

Environmental conditions
CAUTION Interference of the unit with other equipment
Be sure that this electrosurgical unit is not used adjacent to or stacked with other
equipment (other than the components of this electrosurgical unit or system) to avoid
electromagnetic interference.
Before use, thoroughly confirm the compatibility of all equipment.
To ensure electrical safety, the electrosurgical unit should not be used in conjunction
with:
 Electrical equipment whose safety against leakage current is not guaranteed.
 Electrosurgical equipment whose safety in combined use is not guaranteed.
The electrosurgical unit complies with the electromagnetic compatibility (EMC) standard.
Nevertheless, when the electrosurgical unit is active it may disturb neighboring
electronic equipment. If an auxiliary computer system is in use together with the
electrosurgical unit and endoscopic imaging techniques, the image on the monitor might
freeze or blackout. Follow the instructions in chapter 13 (Electromagnetic compatibility)
regarding electromagnetic ambient conditions.
Never loop the cords (active cord, bipolar cord, neutral electrode cord) or bundle cords
together with cords belonging to other medical equipment. The high frequency signals
or spark discharge noise generated by the unit may interfere with the operation of other
medical equipment.
Do not use the electrosurgical unit in a location exposed to strong electromagnetic
radiation (microwave or short-wave medical treatment equipment, Magnetic Resonance
Imaging, radio or mobile phone equipment). Electrosurgical unit malfunction can occur.
CAUTION Unsuitable temperature and humidity
The electrosurgical unit should only be used under the conditions as described in
chapter 12.3 (Technical data). Use under other conditions may impede normal
performance and / or result in equipment damage.

Accessories
WARNING Mechanical stress
Do not apply excessive bending, straining, or squeezing force to any cords. It may
cause malfunction.
CAUTION Non-compatible accessories and accessory damage
The electrosurgical unit shall only be used with compatible accessories. When
connecting accessories (cords, electrodes, instruments) avoid output settings where the
maximum output voltage of the electrosurgical unit may exceed the rated accessory
voltage (refer to chapters 12.1, Mode characteristics, 12.2 Output characteristics, and
the instructions for use of the accessory).

W7092100_03 7
Instructions for Use EN Olympus ESG-100

Refer to chapter 12.3 (Technical data) for a list of compatible neutral electrodes.
Before use, the electrosurgical unit and accessories must be examined for damage. All
communication cables and its plugs must be free of scratches and cracks. Cables and
accessories with damaged insulation or connections must not be used.

Electric shock
WARNING Grounding failure
To prevent the risk of electric shock, the housing of the electrosurgical unit must be
grounded. Always connect the power cord plug to a properly grounded wall outlet. Do
not use a 3-pin / 2-pin adapter, as it can impair safe operation of the unit.
WARNING User shock
To prevent user shock, malfunction and damage of the electrosurgical unit, keep liquids
away from all electrical equipment. If liquid gets on or into the electrosurgical unit,
terminate operation immediately and contact Olympus or your distributor.
CAUTION Injury during servicing
When the housing is opened, there is a danger of electric shock. The unit must only be
serviced by authorised technicians.

Burns
WARNING Patient and / or user
The maximum output voltage characteristics of the electrosurgical unit are shown in the
diagrams in chapter 12.2 (Output characteristics). When setting the power level, first set
it to a low level and increase it gradually. If the output is initially set to a high level, the
electrode’s insulation may be damaged and cause user and / or patient burns.
Furthermore, it is recommended that you perform basic testings before using the
electrosurgical unit. If the instructions for use of the endoscopic instrument to be used
stipulate a rated voltage, the output should be set so that it does not exceed that
voltage.
Contact with the tip of the electrodes may cause burns when the electrosurgical unit is
active.
During operation, temporarily unused electrodes should be stored in an electrically
insulated container. Unused electrodes should never be placed on the patient.
Otherwise, it may cause patient and / or user burns.
To prevent patient burns, the electrosurgical unit and ancillary cords should not come in
contact with the patient or metal parts of the operating table. Furthermore, the patient
should also be kept away from metallic parts of the operating table or other devices.
If the electrosurgical unit is used in conjunction with another electrosurgical unit, never
use both electrosurgical units simultaneously. Keep the electrosurgical instrument
connected to the not-used electrosurgical unit away from the target area while the other
electrosurgical unit is in operation. Do not activate output of both units simultaneously.
Patient or user injury may occur due to the concentration of electric current.
To prevent patient burns, the patient’s skin surfaces should not touch each other (e.g.
bare arm and side of chest) or any metal items in the procedure room. Remove any

8 W7092100_03
Olympus ESG-100 EN Instructions for Use

metallic items from the patient (wristwatches, jewelry, etc.) before starting the
procedure.
To prevent patient burns during endoscopic treatment, the patient’s clothes must be dry.
During endoscopic treatment be sure that the distal end of the endoscope and / or
instruments do / does not contact bridging fluids surrounding the target tissue. Electric
current may flow to the surrounding tissue via the fluids and cause burns.
The endoscopic treatment performed should not include an operation in which part of
the treated tissue (polyp head, etc.) or part of the endoscope distal end or endotherapy
instrument is in contact with or close to surrounding tissue during high frequency
exposure. Otherwise, current flows to the tissue through the part of the treated tissue,
the metallic parts at the endoscope’s distal end or endotherapy instrument and may
cause burns.
When using an electrocardiograph or other physiological monitoring equipment
simultaneously with the electrosurgical unit on a patient, any monitoring electrodes
should be placed as far away as possible from the electrodes used with the
electrosurgical unit. If placed too close, high frequency signals or spark discharge noise
from the electrosurgical unit may interfere with the operation of an electrocardiograph or
other physiological monitoring equipment. Needle monitoring electrodes should not be
used, as they may cause patient burns. Physiological monitoring equipment
incorporating high frequency current limiting devices is recommended.
To prevent burns, the user and assistant should wear chemical-resistant gloves during
the procedure.
CAUTION High frequency leakage current
Wherever possible, the patient should not be able to come into contact with electrically
conductive components that are grounded. Route all connecting cables so that they are
not in direct contact with the patient or other cables. Capacitive coupling may occur.

Potential hazards for the heart

DANGER Shock hazards to the heart
To prevent shock hazards, never apply the electrosurgical unit to the heart in
combination with type B or BF applied parts.
When using the electrosurgical unit on or in the vicinity of the heart, be sure to use it
with the minimum necessary output. Spark discharge during operation may affect the
heart.
DANGER Pacemaker / Defibrillator malfunction
The high frequency equipment, when applied to a patient with a cardiac pacemaker, an
implanted cardioverter defibrillator (ICD) or other implanted electronic devices (IED),
may cause malfunctioning or failure of the implanted electronic device and may
seriously affect the patient. Always confirm that it is safe to proceed with a cardiologist
or the manufacturer of the implanted electronic device before proceeding. If monopolar
modes of the electrosurgical unit are used, position the neutral electrode so that the
current pathway does not pass through or near the implanted electronic device and its
lead system. The risk of malfunction or failure of an implanted electronic device is
reduced by the use of a bipolar mode. A risk does exist, however, if the application is in
close proximity to the implanted electronic device.
WARNING Cardiac emergency

W7092100_03 9
Instructions for Use EN Olympus ESG-100

Always keep a defibrillator ready in case of a cardiac emergency. During operation of

the defibrillator, remove the endoscope from the patient.

10 W7092100_03
Olympus ESG-100 EN Instructions for Use

Fire / Explosion
DANGER Ignitable anaesthetics / fire supporting gases
The risk of flammable gases or other materials being ignited exists with any surgical
application of electrical energy. Precautionary measures must be taken to keep
flammable materials and substances away from the site of intervention (do not use
flammable anaesthetics, nitrous oxide or oxygen). Otherwise, explosion or fire may
result and cause serious injuries. This electrosurgical unit is not explosion-proof. Do not
use the unit within an explosion zone.
WARNING Ignitable gas in the gastro-intestinal tract
If the intestines contain a flammable gas, replace this gas with air or a non-flammable
gas before performing the operation, to minimize the risk of fire or explosion.
WARNING Ignitable cleaning- and disinfection agents
Flammable agents used for cleaning and disinfection must be allowed to evaporate
before the electrosurgical unit is used. Also ensure that flammable solutions are neither
on the patient’s skin (e.g. under neutral electrode) nor in the patient’s body cavity when
the electrosurgical unit is used.
Non-flammable agents should be used for cleaning and disinfection wherever possible.
WARNING Ignitable materials
If absorbent cotton or gauze is used during the procedure, it can be ignited by a spark
generated in the normal operation of the equipment.
When performing electrosurgery, arcs occur which could lead to burning or deflagration
of combustible gases.
WARNING Risk of fire
Disconnect the power plug before changing the fuses! Replace fuses as marked. The
fuses must only be replaced by authorised technicians.

Procedural hazards and complications

DANGER Procedural hazards and complications
The safety of electrosurgery will be greatly enhanced by a thorough knowledge of the
medical literature on the subject. Study of specific information on the hazards and
complications of the procedure in question is especially recommended.
To respond to possible patient bleeding, prepare at least one of the following three
haemostatic procedures: coagulation, clipping or local injection.
To prepare for possible accidents, emergency equipment for life-saving, intubation and
appropriate pharmaceuticals should be located in or near the procedure room.
Use physiological monitoring equipment throughout the entire procedure, for continuous
observation of the patient’s condition.
For procedures where the high frequency current could flow through parts of the body
with a relatively small cross-sectional area, use of a bipolar mode may be desirable to
avoid accidental coagulation.
The electrosurgical unit should not be used for performing circumcisions.

W7092100_03 11
Instructions for Use EN Olympus ESG-100

WARNING Safety measures for personnel during procedure

Studies have shown that smoke generated during electrosurgical procedures can be
irritating and potentially harmful to surgical personnel. These studies recommend the
use of surgical masks and adequate ventilation of smoke by the use of surgical smoke
evacuators or other means.
WARNING Output performance
If the electrosurgical unit fails and the output is stopped during treatment, it may be
impossible to continue treatment due to adhesion of mucous tissue to the instrument or
other accident.
Should any abnormal output be suspected during operation, immediately terminate the
use of the equipment by releasing the footswitch. If the footswitch does not react, switch
off the electrosurgical unit. Otherwise, malfunction of the equipment may cause an
unintended increase in output.
During endoscopic treatment never grasp the target tissue with non-insulated grasping
forceps. Non-insulated grasping forceps will disperse the electric current and normal
operation may be impeded.
WARNING Unintentional electrical stimulation of nerves and muscles
Low frequency electrical currents can stimulate nerves and muscles. Low frequency
electrical currents may be generated by a partial rectification of the high frequency
electrical current, in particular when there is a spark discharge to the tissue or to another
metallic object. This may cause violent spasms or muscle contractions. Use the lowest
appropriate power level and cut level (e.g. Cut 1 instead of Cut 2).
CAUTION Unit defect
To prevent electrosurgical unit damage, never short-circuit electrodes (accessories,
neutral electrodes).
In the event of a defect or malfunction in the unit, an undesirably high output power may
be emitted.

1.10 Reporting serious incidents

If a serious incident occurs with the device, report it to the manufacturer and the
relevant national authority.

12 W7092100_03
Olympus ESG-100 EN Instructions for Use

2 General description
The ESG-100 electrosurgical unit enables the user to perform common monopolar and
bipolar applications. Both can be operated in cutting and coagulation modes. The
electrosurgical unit is equipped with a user friendly display that allows the user to select
from a list of optimized modes. All settings are saved automatically and are at the user’s
disposition when switching on the electrosurgical unit the next time or when the user
changes the modes during a procedure.
The electrosurgical unit is equipped with a high voltage power supply which allows fast
control of the output resulting in safely controlled tissue effects and protection against
over- and under-dosage. In addition, the integrated high power cut support (HPCS) is a
precondition for optimized cutting procedures without initial delay.
Another feature of the electrosurgical unit is the fast spark monitor (FSM). This
technology measures the spark intensity in intervals of a few milliseconds when cutting
tissue. The fast spark monitor ensures the application of output powers that are as low
as possible and as much as necessary to achieve well defined tissue effects.
Moreover, the contact quality monitor (CQM) analyses continuously the contact
resistance of the neutral electrode, ensuring a safe application and minimizing the risk
of thermal injuries to the patient. The contact quality monitor status is continuously
displayed by visual indicators.
Finally, the leakage protection sensor (LPS) automatically monitors the high frequency
leakage current through the patient and produces a visual and acoustic signal if the
current is too high.

3 Inspection prior to use

Verify that all items shown below are contained in the package. Inspect each item for
damage. If the electrosurgical unit is damaged, a component is missing or you have any
questions, do not use the electrosurgical unit. Contact Olympus or your distributor
immediately.

Electrosurgical unit Footswitch with cable

Instructions for use

W7092100_03 13
Instructions for Use EN Olympus ESG-100

4 Symbols, definitions and functions

4.1 Symbols and descriptions
4.1.1 Front panel

Power on / off

Caution

Toggle between modes

Defibrillation proof type CF applied part

(cardiac application)

Up

Down

Bipolar cutting

Bipolar coagulation

Monopolar cutting

Monopolar coagulation

Output insulated from earth (connection for

neutral electrode)

Footswitch assignment

Neutral electrode – non-split type

Neutral electrode – split type

14 W7092100_03
Olympus ESG-100 EN Instructions for Use

4.1.2 Rear panel

Manufacturer

Date of manufacture

Serial number

Reference number

Indication of the direction of higher volume

Loudspeaker

Footswitch connection

Interface for pump connection

Operating instructions

Waste electrical and electronic equipment

Fuse

Non-ionizing electromagnetic radiation

CE marking indicating that the device is in

conformity with the applicable requirements
set out in applicable European Union
harmonization legislation

Operating instructions

Potential equalization terminal

W7092100_03 15
Instructions for Use EN Olympus ESG-100

4.1.3 Packaging

Keep away from rain

Fragile; handle with care

This way up

Temperature limit during transport and

storage
Stacking limit by number (including lowest
box)
Atmospheric pressure limitation during
transport and storage

Relative humidity limitation during transport

and storage

Quantity

16 W7092100_03
Olympus ESG-100 EN Instructions for Use

4.2 Front panel

Level display (21) Up / down button (6 / 5)

Error indicator (8) Mode display (22)

Power switch (0) Toggle button (7)

Bipolar cut Contact quality

mode indicator (9) monitor
indicator for
Bipolar cut select button (1)
split neutral
Activation indicator bipolar cut (13) electrode (20)

Footswitch assignment to bipolar Neutral electrode

connector indicator (17) connector (25)
Bipolar connector (23)
Contact quality
Activation indicator bipolar coagulation (14) monitor indicator
for non-split neutral
Bipolar coagulation mode indicator (10) electrode (19)

Monopolar coagulation
Bipolar coagulation select button (2)
select button (4)

Monopolar coagulation
mode indicator (12)

Activation indicator
monopolar coagulation (16)

Footswitch assignment to
monopolar connector indicator (18)

Monopolar connector (24)

Activation indicator monopolar cut (15)

Monopolar cut select button (3)

Monopolar cut mode indicator (11)

W7092100_03 17
Instructions for Use EN Olympus ESG-100

4.2.1 Buttons / Switches

0 Power switch
This switch turns on and off the electrosurgical unit.
1 Bipolar cut select button
This button is used for the selection of a bipolar cutting mode. The level
display (21) shows the selected power level. The mode display (22) shows the
selected mode.
2 Bipolar coagulation select button
This button is used for the selection of a bipolar coagulation mode. The level
display (21) shows the selected power level. The mode display (22) shows the
selected mode.
3 Monopolar cut select button
This button is used for the selection of a monopolar cutting mode. The level
display (21) shows the selected power level. The mode display (22) shows the
selected mode.
4 Monopolar coagulation select button
This button is used for the selection of a monopolar coagulation mode. The
level display (21) shows the selected power level. The mode display (22)
shows the selected mode.
6/5 Up / down button
These buttons increase / decrease the value displayed at level display (21)
during normal operation.
7 Toggle button
This button switches to the next mode shown in the mode display (22).

18 W7092100_03
Olympus ESG-100 EN Instructions for Use

4.2.2 Indicators

8 Error indicator
This indicator illuminates red if any error occurs.

9 Bipolar cut mode indicator

This indicator signals a bipolar cutting selection.

10 Bipolar coagulation mode indicator

This indicator signals a bipolar coagulation selection.

11 Monopolar cut mode indicator

This indicator signals a monopolar cutting selection.

12 Monopolar coagulation mode indicator

This indicator signals a monopolar coagulation selection.

13 Activation indicator bipolar cut

This indicator signals a bipolar cutting activation.
14 Activation indicator bipolar coagulation
This indicator signals a bipolar coagulation activation.

15 Activation indicator monopolar cut

This indicator signals a monopolar cutting activation.

16 Activation indicator monopolar coagulation

This indicator signals a monopolar coagulation activation.
17 Footswitch assignment to bipolar connector indicator
This indicator signals the footswitch assignment to the bipolar connector.
When a bipolar cutting or coagulation mode is selected this indicator
illuminates and both modes can be activated by the footswitch.
18 Footswitch assignment to monopolar connector indicator
This indicator signals the footswitch assignment to monopolar connector.
When a monopolar cutting or coagulation mode is selected this indicator
illuminates and both modes can be activated by the footswitch.
19 Contact quality monitor indicator for non-split neutral electrode
This indicator illuminates green if a non-split neutral electrode is connected.
20 Contact quality monitor indicator for split neutral electrode
This indicator illuminates green if a split neutral electrode is connected and the
contact resistance is within an acceptable range. The indicator illuminates red
if the split neutral electrode is not connected or applied properly (e.g. bad
contact quality) or no neutral electrode is connected (in both cases the
activation of monopolar output is disabled).

W7092100_03 19
Instructions for Use EN Olympus ESG-100

4.2.3 Displays

21 Level display
This display shows the currently selected power level.
1 … 120 Power level

Err Error notice

InF Information notice

22 Mode display
This display shows the currently selected mode during normal operation.
Cut Cutting mode
PulseCut Pulsed cutting mode
SoftCoag Soft coagulation mode
ForcedCoag Forced coagulation mode
RFCoag Controlled tissue coagulation with acoustic
resistance feedback (radiofrequency coagulation)
RFCoag + RCAP Deep tissue coagulation with resistance controlled
automatic power (radiofrequency coagulation)
Mid.Ped. -> Toggle Middle pedal of the footswitch is functioning as a
toggle pedal if the peristaltic pump unit is
disconnected
Mid.Ped. -> Pump Middle pedal of the footswitch is activating the
pump flow with connected peristaltic pump unit
Error: No. Error notice and related error number

Text / No. Information notice with related text or number

NOTE The mode display messages may depend on the language setting of
the electrosurgical unit.

4.2.4 Connectors

23 Bipolar connector
This terminal connects the plug of the bipolar applicator.
24 Monopolar connector
This terminal connects the plug of the monopolar applicator.
25 Neutral electrode connector
This terminal connects the plug of the neutral electrode.

20 W7092100_03
Olympus ESG-100 EN Instructions for Use

4.3 Rear panel

Volume control (31) Equipotential bonding connector (28)

Type plate (30)

Communication port peristaltic pump unit (27)

Footswitch connector (26) Mains connector with integrated fuses (29)

26 Footswitch connector
This terminal connects the footswitch with the electrosurgical unit, so that
cutting and coagulation modes can be activated by the footswitch.
27 Communication port for peristaltic pump unit AFU-100
This terminal is used for the communication between the electrosurgical unit
and the peristaltic pump unit.
28 Equipotential bonding connector
This terminal is used for potential equalization.
29 Mains connector with integrated fuses
This terminal serves as a connection to the mains power supply.
30 Type plate
The type plate contains specific information about the electrosurgical unit
regarding type of device, reference number (REF), line voltage range, output
power classification, serial number and the registered office of the
manufacturer.
31 Volume control
This knob is used for adjusting the output volume.

W7092100_03 21
Instructions for Use EN Olympus ESG-100

5 Accessories
5.1 Footswitch

Cut pedal (32) Middle pedal (34) Coagulation pedal (33) Footswitch plug (35)

32 Cut pedal (yellow color)

This pedal is used to activate the selected cutting mode.
33 Coagulation pedal (blue color)
This pedal is used to activate the selected coagulation mode.
34 Middle pedal
This pedal switches between the modes (see the following explanation) or
activates the optional peristaltic pump unit (see chapter 5.4, Peristaltic pump
unit AFU-100 and communication cable).
35 Footswitch plug
Connects the footswitch with the electrosurgical unit on the rear panel.

22 W7092100_03
Olympus ESG-100 EN Instructions for Use

The footswitch middle pedal (34) may have three different functions:
1) If the peristaltic pump unit is connected and switched on, the footswitch middle
pedal (34) activates the pump flow.

2) If there is no communication of the electrosurgical unit with the pump, the user has
the possibility to choose between two functionalities:
2a) The user toggles between the modes as it is done by the toggle button (7) at the
front panel (see fig. 5.1). The change will be indicated by a beep tone. This is the
default setting.
Example: A bipolar coagulation mode is preset (e.g. SoftCoag). By pressing the
footswitch middle pedal (34) the user toggles between the bipolar modes (e.g.
RFCoag -> RFCoag + RCAP -> SoftCoag).
2b) The user changes either between monopolar cut and monopolar coagulation or
between bipolar cut and bipolar coagulation mode without using one of the select
buttons (1, 2, 3, 4) at the front panel (see fig. 5.2). The change will be indicated by
a beep tone.
Example: A monopolar cut mode is preset (e.g. Cut 1). By pressing the footswitch
middle pedal (34) the user changes to a monopolar coagulation mode (e.g.
ForcedCoag 1). The last used coagulation mode will be called.
To use the function 2b), change the footswitch function in the service menu as
described in chapter 10 (Service operation mode).

SoftCoag Monopolar cut Monopolar coagulation

RFCoag

RFCoag + RCAP Bipolar cut Bipolar coagulation

Fig. 5.1: Example of toggling Fig. 5.2: Example of toggling between cut and
between bipolar modes coagulation modes

5.2 P-cord
The P-cord (Olympus REF: MAJ-814) is a separate accessory.

Lever-locking Plug on the

arm (38) unit side (36)

Clamp (37)
36 Plug on the unit side
This plug connects the P-cord to the electrosurgical unit.
37 Clamp
This clamp connects the neutral electrode to the P-cord.
38 Lever-locking arm
This arm secures the connector of the neutral electrode with the clamp.

W7092100_03 23
Instructions for Use EN Olympus ESG-100

5.3 A-cord
The A-cord (Olympus REF: MH-969) is a separate accessory.
Plug on the Plug on the
unit side (39) accessory side (40)

39 Plug on the unit side

This plug connects the A-cord to the electrosurgical unit.
40 Plug on the instrument side
This plug connects the A-cord to the instrument side.

5.4 Peristaltic pump unit AFU-100 and communication cable

The electrosurgical unit together with the peristaltic pump unit can build a system as
shown in fig. 5.3.

Fig. 5.3: System of ESG-100 and AFU-100 Fig. 5.4: Communication cable
(REF: WB950167) (REF: WB950241)

NOTE It is recommended to position the electrosurgical unit on top of the

peristaltic pump unit to avoid spilling of liquids over the electrosurgical
unit.
Correct communication is shown by the assignment indicator of the
pump unit.
For recommended combinations of equipment and accessories see
chapter 11 (System chart).

24 W7092100_03
Olympus ESG-100 EN Instructions for Use

6 Installation and commissioning

The unit must be properly installed and commissioned by Olympus or your distributor or
by a person or firm commissioned and authorised by the manufacturer.
Prepare the electrosurgical unit and other equipment to be used with this electrosurgical
unit before each use. Refer to the instructions for use of the equipment, and install and
connect all equipment as described on the following pages.

6.1 Installation of equipment

CAUTION Install the unit on a stable, level surface. Otherwise, the unit could fall,
causing equipment damage and / or injury to the user or patient.
If the electrosurgical unit is placed on a cart, the cart must be of
adequate strength and size to hold the unit securely.
Never place the electrosurgical unit on its side or upside down.
Otherwise, the electrosurgical unit may not work correctly.
The rear panel of the electrosurgical unit has protruding housing
elements. Take precaution, otherwise this can cause injury to the user.
If the electrosurgical unit is lifted up, do not hold the unit at the fuse
holder at the rear panel to prevent damage of the unit.

NOTE Place the instructions for use near the electrosurgical unit or in another
easily accessible place.
Before using an optional item, thoroughly review and understand the
instructions for use provided with that item and check the compatibility
with the electrosurgical unit.
Specifications, design and accessories are subject to change without
any notice or any obligation of the manufacturer.

6.2 Connection to an AC mains power supply

1) Confirm that the power of the electrosurgical unit is off.
2) Connect the power cord to the mains connector (29) of the electrosurgical unit (see
fig. 6.1).
3) Connect the power plug of the power cord directly to a grounded wall outlet which
meets the power requirements indicated on the electrical rating plate on the rear
panel of the electrosurgical unit.
4) Position the electrosurgical unit in a way that the power cord can be disconnected
from the mains power supply.

W7092100_03 25
Instructions for Use EN Olympus ESG-100

Fig. 6.1: Connection of the power cord

DANGER Connect the power plug of the power cord directly to a grounded wall
outlet or to a multiple power socket outlet equiped with an insulating
transformer of protection class I, conforming to IEC 60601-1. The
multiple power socket outlet shall conform with the requirements of the
IEC 60601-1-1 standard. In this case, observe the maximum permitted
current or power loading of the multiple power socket outlet and the
insulating transformer.
WARNING Firmly plug in the power cord so it will not accidentally be dislodged
during the operation.

CAUTION Always use the power cord provided with the electrosurgical unit or a
cable of similar quality (see chapter 12.3, Technical data). Never
attempt to modify the power cord.
If the same circuit breaker is used to supply power to other electrical
equipment, carefully consider the power requirements of the additional
equipment and use circuit breakers that have ample capacity.
Otherwise, the electrosurgical unit does not work correctly.
Portable multiple power socket outlets must not be placed on the floor.
Do not use an additional extension cable or other multiple power socket
outlets that are not expressly approved by the manufacturer for joint
use.

NOTE Before connecting to the power supply, check that the supply voltage
agrees with the electrical data on the type plate of the electrosurgical
unit.
If the voltage of the facility is different from the voltage indicated on the
type plate of the electrosurgical unit, contact Olympus or your
distributor.

26 W7092100_03
Olympus ESG-100 EN Instructions for Use

6.3 Equipotential bonding

To increase electrical safety, the unit can be connected to the equipotential bonding
system of the treatment room. All equipment housings that come into contact with the
patient are electrically connected in order to prevent low-frequency electrical currents
from endangering the patient in the event of a defect in the conventional protective
conductor system.

6.4 Connection of footswitch

Before connecting, confirm that the footswitch plug (35) is free of scratches and cracks
and that the footswitch pedals (32 / 33) are not damaged. Align the footswitch plug (35)
so that the keying is facing down. Insert the footswitch plug (35) into the footswitch
connector (26) of the electrosurgical unit on the rear panel and rotate the fastener ring
fully clockwise to tighten it (see fig. 6.2).

Fastener ring

Fig. 6.2: Connection of the footswitch

WARNING Connect the footswitch plug securely to the electrosurgical unit.

Otherwise, high frequency output may not be activated. In this case, the
electrosurgical instrument could cut the tissue mechanically, which
could cause bleeding and / or perforation of the tissue.
The footswitch plug is not waterproof, and liquid such as water must not
get into the plug.
Do not connect products other than the footswitch for this
electrosurgical unit to the footswitch connector (26). Otherwise, the
footswitch might not function and may cause patient injury and / or
damage of the equipment.

W7092100_03 27
Instructions for Use EN Olympus ESG-100

6.5 Connection to the peristaltic pump unit AFU-100

Align the plugs of the communication cable that the keying is facing down and insert the
plugs into the communication ports on the rear panel of the electrosurgical unit and the
peristaltic pump unit and rotate the fastener rings fully clockwise to tighten it (see fig.
6.3).

Fig. 6.3: Connection of the electrosurgical unit and the peristaltic pump unit

NOTE If the communication to the peristaltic pump unit is established and the
peristaltic pump unit is switched on, the middle pedal (34) of the
footswitch activates the pump flow.

7 Operation
Prepare this electrosurgical unit and other equipment to be used with this unit for the
particular operation. Refer to the respective instructions for use for each item. Confirm
that the connections of the power cord, footswitch, neutral electrode and instruments
are secure and correct.

WARNING Before each use, inspect this unit as instructed below. Inspect other
equipment to be used with this unit as instructed in their respective
instructions for use. Should the slightest irregularity be suspected, do
not use the electrosurgical unit and refer to chapter 9 (Troubleshooting).
If the irregularity is still suspected after consulting chapter 9, contact
Olympus or your distributor. Damage or irregularity may compromise
patient or user safety and may result in more severe equipment
damage.

28 W7092100_03
Olympus ESG-100 EN Instructions for Use

7.1 Power supply

Switch on the electrosurgical unit with the power switch (0). Check that a tone can be
heard. Simultaneously, the unit executes a self test. All indicators of the unit illuminate
sequentially during the self test and the three numbers of the level display (21) count
from 1 to 9. When the self test is finished, all indicators illuminate continuously and the
mode display (22) shows “Press any button”. Ensure that all display indicators are
functioning properly, then press any button except the power switch (0) and the unit is
prepared for use and recalls the last settings used.
By using the electrosurgical unit for the first time there will be a default setting of the
output power in accordance with the chosen mode.
By switching between different modes during a procedure, the unit automatically
saves and recalls the settings used for each mode individually.
By switching on the electrosurgical unit after one or more procedures have been done,
the last used mode and output power is presented at the mode display (22) and level
display (21) respectively. Before starting the procedure, confirm the correctness of the
settings.

WARNING If the electrosurgical unit fails to start up (no indicators illuminates and
the level and mode display (21 / 22) are off), confirm that the power
cord is connected securely to a grounded wall outlet and the mains
connector (29) on the electrosurgical unit and confirm that the grounded
wall outlet is powered. If it still fails to start up, remove the power cord
from the grounded wall outlet and contact Olympus or your distributor.
Equipment damage or malfunction may have occurred and fire or
electric shock can result.

NOTE To enable the immediate continuation of the procedure in case of a

power failure (less than 15 seconds) or unintended switching off and on
(within 15 seconds), no self test will be performed. The electrosurgical
unit recalls the last settings used and the output power will immediately
continue if the footswitch has not been released.
During the self test execution, the tone volume is not adjustable.

7.2 Acoustic signals and tone volume adjustments

Activation tones
The output tone volume can be adjusted at the rear panel of the electrosurgical unit by
using the volume control (31). All activation tones are continuous with one frequency for
each mode except the output tone of the PulseCut modes which has two different
output tones.

WARNING Because the output tones play an important role of noticing the output,
do not lower the volume to the inaudible area. If the output tone is
inaudible, high frequency output may not be detected by the user. This
could cause patient injury.

Warnings and alarms

The warning tone is associated with an information message shown on the level display
(21) and has a short “beep” tone.

W7092100_03 29
Instructions for Use EN Olympus ESG-100

The alarm tone is associated with an error message shown on the level display (21)
and has a louder tone with a higher frequency than the warning “beep” tone.

NOTE The volume of the warning and alarm tone are not adjustable.

7.3 Neutral electrode (for monopolar treatment only)

7.3.1 Split type neutral electrode

When a split type neutral electrode (patient grounding pad) is connected to the
electrosurgical unit, it is possible to detect unintended detachment of the neutral
electrode from the patient. Refer to chapter 12.3 (Technical data) for a list of compatible
neutral electrodes.
If the contact between the neutral electrode and the patient’s skin is insufficient, the
contact quality monitor indicator for split neutral electrodes (20) illuminates red.
Reattach the neutral electrode or use a new plate. The contact quality monitor indicator
for split neutral electrode (20) will only light green while the contact between the neutral
electrode and the skin of the patient is within an acceptable resistance range (see
chapter 12.3, Technical data).

WARNING Always use compatible split type neutral electrodes, otherwise the loss
of safe contact between the neutral electrode and the patient will not
result in a warning signal of the contact quality monitor.

CAUTION Always use split type neutral electrodes if possible. By using a non-split
neutral electrode the contact quality monitor does not work. An
unintended detachment of the neutral electrode will not be detected and
this may result in patient burns.

7.3.2 Non-split neutral electrode

If a non-split type neutral electrode is connected to the electrosurgical unit, it is not

possible to detect any detachment of the neutral electrode from the patient.
The contact quality monitor indicator for non-split neutral electrode (19) will light green
when detecting a non-split type neutral electrode (see chapter 12.3, Technical data).

CAUTION No warning will be generated if an unintended detachment of the non-

split neutral electrode occurs. Therefore, it is not recommended to use
non-split neutral electrodes.

30 W7092100_03
Olympus ESG-100 EN Instructions for Use

7.3.3 Connection of the neutral electrode

Improper connection between the neutral electrode and the patient’s skin surface may
cause burns. Always attach and inspect the warning functions of the neutral electrode
as described below. For further details on neutral electrodes, refer to the neutral
electrode’s instructions for use.
1) Before connecting any neutral electrode to the electrosurgical unit, make sure the
contact quality monitor indicator for split neutral electrodes (20) illuminates red and
the contact quality monitor indicator for non-split neutral electrodes (19) is off.
2) Peel off the protective liner from the neutral electrode and attach the plate to the
patient’s body according to the neutral electrode manufacturer’s instructions for
use.
3a) For neutral electrodes with a pre-attached cable consider the following procedure:
Insert the neutral electrode plug into the neutral electrode connector (25) on the
front panel of the electrosurgical unit (see fig. 7.1).
3b) For neutral electrodes without a pre-attached cable consider the following
procedure: Lift the lever-locking arm (38), and then position the neutral electrode
tab evenly between the clamp (37) jaws. Lock the clamp (37) by fully pressing
down the lever-locking arm (38) (see fig. 7.2). Insert the P-cord plug on the unit
side (36) into the neutral electrode connector (25) on the front panel of the
electrosurgical unit (see fig. 7.1).
4) Verify that the contact quality monitor indicator for split neutral electrodes (20)
illuminates green when using a split neutral electrode or the contact quality monitor
indicator for non-split neutral electrodes (19) illuminates green when using a non-
split neutral electrode.

Fig. 7.1: Connection of the neutral Fig. 7.2: Connection of the P-cord to the
electrode neutral electrode

W7092100_03 31
Instructions for Use EN Olympus ESG-100

CAUTION Use the largest neutral electrode that will fit to the patient. Otherwise,
patient burns may result.

To avoid compression necrosis use only self-adhesive neutral

electrodes.
Do not use capacitive coupling neutral electrodes as a return path for
the high frequency current to avoid incorrect operation of the contact
quality monitor and to prevent patient burns.
Use only original packed neutral electrodes and check the expiration
date of the neutral electrode intended to use. If expired neutral
electrodes are used the adhesive may fail to maintain contact with the
patient’s skin. Patient burns may result.
Do not use the neutral electrode if it has been damaged, modified or
has sharp edges. This may cause patient burns.
This electrosurgical unit should be used in combination with one of the
neutral electrodes shown in the chapter 12.3 (Technical data).
Never attach the neutral electrode in the vicinity of a metal implant. The
tissue in the vicinity of the metal implant may get burned.
To avoid air entrapment, do not fold or wrinkle the neutral electrode and
make sure that its surface is smooth. The entire surface of the neutral
electrode should be in direct contact with the patient’s skin. Incomplete
contact between the neutral electrode and patient’s skin may result in
patient burns.
Apply the neutral electrode onto patients skin with the long edge
towards the surgical site.
The site where the neutral electrode is intended to be attached must be
clean, dry and free of hair. Otherwise the neutral electrode can loose
contact. Improper contact between the neutral electrode and the
patient’s skin surface may cause patient burns. If necessary, remove all
hair from the area to which the neutral electrode will be attached.
When the patient is moved after the neutral electrode has been
attached, confirm that the neutral electrode is still in proper contact with
the patient. Otherwise, it may cause patient and / or user burns.
Avoid placing the neutral electrode over bony prominences or scar
tissue as proper contact will not be obtainable. This may cause patient
burns.
The neutral electrode should not be reused or repositioned.
Do not attach a neutral electrode for a bipolar only procedure.
If the contact quality monitor indicator for split neutral electrodes (20)
indicates red either because the neutral electrode has not been
attached correctly or detaches, high frequency output may not be
activated. In this case, the level display (21) will display “InF” and the
mode display (22) shows “Check NE”. If a neutral electrode failure is
indicated and an instrument is already placed at the treatment site,
mechanical tissue cutting by the electrosurgical instrument may occur
and cause patient bleeding or perforation.

32 W7092100_03
Olympus ESG-100 EN Instructions for Use

NOTE In case a contact quality monitor alarm arises during procedure, an

warning tone is audible and the output stops automatically.
For the removal of the neutral electrode, do not peel off the neutral
electrode by pulling the cable. Start the plate removal at a corner.
Slowly peel back the plate. Otherwise, skin trauma may result.

7.4 Connection of instruments

The electrosurgical unit can be used with monopolar cutting and coagulation
instruments as well as with bipolar cutting and coagulation instruments. The instruments
must have an appropriate plug to connect either to the A-cord or directly into the
monopolar connector (24) or bipolar connector (23). When connecting instruments
avoid output settings where the maximum output voltage of the electrosurgical unit may
exceed the rated instrument voltage (refer to chapters 12.1, Mode characteristics, 12.2
Output characteristics, and the instructions for use of the instrument).
Monopolar instruments
Insert the A-cord plug on the unit side (39) into the monopolar connector (24) on the
front panel of the electrosurgical unit (see fig. 7.3). Attach the A-cord plug on the
instrument side (40) to the instrument.

Fig. 7.3: Connection of the A-cord with the electrosurgical unit

W7092100_03 33
Instructions for Use EN Olympus ESG-100

Bipolar instruments
Insert the bipolar cord plug into the bipolar connector (23) on the front panel of the
electrosurgical unit (see fig. 7.4 and 7.5).

Fig. 7.4: Connection of bipolar instruments Fig. 7.5: Connection of bipolar

(2 pin plug) instruments (coaxial plug)

WARNING Securely connect the instrument. Otherwise, the high frequency may
not be output during treatment and, in this case, mechanical tissue
cutting by the electrosurgical instrument may occur and cause bleeding
or perforation of the patient.
CAUTION Olympus instruments should be used for endoscopic electrosurgical
procedures. For details, refer to the instructions for use of the
instrument. If you have any questions concerning the applicability of
your instrument, please contact Olympus or your distributor.

7.5 Mode selection

Select a mode in accordance with the type of procedure and instruments to be used.
Refer to table 7.1 for the applications / instruments and technical features of the
different modes.

Monopolar cutting modes

For using a monopolar cutting, press the monopolar cut select button (3) on the front
panel. The monopolar cut mode indicator (11) illuminates and the (last used) power
level and monopolar cutting mode appear on level display (21) and mode display (22).
Press the toggle button (7) until the needed monopolar cutting mode appears on the
mode display (22).

Monopolar coagulation modes

For using a monopolar coagulation, press the monopolar coagulation select button (4)
on the front panel. The monopolar coagulation mode indicator (12) illuminates and the
(last used) power level and monopolar coagulation mode appear on level display (21)
and mode display (22).
Press the toggle button (7) until the needed monopolar coagulation mode appears on
the mode display (22).

34 W7092100_03
Olympus ESG-100 EN Instructions for Use

Bipolar cutting modes

For using a bipolar cutting, press the bipolar cut select button (1) on the front panel. The
bipolar cut mode indicator (9) illuminates and the (last used) power level and bipolar cut
mode appear on level display (21) and mode display (22).
Press the toggle button (7) until the needed bipolar cutting mode appears on the mode
display (22).

Bipolar coagulation modes

For using a bipolar coagulation, press the bipolar coagulation select button (2) on the
front panel. The bipolar coagulation mode indicator (10) illuminates and the (last used)
power level and bipolar coagulation mode appear on level display (21) and mode
display (22).
Press the toggle button (7) until the needed bipolar coagulation mode appears on the
mode display (22).
RFCoag
The medical purpose of RFCoag is to achieve a controlled tissue coagulation. By
activating the electrosurgical unit, the amount of energy emitted and the duration of
application are measured and displayed.
The electrosurgical unit provides an acoustic feedback of the coagulation status. The
frequency of the RFCoag tone is proportional to the tissue resistance at any particular
moment. As the measured tissue resistance increases, the frequency of the acoustic
feedback tone also increases. This permits acoustic monitoring of the coagulation
status, since the latter is directly connected with the tissue resistance.
In the deactivated state of the electrosurgical unit, the level display (21) shows the set
power level. During activation, the average applied power level is indicated on the level
display (21). The current mode, the application time and the applied energy are
indicated on the mode display (22), e.g. “RFC. 00:00 0J”.
Energy is applied until the tissue resistance exceeds a limit value (see chapter 12.3,
Technical data). Then the power output is automatically reduced because the
coagulation process is complete due to dehydration of the tissue (see chapter 12.2,
Output characteristics). This is indicated by an intermittent acoustic signal.
RFCoag + RCAP
The medical purpose of RFCoag + RCAP is to achieve a deep tissue coagulation
without significant tissue desiccation. By activating the electrosurgical unit, the amount
of energy emitted and the duration of application are measured and displayed. In the
deactivated state of the electrosurgical unit, the level display (21) shows the set power
level. During activation, the average applied power level is indicated on the level display
(21). The current mode, the application time and the applied energy are indicated on
the mode display (22), e.g. “RCAP 00:00 0J”.
Once the tissue resistance increases significantly, which indicates beginning tissue
desiccation, the power is reduced automatically. This enables the tissue to rehydrate,
resulting in normal electrical resistance of the tissue after a few seconds. Detecting this
decrease of resistance, the unit automatically increases the power again to the preset
value and continues the heating process. This cycle will be repeated until the activation
is stopped or the tissue resistance exceeds a limit value. In the latter case, the power
output is automatically reduced. This is indicated by an intermittent acoustic signal.

W7092100_03 35
Instructions for Use EN Olympus ESG-100

CAUTION During RFCoag + RCAP an automatic termination of the procedure

(indicated by an intermittent acoustic signal) only occurs if the electrode
is withdrawn from the tissue or if the tissue is totally dehydrated after a
long treatment time. For that reason it is essential when using RFCoag
+ RCAP that the procedure should be stopped by the user on the basis
of the applied energy, the duration of application and the coagulation
progress.
Before using any bipolar coagulation mode, reduce the power level of
all bipolar cutting modes to “---” (zero). Otherwise an unintended
activation of the cut mode (cut pedal is pressed) may cause instrument
damage, patient burns, perforation and bleeding.

NOTE The maximum displayable application time is 99 minutes and 59

seconds (e.g. “RFC. 99:59 6.4k”). If the procedure is not finished
after that time, the counter starts from “00:00”.
After application of an energy of 999 J the energy unit changes from
joule to kilojoule (e.g. “RCAP 34:42 999J”  “RCAP 35:57 1.0k”).
After exceeding an energy of 999 kJ the energy unit changes to 000 kJ
(e.g. “RFC. 55:21 999k”  “RFC. 56:51 000k”).

Modes overview

Mode Mode display Application / Technical features

instruments
Monopolar Cut 1  Cutting of varying  Thermal effect to the
cut Cut 2 tissue structures tissue increases from
Cut 3  Monopolar cutting Cut 1 to Cut 3
electrodes, e.g.  High power cut support
needle electrodes, (HPCS)
loop electrodes  Fast spark monitor
(FSM) ensures smooth
and reproducible cutting
in varying tissue (e.g.
muscle and fat)
PulseCut slow  Intermittent cutting  Two pulsed timings for
PulseCut fast (e.g. for endoscopic controlled cutting,
operations) slow = moderate speed,
 Monopolar cutting fast = higher speed
electrodes, e.g.  High power cut support
needle electrodes, (HPCS)
loop electrodes  Fast spark monitor
(FSM) ensures smooth
and reproducible cutting
in varying tissue (e.g.
muscle and fat)

36 W7092100_03
Olympus ESG-100 EN Instructions for Use

Mode Mode display Application / Technical features

instruments
Monopolar SoftCoag  Coagulation of  Automatic voltage
coagulation tissue with low limitation depending on
sticking and power level setting
carbonization  Reduced carbonization
 Monopolar and adhesion
coagulation
electrodes, e.g.
coagulation forceps
ForcedCoag 1  Fast and effective  Spark allows
coagulation coagulation also with
 Monopolar relatively small
coagulation electrodes
electrodes, e.g.
coagulation forceps
ForcedCoag 2  Fast and effective  Spark allows
coagulation with coagulation also with
increased power relatively small
capabilities (up to electrodes
120 W)
 Monopolar
coagulation
electrodes, e.g.
coagulation forceps

Bipolar cut Cut 1  All bipolar cutting  Thermal effect to the

Cut 2 procedures of tissue tissue increases from
Cut 3 structures Cut 1 to Cut 3
 Bipolar cutting  High power cut support
electrodes, e.g. (HPCS)
needle electrodes

W7092100_03 37
Instructions for Use EN Olympus ESG-100

Mode Mode display Application / Technical features

instruments
Bipolar SoftCoag  Coagulation of  Automatic voltage
coagulation tissue with low limitation depending on
sticking and power level setting
carbonization  Reduced carbonization
 Bipolar coagulation and adhesion
electrodes, e.g.
bipolar forceps
RFCoag  Mode to achieve  Acoustic feedback
controlled tissue  Automatic detection of
coagulation end of procedure
 Bipolar coagulation
electrodes, e.g.
bipolar forceps
RFCoag +  Mode to achieve  Premature tissue
RCAP deep tissue desiccation is effectively
coagulation avoided by resistance
 Bipolar coagulation controlled automatic
electrodes, e.g. power (RCAP)
bipolar forceps

Table 7.1: Mode, applications / instruments and technical features overview

CAUTION High current densities can cause nerve and muscle stimulation. High
current densities may occur when modes with high power cut support
(HPCS) are used. Nerve and muscle stimulations may cause discomfort
or pain in patients without sedation, pain medication or general
anesthesia. To reduce the probability of nerve and muscle stimulations
use modes without HPCS.

NOTE A mode selection cannot be changed while the output is activated.

All cutting modes are supported by the HPCS. The HPCS optimizes the
start of the cutting procedure by applying high power to the tissue to
support immediate spark ignition and reduce the risk of mechanical
cutting.

7.6 Output power setting

For changing the power level by e.g. 3, press the up / down button (6 / 5) for 3 times.
For a significant change of the power level continuously press the up / down button
(6 / 5). If the unit will be used for the first time, the power level of the modes starts at
different levels (see the default power level in table 12.1, chapter 12.1, Mode
characteristics). When changing the power level the resulting tissue effects are
summarised in table 7.2 for all modes.

38 W7092100_03
Olympus ESG-100 EN Instructions for Use

Mode Mode display Increasing / decreasing of the power level

Monopolar cut Cut 1 results in increased / decreased thermal
Cut 2 effect and increased / decreased cutting
Cut 3 capability.
PulseCut slow
PulseCut fast

Monopolar SoftCoag results in increased / decreased coagulation

coagulation depth for short time application.
Nevertheless, to achieve the full potential
coagulation depth a long application time
with a low power setting is necessary.
ForcedCoag 1 results in increased / decreased thermal
ForcedCoag 2 effect.

Bipolar cut Cut 1 results in increased / decreased thermal

Cut 2 effect and increased / decreased cutting
Cut 3 capability.

Bipolar coagulation SoftCoag results in increased / decreased coagulation

RFCoag depth for short time application.
RFCoag + Nevertheless, to achieve the full potential
RCAP coagulation depth a long application time
with a low power setting is necessary.

Table 7.2: Change of the power level with the resulting tissue effects

WARNING Use the lowest appropriate power level to achieve the desired effect.
Inappropriate output can cause burns to the patient and / or user,
patient bleeding and / or perforation. It is recommended to do
appropriate examination before using on a human body.

NOTE The power level is the maximum power (watts) which can be applied
during the activation of the electrosurgical unit. The real applied power
depends on the tissue characteristics (e.g. resistance).
If the minimum / maximum power level of any mode is reached, a
warning tone can be heard.
If the minimum power level of any mode is reached and the down button
(5) is pressed again, the level display (21) shows “---”. In this case, the
power output is set to zero.
The power level cannot be changed while output is activated.
This electrosurgical unit stores the output setting of each mode
automatically. By switching on the power, the last output settings will be
recalled for each mode individually.

W7092100_03 39
Instructions for Use EN Olympus ESG-100

7.7 Activation of selected mode

Activate all cutting modes by the cut pedal (32) and all coagulation modes by the
coagulation pedal (33) of the footswitch.

NOTE If the cut and / or coagulation power level is set to “---” (zero) and the
footswitch is pressed, a warning tone can be heard and the level display
(21) shows “InF”, the mode display (22) shows “Level: 0 Watt”.

7.8 Performing the electrosurgical intervention

1) Before activating the output, confirm that the settings as indicated are correct and
make sure to use the intended footswitch pedal only (cut or coagulation).
2) By pressing the cut pedal, cut output will occur. By pressing the coagulation pedal,
coagulation output will occur.
3) The output is activated as long as the footswitch is pressed. During the activated
output, the corresponding activation indicator will light and the output tone can be
heard. The output will stop when the footswitch is released.

DANGER If inadequate output is observed, stop the procedure immediately. Use

the power switch (0) as emergency stop for malfunctions (e.g. in case
the footswitch does not react).

WARNING Wear personal protective equipment to guard against dangerous

chemicals and potentially infectious material. During operation, wear
appropriate personal protective equipment, such as eye wear, face
mask, moisture-resistant clothing and chemical-resistant waterproof
gloves that fit properly and are long enough so that your skin is not
exposed.
Before starting a procedure using a snare, select a wire diameter which
is appropriate for the size of tissue to be removed and close the snare
loosely to avoid mechanically stress at the operation site. Otherwise,
perforation / bleeding can occur. Be sure to activate the output before
operating the snare.
Always use compatible accessories and control equipment for
treatment. Do not use damaged or used disposable accessories.
Electrical injury hazard due to projecting wire parts and mechanical
injury hazards could result. Pay attention to the dimensions of the
accessories to prevent unintended injury to the patient.
When repeatedly using instruments, check the instruments for
contamination. This can result in insufficient treatment effects.
Check the power level and mode before each application. The physician
has the responsibility to verify the effect of the power setting.
To prevent patient burns, perforation and bleeding, be sure that you see
the tip of the electrosurgical instrument in the endoscopic image during
activated output in endoscopic procedures.
Do not bring the tip of the electrosurgical instrument close to a metal
clip or other accessories. The tissue around the metal clip or the
instrument may be burned.

40 W7092100_03
Olympus ESG-100 EN Instructions for Use

If output is not required, keep the foot away from the pedal to prevent
accidental pressing. Otherwise, it may cause user and / or patient
burns.
When the footswitch is not operated and the output indicator lights or
the output tone can be heard, stop the procedure immediately, switch
off the electrosurgical unit. Otherwise, it may cause perforation,
bleeding and user and / or patient burns.
If there is a malfunction at the footswitch, continuous output of high
frequency may cause unintended burns, bleeding and / or perforation of
the patient and / or user. If the high frequency output is not active during
the procedure, the instrument may cut the tissue mechanically, cause
bleeding and / or perforation.
If the output does not stop when the user’s foot is released from the
footswitch pedal, immediately switch off the electrosurgical unit to
prevent patient burns, perforation and bleeding.
Do not increase the unit’s output if a function is not working as
expected; doing so could cause patient injury, burns, bleeding and / or
perforation. In this case, inspect the cord connections, the contact of the
neutral electrode and the settings of the electrosurgical unit for any
abnormalities.
Ensure that you will press the correct pedal before starting the
procedure. Otherwise, it may cause perforation, bleeding and patient
burns.
CAUTION Patients may feel a neuromuscular stimulus when a spark discharge
from the instrument occurs during activation. The neuromuscular
stimulus is caused by low frequency components generated during
discharging. To prevent this, minimize the discharge by selecting a
lower power level or by activating the output when the electrode is in
good contact with the tissue to be cauterized.

NOTE Once the footswitch pedal is pressed, the corresponding output is

activated. This situation will also be predominant, when both pedals are
pressed simultaneously. By releasing one of the pedals, the output will
remain at / or change to the program still activated.

Depending on which footswitch pedal is pressed (cut / coagulation), the

level display (21), the mode display (22) and the output will change
accordingly.

Mode settings cannot be changed while the output is activated.

To avoid patient injury or other damages during (unintended) activation

of the electrosurgical unit the maximum application time is limited to 60
seconds (for the ForcedCoag 1 and ForcedCoag 2 mode the limit is 30
seconds). After exceeding the time limit, the level display (21) shows
“InF”, the mode display (22) shows “Max. time limit”, a warning tone can
be heard and the output is deactivated. To continue the procedure,
release the footswitch and the unit can be reactivated after 15 seconds.
The application time limit does not apply to RFCoag and RFCoag +
RCAP mode.

W7092100_03 41
Instructions for Use EN Olympus ESG-100

Incision of mucous membrane

WARNING When performing marking, set the power level to the lowest necessary
limits for this application. Otherwise, perforation and / or bleeding may
result.
Do not output while the tunica muscularis is snared. Otherwise,
perforation and / or bleeding may result.
When cutting a mucous membrane, set the power level to the lowest
value at which safe cutting is possible. Otherwise, perforation may
result. It is recommended that you perform basic experiments before
using the electrosurgical unit.
When performing coagulation, set the power level to the lowest
necessary limits at which safe coagulation is possible. Otherwise,
perforation may result. It is recommended, that you perform basic
experiments before using the electrosurgical unit.

Endoscopic papillotomy

WARNING Set the power level to the lowest value at which safe cutting is possible.
Otherwise, perforation and / or bleeding may result.

Confirm that electricity is supplied to the instrument when making an

incision. Incision without high frequency current may result in
perforation and / or bleeding.
Use only the cutting mode. The use of the coagulation mode for cutting
may result in perforation and / or damage to the instrument.

Hot biopsy

WARNING Set the power level to the lowest value at which safe cutting is possible.
Otherwise, perforation and / or bleeding may result.

Do not activate the output while any metal portion of the hot biopsy
forceps is in contact with adjacent tissue which is not intended to be
grasp. Otherwise, perforation and / or burns of the adjacent tissue may
result.
Do not apply the cup of the hot biopsy forceps to the tissue but pull the
tissue sufficiently to avoid perforation.
If the biopsy tissue cannot be cut, check the tissue contact condition
and output setting again. Note that setting an excessive power level
may result in perforation and / or bleeding.

Tissue coagulation (RFCoag and RFCoag + RCAP)

WARNING Constantly observe the energy counter to prevent over- or

underdosage.

42 W7092100_03
Olympus ESG-100 EN Instructions for Use

7.9 Procedure after use

1) Switch off the electrosurgical unit.
2) Disconnect all bipolar or monopolar instruments from the electrosurgical unit and
the patient.
3) Disconnect the neutral electrode plug from neutral electrode connector (25) on the
front panel and remove the neutral electrode from the patient.
4) If the electrosurgical unit is not used for a long time period, disconnect the power
cord plug from the grounded wall outlet.
5) Clean the components following the instructions in chapter 8 (Cleaning, storage
and disposal).

WARNING Always discard used disposable neutral electrodes and instruments.

Never attempt to reprocess or reuse them. It may cause patient burns.

CAUTION When disconnecting plugs of instruments or power cords, always hold

the plug. Pulling the cable may result in damaging of the wires.

For disposal of the neutral electrode and used instruments or the

cleaning of reusable accessories refer to the instructions for use of
these products.

8 Cleaning, storage and disposal

After each use, perform the following cleaning procedures immediately. If cleaning is
delayed, debris encrustation may become a source of infection. Encrustation may also
result in malfunction of the electrosurgical unit. For maintenance and storage of other
items than those described below, refer to the respective instructions for use.

8.1 Cleaning
All surfaces of the unit’s housing can be cleaned and disinfected with the cleaning
agents and surface disinfectants normally used for medical equipment (mild cleaning
solution, e.g. 70 % isopropyl alcohol). No liquid must enter the connector or the unit
during cleaning.
1) Switch off the electrosurgical unit and disconnect the power cord from the
grounded wall outlet.
2) If the equipment and / or accessories are contaminated with blood or other
potentially infectious materials, first wipe off all gross debris using neutral detergent,
and then wipe its surface with a lint-free cloth moistened with a surface disinfectant.
3) To remove dust, dirt and non-patient debris, wipe the electrosurgical unit and
footswitch using a soft, lint-free cloth moistened with 70 % ethyl or isopropyl
alcohol.

W7092100_03 43
Instructions for Use EN Olympus ESG-100

WARNING After cleaning the electrosurgical unit, dry it thoroughly before storage
or using it again. If it is used while still wet, there is a risk of electric
shock.
Patient debris and reprocessing chemicals are hazardous. During
cleaning and disinfection, always wear appropriate personal protective
equipment, such as eye wear, face mask, moisture-resistant clothing
and chemical-resistant waterproof gloves that fit properly so that your
skin is not exposed. Always remove contaminated protective clothing
before leaving the reprocessing area.

CAUTION Never immerse the electrosurgical unit in water, clean or disinfect by

immersion, gas sterilization or autoclaving. It may cause equipment
damage.
Do not clean the connectors or the alternating current power inlet.
Cleaning them can deform or corrode the contacts, which could damage
the electrosurgical unit.
Do not wipe the external surface with hard or abrasive wiping material.
The surface will be scratched.

8.2 Storage
Before storage of the electrosurgical unit, disconnect the power cord and store it
properly according to the environmental conditions described in chapter 12.3 (Technical
data).

CAUTION Do not store the electrosurgical unit in a location exposed to direct

sunlight, x-rays, radioactivity, liquids or strong electromagnetic radiation
(e.g. near microwave medical treatment equipment, short-wave medical
treatment equipment, magnetic resonance imaging equipment, radio or
mobile phones). Damage to the electrosurgical unit may result.

8.3 Disposal of the unit

When disposing of this electrosurgical unit, or any of its components (such as fuses),
follow all applicable national and local laws and guidelines.

Waste electrical and electronic equipment

In accordance with European Directive 2002/96/EC on waste electrical and electronic
equipment (WEEE), the product must not be disposed of as unsorted municipal waste,
but should be collected separately.
Refer to Olympus or your distributor for return and / or collection systems available in
your country.

44 W7092100_03
Olympus ESG-100 EN Instructions for Use

9 Troubleshooting
If the electrosurgical unit has visible damage, do not use the electrosurgical unit and
contact Olympus or your distributor. If the unit is not functioning properly, use the
information in this chapter to identify and correct the malfunction. If the problem cannot
be resolved by the described remedial action, stop using the electrosurgical unit and
contact Olympus or your distributor for repair.

DANGER Never use the electrosurgical unit if an abnormality is suspected. The

patient can be seriously injured.

CAUTION Repairs must only be carried out by Olympus or a firm authorised by

Olympus.

9.1 Footswitch operation

If the footswitch is not connected before switching on, the electrosurgical unit indicates
this fact before the display test starts.

 The level display (21) shows: “InF”

 The mode display (22) is asking for the footswitch: “Footswitch ???”

 A warning tone can be heard.

 Connect the footswitch, the message will disappear and the self test proceeds.
However, if the footswitch is not connected within 10 seconds, the self test will start
automatically.

W7092100_03 45
Instructions for Use EN Olympus ESG-100

9.2 Neutral electrode operation

Check the following table, to identify or correct failures regarding the neutral electrode
operation.

Contact quality
Mode Indication
monitor
Bipolar application Standby and activation

A neutral electrode is not

required.

Monopolar application A non-split neutral

electrode is connected.
Activation is possible.
Contact quality monitor Contact quality monitor
detects connection of indicator for non-split neutral
neutral electrode. electrode (19) illuminates
If a split neutral green.
electrode is connected,
it has a short circuit.
Immediately replace the
neutral electrode!

A split neutral electrode is

connected. Activation is
possible. Contact quality
monitor detects Contact quality monitor
connection of neutral indicator for split neutral
electrode and contact to electrode (20) illuminates
patients’ skin. green.

During standby: A split or

a non-split neutral
electrode is not connected
or a split neutral electrode
Contact quality monitor
detaches. Activation is
indicator for split neutral
disabled.
electrode (20) illuminates
During activation: A split red.
or a non-split neutral
During activation a warning
electrode has
tone can be heard and the
disconnected or a split
level display (21) shows
neutral electrode
“InF”, mode display (22):
detaches. The activation
“Check NE”
is stopped.

46 W7092100_03
Olympus ESG-100 EN Instructions for Use

9.3 Error codes and measures

Follow the troubleshooting advices in this chapter, to identify or correct failures.

Code Level Mode

Mode / related function Description
no. display display
Information
104 InF Button is on! Self test A button is pressed while
switching on. Release the
button to continue. If the
message does not disappear
when all buttons are released,
please contact the technical
service.

105 InF CUT Pedal Self test The cut pedal (32) of the
on footswitch is pressed while
switching on. Release the cut
pedal (32) to continue. If the
message does not disappear
when the cut pedal (32) is
released, please contact the
technical service.

106 InF COAG Pedal Self test The coagulation pedal (33) of
on the footswitch is pressed while
switching on. Release the
coagulation pedal (33) to
continue. If the message does
not disappear when the
coagulation pedal (33) is
released, please contact the
technical service.

107 InF MIDDLE Self test The middle pedal (34) of the
Pedal on footswitch is pressed while
switching on. Release the
middle pedal (34) to continue.
If the message does not
disappear when the middle
pedal (34) is released, please
contact the technical service.

120 InF Level: 0 Watt Activation The power level for the chosen
121 mode is set to zero. Increase
122 the power level to continue.
123

124 InF Check NE Activation The contact resistance of the

neutral electrode is too high or
the neutral electrode is not
connected. Check the
connection / attachment of the
neutral electrode or attach a
new one.

W7092100_03 47
Instructions for Use EN Olympus ESG-100

Code Level Mode

Mode / related function Description
no. display display
125 InF Short circuit Activation Short circuit of the output
terminals. Check or replace
the connected instrument and
neutral electrode. If the
message occurs permanently,
please contact the technical
service.

126 InF Max. time Activation The maximum time limit for the
limit application has been
exceeded. Permanent
exceeding of this time limit can
damage the unit. Release the
footswitch and wait until the
message disappears to
continue.

331 InF Leakage Activation In case a warning tone is

current audible, the high frequency
leakage current has exceeded
the limit of 150 mA for
monopolar application or
100 mA for bipolar
applications.
In case an alarm tone is
audible the high frequency
leakage current has exceeded
the limit of 300 mA for
monopolar application or
200 mA for bipolar
applications.
Check if the unit or the patient
is grounded unintentionally. If
the error appears
continuously, please contact
the technical service.

InF Release Any mode or related A footswitch pedal remains

footsw. function pressed after an information or
error has occurred. Release
the footswitch pedal to
continue. If the message does
not disappear when the
footswitch pedal is released,
please contact the technical
service.

48 W7092100_03
Olympus ESG-100 EN Instructions for Use

Code Level Mode

Mode / related function Description
no. display display
Errors

200 Err Error: 200 Self test The recall of the last stored
language setting was not
successful. The language
setting has been reset to
default (English language).
Press the monopolar
coagulation button (4) to
continue. If this error occurs
again, please contact the
technical service.

201 Err Error: 201 Mode select parameter The recall of the last stored
202 Error: 202 Bipolar cut mode setting was not
203 Error: 203 Bipolar coagulation successful. The setting has
204 Error: 204 Monopolar cut been reset to default. Press
205 Error: 205 Monopolar coagulation the monopolar coagulation
button (4) to continue and
check the settings. If this error
occurs again, please contact
the technical service.

206 Err Error: 206 Bipolar Cut 1 The recall of the last stored
207 Error: 207 Bipolar Cut 2 power level was not
208 Error: 208 Bipolar Cut 3 successful. The level has been
209 Error: 209 Bipolar RFCoag + RCAP reset to default. Press the
210 Error: 210 Bipolar SoftCoag monopolar coagulation button
211 Error: 211 Bipolar RFCoag (4) to continue and check the
212 Error: 212 Monopolar PulseCut slow level. If this error occurs again,
213 Error: 213 Monopolar PulseCut fast please contact the technical
216 Error: 216 Monopolar ForcedCoag 1 service.
217 Error: 217 Monopolar ForcedCoag 2
219 Error: 219 Monopolar Cut 1
220 Error: 220 Monopolar Cut 2
221 Error: 221 Monopolar Cut 3
222 Error: 222 Monopolar SoftCoag

227 Err Error: 227 Toggle function of the The recall of the last stored
footswitch setting for the toggle function
of the footswitch middle pedal
(34) was not successful. The
setting has been reset to
default. Press the monopolar
coagulation button (4) to
continue and check the
setting. If this error occurs
again, please contact the
technical service.

W7092100_03 49
Instructions for Use EN Olympus ESG-100

Code Level Mode

Mode / related function Description
no. display display
319 Err Error: 319 Output stage The maximum temperature
324 Error: 324 Power supply has been exceeded. Switch off
the unit and wait until it has
cooled down or reached the
specified operating
temperature (see chapter 12.3,
Technical data). Continuously
exceeding of the maximum
temperature can damage the
unit! If the error appears
continuously, please contact
the technical service.

320 Err Error: 320 Output stage The unit has fallen below the
325 Error: 325 Power supply minimum operating
temperature. Switch off the
unit and wait until it has
reached the specified
operating temperature (see
chapter 12.3, Technical data).
If the error appears
continuously, please contact
the technical service.

330 Err Error: 330 Self test The output parameter

adjustment was not completed
successfully. The unit might
not be able to work within
defined limits. Press the
monopolar coagulation button
(4) to continue. Contact the
technical service.

Err Any other Any mode or related If any error occurs

error number function permanently or repetitively,
please contact the technical
service.

9.4 Periodic safety checks

The unit and the footswitch must undergo a safety check in yearly intervals in
accordance with the national statutory regulations. For this purpose, Olympus or a firm
authorised by Olympus must be commissioned by the user.

9.5 Returning the electrosurgical unit for repair

Before returning the electrosurgical unit for repair, contact Olympus or your distributor.
With the electrosurgical unit, include a description of the malfunction or damage and the
name and the telephone number of a contact person.
Repairs must only be carried out by Olympus or a firm authorised by Olympus. Service
documents such as circuit diagrams, parts lists, equipment descriptions and setting
instructions are available from Olympus for technicians who are authorised to carry out
maintenance and repair.

50 W7092100_03
Olympus ESG-100 EN Instructions for Use

10 Service operation mode

1) Simultaneously press the bipolar cut select button (1) and the bipolar coagulation
select button (2) and switch on the electrosurgical unit. Release all buttons after a
warning tone can be heard. Table 10.1 gives a short summary about the directory
of the service operation mode.
Safety test
This function closes the output relays to perform the measurement(s) required
during the periodic safety check. Activation of this function disables the
electrosurgical unit for normal operation.
2a) Press the up / down button (6 / 5) until the mode display (22) shows “Safety
Test”.
2b) Press the bipolar cut select button (1) to enter and activate this function. The
level display (21) shows “on”, the mode display (22) shows “Relays on”.
2c) Press the monopolar coagulation select button (4) to exit this function.

NOTE The electrosurgical unit remains in this service operation mode

until the monopolar coagulation select button (4) will be
pressed. This enables an easy measurement required by the
periodic safety check even if the unit will be switched off.

Footswitch function
This menu allows changing the function of the footswitch middle pedal (34) as
described in chapter 5.1 (Footswitch) if no peristaltic pump unit is connected.
3a) Press the up / down button (6 / 5) until the mode display (22) shows
“Footswitch Func.”
3b) Press the bipolar cut select button (1) to enter this function.
3c) Use the up / down button (6 / 5) to change between “Toggle MODE” (toggles
between modes) and “Toggle CUT/COAG” (toggles between cut and
coagulation modes) shown in the mode display (22).
3d) Press the bipolar cut select button (1) to confirm and exit the chosen function.

W7092100_03 51
Instructions for Use EN Olympus ESG-100

Language selection
This menu allows changing the language setting used in the mode display (22).
4a) Press the up / down button (6 / 5) until the mode display (22) shows
“Language select”.
4b) Press the bipolar cut select button (1) to enter this function.
4c) Use the up / down button (6 / 5) to scroll between the languages shown in the
mode display (22).
4d) Press the bipolar cut select button (1) to activate the chosen language and
exit this function.
5) Press the monopolar coagulation select button (4) to exit the service operation
mode and to enter the normal operation mode.

NOTE Use the monopolar coagulation select button (4) to switch back to the
previous menu, e.g. from menu 1 (service operation mode) to menu 0
(normal operation mode).

Level display Mode display Level display Mode display

P.01 Safety Test on. Relays on

P.02 Footswitch Func. P.02 Toggle MODE

P.02 Toggle CUT/COAG

P.03 Language select P.03 Deutsch

P.03 English
P.03 Francais
P.03 Italiano
P.03 Espanol

P.03 ニホンゴ

Table 10.1: Quick reference of the service operation mode

52 W7092100_03
Olympus ESG-100 EN Instructions for Use

11 System chart
Electromagnetic compatibility has been successfully tested with HF equipment that
does not exceed a complete length (instrument incl. cables, adapters) of 4.5 m.
Exceeding this length can cause electromagnetic disturbances.
The recommended combinations of equipment and accessories that can be used with
this electrosurgical unit are shown below. New products released after the introduction
of this electrosurgical unit may also be compatible for use in combination with this
electrosurgical unit. For further details, contact Olympus or your distributor.

WARNING If combinations of equipment other than those shown below are used,
the full responsibility is assumed by the medical treatment facility.

Endoscope

Bipolar / Monopolar instruments

A-cord Neutral electrodes

MH-969 see chapter 12.3
(Technical data)

with cord

without cord
P-cord
MAJ-814

Fluid reservoir

Pump tubing
WB920137
Communication cable ESG-100: WB991036 WB920138
WB950241 WB991046
AFU-100: WB950167

Footswitch Footswitch
WB950243 WB950242
Cart WM-60

W7092100_03 53
Instructions for Use EN Olympus ESG-100

12 Specifications
12.1 Mode characteristics
Mode Mode display Default Min. Max. Rated Max. Timing
power power power load output
level level level [Ohm] voltage
[W]* [W]* [Vp]

Monopolar Cut 1 120 5 120 500 650 Continuous and

cut Cut 2 unmodulated
Cut 3 sinusoidal
alternating current

PulseCut slow 120 10 120 500 650 Intermittent and

PulseCut fast unmodulated
sinusoidal
alternating current
PulseCut slow:
t1 = 800 ms pulse
delay time
(see fig. 12.1)
PulseCut fast:
t1 = 550 ms pulse
delay time
(see fig. 12.1)

Monopolar SoftCoag 50 5 120 100 200 Continuous and

coagulation unmodulated
sinusoidal
alternating current

ForcedCoag 1 20 5 50 500 2000 Modulated

sinusoidal
ForcedCoag 2 50 5 120 500 2000
alternating current
(20 kHz)

Bipolar cut Cut 1 0 5 120 500 650 Continuous and

Cut 2 unmodulated
Cut 3 sinusoidal
alternating current

Bipolar SoftCoag 30 1 120 100 200 Continuous and

coagulation unmodulated
RFCoag 30 1 40 100 200
sinusoidal
RFCoag + 30 5 40 100 200 alternating current
RCAP

Table 12.1: Mode characteristics (min. = minimum; max. = maximum)

*The power level is the maximum power (watts) which can be applied during the activation of the
electrosurgical unit. The real applied power depends on the tissue characteristics (e.g. resistance).

All cutting modes are supported by the high power cut support (HPCS). The high power
cut support optimizes the start of the cutting procedure by applying high power to the
tissue to support immediate spark ignition and reduces the risk of mechanical cutting.

54 W7092100_03
Olympus ESG-100 EN Instructions for Use

HPCS
Spark Spark

CUT
C O AG

t1 time

Fig. 12.1: Example of high power cut support during PulseCut fast / slow (t1 is the
pulse delay time)

W7092100_03 55
Instructions for Use EN Olympus ESG-100

12.2 Output characteristics

Monopolar Cut 1 / Cut 2 / Cut 3
140
Cut 3
120
Power level 120 Cut 2
100
Cut 1
Power [W]

80

60

40
Power level 60
20

0
10 100 1000 10000
Load [Ohm]

140

120
Load = 500 Ohm
100
Power output [W]

80

60

40

20

0
0 20 40 60 80 100 120
Pow er level

700
Cut 3
600
Cut 2
High frequency voltage [Vp]

500
Cut 1

400

300

200

100

0
0 20 40 60 80 100 120
Pow er level

56 W7092100_03
Olympus ESG-100 EN Instructions for Use

Monopolar PulseCut slow / fast

140
During „cut phase“
120

100
Power level 120
Power [W]

80

60

40
Power level 60
20

0
10 100 1000 10000
Load [Ohm]

Monopolar SoftCoag
140

120
Power level 120
100
Power [W]

80

60

40
Power level 60
20

0
10 100 1000 10000
Load [Ohm]

140

120
Load = 100 Ohm
100
Power output [W]

80

60

40

20

0
0 20 40 60 80 100 120
Pow er level

W7092100_03 57
Instructions for Use EN Olympus ESG-100

250

High frequency voltage [Vp] 200

150

100

50

0
0 20 40 60 80 100 120
Pow er level

Monopolar ForcedCoag 1
60

50
Power level 50
40
Power [W]

30

20

10
Power level 25
0
10 100 1000 10000
Load [Ohm]

60

50
Load = 500 Ohm

40
Power output [W]

30

20

10

0
0 10 20 30 40 50
Pow er level

58 W7092100_03
Olympus ESG-100 EN Instructions for Use

Monopolar ForcedCoag 2

140

120
Power level 120
Power [W] 100

80

60

40
Power level 60
20

0
10 100 1000 10000
Load [Ohm]

140

120
Load = 500 Ohm
100
Power output [W]

80

60

40

20

0
0 20 40 60 80 100 120
Pow er level

W7092100_03 59
Instructions for Use EN Olympus ESG-100

Bipolar Cut 1 / Cut 2 / Cut 3

140
Cut 2, 3
120
Power level 120
100
Cut 1
Power [W]

80

60

40
Power level 60
20

0
10 100 1000 10000
Load [Ohm]

140

120
Load = 500 Ohm
100
Power output [W]

80

60

40

20

0
0 20 40 60 80 100 120
Pow er level

700

600 Cut 2, 3
High frequency voltage [Vp]

500

Cut 1
400

300

200

100

0
0 20 40 60 80 100 120
Pow er level

60 W7092100_03
Olympus ESG-100 EN Instructions for Use

Bipolar SoftCoag

140

120
Power level 120
100
Power [W]

80

60

40

20
Power level 60
0
10 100 1000 10000
Load [Ohm]

140

120
Load = 100 Ohm
100
Power output [W]

80

60

40

20

0
0 20 40 60 80 100 120
Pow er level

250

200
High frequency voltage [Vp]

150

100

50

0
0 20 40 60 80 100 120
Pow er level

W7092100_03 61
Instructions for Use EN Olympus ESG-100

Bipolar RFCoag / RFCoag + RCAP

50

Power level 40
40

30
Power [W]

20

*)

10

Power level 20

0
10 100 1000 10000
Load [Ohm]

*) see chapter 12.3 (Technical data) for limits

50

40

Load = 100 Ohm

Power output [W]

30

RFCoag + RCAP
20

RFCoag
10

0
0 10 20 30 40
Pow er level

62 W7092100_03
Olympus ESG-100 EN Instructions for Use

12.3 Technical data

Unit designation / description ESG-100 electrosurgical unit

REF: WB991036 (220...240 V~)
REF: WB991046 (100...120 V~)

Output

High frequency functions Monopolar / Bipolar

High frequency 330...380 kHz

Maximum high frequency power 120 W

Monopolar terminals

Socket  6 mm A-cord

Neutral electrode Single or split, 10 mm plug

Bipolar terminal

Sockets 28.8 mm 2-pins

 4/8 mm coaxial

General data

Protection class according to IEC 60601-1 CF, Class I

Classification according to MDD 93/42/EEC IIb

Voltage range WB991036: 220...240 V~

WB991046: 100...120 V~

Frequency 50 / 60 Hz

Maximum input power 400 VA

Terminal for potential equalization Yes

Power connection line IEC 60320-1 / C13

Power fuse

Specification according to IEC/EN 60127: 250 V T 3.15 AH (WB991036)

250 V T 5 AH (WB991046)
2 2
Melting integral (I t) ≥8.8 A s (WB991036)
2
≥1.3 A s (WB991046)

Breaking capacity ≥1500 A

The following fuses are compatible with the product:

ESKA No. 522.700 series
Schurter SPT 5x20 series
Cooper Bussmann S505 series
Littelfuse 215 series

Operation mode

W7092100_03 63
Instructions for Use EN Olympus ESG-100

All modes 25 % duty cycle

(e.g. 10 s activated / 30 s deactivated)

RFCoag / RFCoag + RCAP 67 % duty cycle

(e.g. 10 s activated / 5 s deactivated)

End of procedure limit 750 Ω ± 20 %

(only valid for RFCoag / RFCoag + RCAP)

64 W7092100_03
Olympus ESG-100 EN Instructions for Use

Contact quality monitor (CQM)

Allowable resistance range for split type 10...145 Ω ± 5 %

neutral electrodes

Allowable resistance range for non-split type < 10 Ω ± 5 %

neutral electrodes

Size

Width x Depth x Height 295 × 375 × 115 mm

Weight 6.5 kg

Volume 12722 cm³

Footswitch (REF: WB950243)

Width x Depth x Height 350 × 185 × 65 mm

Weight 1.9 kg

Environmental conditions

Normal operation

Temperature + 10…+ 40°C

Relative humidity 10…85 %, non-condensing

Atmospheric pressure 50…106 kPa

Transport and storage

Temperature - 34…+ 65°C

Relative humidity 10…85 %, non-condensing

Atmospheric pressure 50…106 kPa

Accessories

Compatible HF cords

A-cord Olympus REF: MH-969

Connecting cable

WA99510A Connecting cable for neutral electrode

MAJ-814 Connecting cable for neutral electrode

Compatible neutral electrodes

Olympus WA99512C For newborns, with cable, split type

Patient weight < 5 kg

Olympus WA99513A For children, without cable, split type

Patient weight 5 to 15 kg

Olympus WA99513C For children, with cable, split type

W7092100_03 65
Instructions for Use EN Olympus ESG-100

Patient weight 5 to 15 kg

Olympus WA99514A For adults, without cable, split type

Patient weight > 15 kg

Olympus WA99514C For adults, with cable, split type

Patient weight > 15 kg

Olympus WA99516A Universal size, without cable, split type

Patient weight ≥ 5 kg (adults and
children)

Olympus WA99516C Universal size, with cable, split type

Patient weight ≥ 5 kg (adults and
children)

3M 9160 Patient weight <15 kg

Split type, safety ring, soft backing

3M 9165 Patient weight <15 kg

Split type, safety ring, soft backing,
with cable

3M 8180F Patient weight >15 kg

Split type, teal foam,
soft conductive adhesive

66 W7092100_03
Olympus ESG-100 EN Instructions for Use

13 Electromagnetic compatibility
Precautionary measures
Electromedical devices are subject to special precautionary measures concerning
electromagnetic compatibility (EMC). This device is to be used only for the purposes
described in this document and has to be installed, set up, and operated in compliance
with the EMC guidelines.

WARNING Portable RF communications equipment (including peripherals such as

antenna cables and external antennas) should be used no closer than
30 cm (12 inches) to any part of the pump, including cables specified by
the manufacturer. Otherwise, degradation of the performance of this
equipment could result.
WARNING Do not use the device adjacent to or stacked with other equipment. If
adjacent or stacked use is necessary, the device should be monitored
to verify normal operation in the configuration in which it will be used.
Do not use accessories other than those specified for the device as they
can result in increased emissions or decreased immunity of the device.

Guidelines and manufacturer’s declaration – electromagnetic emissions

The electrosurgical unit is intended for use in the electromagnetic environment specified below.
The customer or the user of this electrosurgical unit should assure that it is used in such an
environment.

Emission test Compliance Electromagnetic environment – guidance

RF emissions Group 1 This electroosurgical unit uses RF energy only for its
CISPR 11 internal functions. Therefore, its RF emission is very
low and it is unlikely that electronic equipment in
close proximity of the device will experience
interference

RF emissions Class B The electrosurgical unit is suitable for use in all

CISPR 11 establishments other than domestic, and may be
used in domestic establishments and those directly
Harmonic Class A connected to the public low-voltage power supply
emissions network that supplies buildings used for domestic
IEC 61000-3-2 purposes, provided the following warning is observed:
Voltage complies
fluctuations/flicker WARNING
emissions This electrosurgical unit is intended for use by
IEC 61000-3-3 healthcare professionals only. This electrosurgical
unit may cause radio interference or may disrupt the
operation of nearby equipment. It may be necessary
to take mitigation measures, such as reorienting or
relocating the device or shielding the location.

W7092100_03 67
Instructions for Use EN Olympus ESG-100

Guidelines and manufacturer’s declaration – electromagnetic immunity

This electrosurgical unit is intended for use in the electromagnetic environment specified
below. The customer or the user of this elecotrosurgical unit should assure that it is used in
such an environment.

IEC 60601 test Compliance level Electromagnetic

Immunity test
level environment – guidance

Electrostatic ± 8 kV contact ± 8 kV contact Floors should be wood,

discharge (ESD) ± 15 kV air ± 15 kV air concrete or ceramic tile. If
IEC 61000-4-2 floors are covered with
synthetic material, the relative
humidity should be at least
30%.

Electrical fast ± 2 kV for power ± 2 kV for power Mains power quality should be
transient/burst supply lines supply lines that of a typical commercial or
IEC 61000-4-4 ± 1 kV for ± 1 kV for hospital environment.
input/output lines input/output lines

Surge ± 1 kV line(s) to ± 1 kV differential Mains power quality should be

IEC 61000-4-5 line(s) mode that of a typical commercial or
± 2 kV line(s) to ± 2 kV common hospital environment.
earth mode

Voltage dips, short 0% UT* for ½ cycle 0% UT * for ½ cycle Mains power quality should be
interruptions and (100% dip in UT) (100% dip in UT) that of a typical commercial or
voltage variations hospital environment. If the
on power supply 0% UT for 1 cycle 0% UT for 1 cycle user of this power control unit
input lines (100% dip in UT) (100% dip in UT) requires continuous operation
IEC 61000-4-11 during power mains
0% UT for 0% UT for interruptions, it is
250 cycles 250 cycles recommended that the power
(100% dip in UT) (100% dip in UT) control unit be powered from
an uninterruptible power
70% UT for 70% UT for supply or a battery.
25 cycles 25 cycles
(30% dip in UT) (30% dip in UT)

Power frequency 30 A/m 30 A/m Power frequency magnetic

(50/60 Hz) fields should be at levels
magnetic field characteristic of a typical
IEC 61000-4-8 location in a typical
commercial or hospital
environment.

*Note: UT is the a.c. mains voltage before application of the test level.

68 W7092100_03
Olympus ESG-100 EN Instructions for Use

Guidance and manufacturer’s declaration – electromagnetic immunity

This electrosurgical unit is intended for use in the electromagnetic environment specified
below. The customer or the user of this elecotrosurgical unit should assure that it is used in
such an environment.

IEC 60601 test Compliance level Electromagnetic

Immunity test
level environment – guidance

Conducted RF 3 Vrms and 6 Vrms in 3 Vrms and 6 Vrms in Field strengths from fixed RF
c c
IEC 61000-4-6 ISM bands ISM bands transmitters, as determined by
150 kHz to 80 MHz an electromagnetic site
a
survey should be less than
Radiated RF 3 V/m 3 V/m
the compliance level in each
IEC 61000-4-3 80 MHz to 2.7 GHz b
frequency range . Interference
27 V/m 27 V/m is possible in the proximity of
380 to 390 MHz devices bearing the following
symbol:
28 V/m 28 V/m
430 to 470 MHz

9 V/m 9 V/m
704 to 787 MHz

28 V/m 28 V/m
800 to 960 MHz

28 V/m 28 V/m
1700 to 1990 MHz

28 V/m 28 V/m
2.4 to 2.57 GHz

9 V/m 9 V/m
5.1 to 5.8 GHz

Note 1: The higher frequency range applies for 80 MHz and 800 MHz.

Note 2: These guidelines may not be applicable in all situations. The spread of
electromagnetic fields differs depending on the absorption and reflection of buildings,
objects and people.

a
The field strength of stationary transmitters such as base stations of mobile phones
and land mobile devices, ham radio stations, AM and FM radio and TV broadcasters are
theoretically not 100% predictable. A site study is recommended to determine the
electromagnetic environment regarding the stationary transmitters. If the field strength
measured at the operation site of this device exceeds the compliance levels listed
above, the device should be monitored to ensure that it functions as intended.
Additional measures such as changing the orientation or operation site of the device
may be required if unusual features of performance are observed.

b
The field strength should be less than 3 V/m for the frequency range of 150 kHz to
80 MHz.

W7092100_03 69
Instructions for Use EN Olympus ESG-100

c
The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are
6.765 MHz to 6.795 MHz; 13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and
40.66 MHz to 40.70 MHz. The amateur radio bands between 0.15 MHz and 80 MHz are
1.8 MHz to 2.0 MHz, 3.5 MHz to 4.0 MHz, 5.3 MHz to 5.4 MHz, 7 MHz to 7.3 MHz,
10.1 MHz to 10.15 MHz, 14 MHz to 14.2 MHz, 18.07 MHz to 18.17 MHz, 21.0 MHz to
21.4 MHz, 24.89 MHz to 24.99 MHz, 28.0 MHz to 29.7 MHz and 50.0 MHz to 54.0 MHz.

70 W7092100_03
 ––––––––––––––––––– Manufacturer –––––––––––––––––––

Olympus Winter & Ibe GmbH

Kuehnstr. 61, 22045 Hamburg, Germany
Fax: +49 40 66966 2109, Phone: +49 40 66966 0
http://www.olympus-oste.eu

W7092100_03 2018-12-20 © Copyright 2018 Olympus Winter & Ibe GmbH