Instructions Manual of Sigma+ Touch 230V and 110V v.1.4
Instructions Manual of Sigma+ Touch 230V and 110V v.1.4
Version: 1.4
This document is a user guide for Shalya Sigma + Electrosurgical unit. Guide is intended to be referred
by qualified & trained physician and surgeon. This instrument is electrically hazardous, user operating
this generator / consulted technician for servicing should read this user manual thoroughly.
Please Note Manufacturer has every right to change specifications and/or functions of this equipment
without any prior notice or announcement.
Words referring to Shalya Sigma ESU in this document are: Generator, ESU, Machine, and Sigma.
Use for: This document is drafted by taking Shalya Sigma + ESU into account only, which is a product
of XcelLance Medical Technologies Pvt. Ltd.
Shalya Sigma
Registered Trademarks:
Shalya®, Turoseal®, Vesseal®
Manufactured By:
XcelLance Medical Technologies Pvt. Ltd.
Shalya Avenue, Plot No. W-237, W-238(A) & W-239,
T.T.C. Industrial Area, M.I.D.C., Rabale– 400701, Navi
Mumbai , Maharashtra, India.
Made in India
Contact us:
Tel: +91-22-7114 2400
Document: XMT/IFU/ESU/16
Version: 1.4
Year & Month: 2023-11
Made & Printed in India
Mars Medical
Landhausstrasse 46,
70190 Stuttgart, GERMANY
Tel: +49 1751938653
[email protected]
Version: 1.4
Symbol Meaning
Electrical Hazard
Explains the possible risk associated with personal injury or death.
Prohibition Sign
Explains actions by which the possible damage which may occur to
instruments associated with machine and/or others so, should be prohibited.
Pushing Prohibition
Sitting Prohibition
Stepping Prohibition
Version: 1.4
INDEX
1. Introduction
A. General Features
B. Modes of Electrosurgery
i. Monopolar Electrosurgery
ii. Bipolar Electrosurgery
2. Safety Instructions
3. Controls, Indicators & Output sockets
A. Front Panel
B. Rear Panel
C. Welcome screen
D. System Setting
E. How to select mode & power
F. Program Manager
4. Technical Specifications
A. General specifications
B. Available power settings
C. Output Characteristics
D. Output Frequencies
E. Area Of Application
F. Output Power vs. Load Graphs
5. Before Surgery
A. Preparing the Generator
B. Setting the generator
C. Accessory Connections
6. During Surgery
A. Preparing the Patient Return Electrode.
B. Modes & power settings
C. Helpful hints to avoid hemostat burns
D. Settings for surgeries
E. Alarm conditions
F. Compatibility with other Devices
7. After Surgery
A. Preparing the generator for reuse
B. Cleaning the generator
C. Instrument cleaning
D. Storing the generator
8. Operating Principle
A. General Description
B. Block Diagram & Description
9. Testing Procedures
10. Calibration Procedures
11. Care, Storage and Disposal
12. Troubleshooting
13. Warranty
14. Disclaimer
Version: 1.4
CHAPTER 1
Introduction
celLance Medical Technologies Pvt. Ltd.’s Shalya Sigma Electrosurgical Generator provides
X necessary power for different types of surgical needs in Monopolar and Bipolar applications with
multiple options of cut & coagulation effects with following features:
A. GENERAL FEATURES:
➢ Smart ESU: Surgical Monitoring and Automatic & Instant Response Technology ESU for
consistent cutting & coagulation through all types of tissues.
➢ 6SENSE TM Technology: Advance feedback system which senses the change in Voltage,
Current, Power, Tissue Density, Return Electrode Contact quality & leakage RF current.
➢ PREM TM Safety: Patient Return Electrode Monitoring – PREM – is ultimate Safety for
return electrode site burns.
➢ Program Manager: User programmable settings which allows surgeons to set surgical
procedures.
➢ 5” inch Touch LCD Display: With extensive viewing angle, onscreen modes description
facilitating surgeon to choose the best-suitable mode for the surgical applications.
➢ Toggle footswitch: To toggle between monopolar & bipolar mode using dual paddle foot
switch.
➢ BiCoag Alarms: Audio feedback alarm after completion of Bipolar Coagulation reduces
charring & sticking of tissue to forceps & avoids over burning of tissue.
Version: 1.4
B. MODES OF ELECTROSURGERY
Monopolar Electrosurgery:
In Monopolar electrosurgery, only one pole, active electrode is in the surgical site. An electric current
from generator is delivered to the surgical site through active electrode & returned back to generator via
patient return electrode. Monopolar electrosurgery is used for most of the general surgical procedures.
Patient return electrode is used in these applications as return path for RF current.
Bipolar Electrosurgery:
In Bipolar electrosurgery, both the active & return electrodes are in surgical site. Patient return electrode
is not required as bipolar instrument contains an active electrode & return electrode.
An electric current flows from active electrode to the return electrode through tissue grasped by the
instrument. This technique is mostly used in delicate surgeries, cosmetic surgeries & neurosurgeries.
Version: 1.4
CHAPTER 2
Safety Instructions
Read all the warnings, cautions provided with this generator before using.
If the patient has an internal pacemaker and internal cardiac defibrillator or any kind
of orthopedic implant, consult the pacemaker, defibrillator & orthopedic implant
manufacturer for instructions before performing an electrosurgical procedure.
Maintain adequate distance between these implants and active electrode of the
generator.
Patient plate and patient plate cable connector should be cleaned before and after every use. Not doing so
can cause risk to the patient.
Warnings-
• This generator should be used by qualified medical person only.
• Do not connect wet accessories to the generator.
• Use generator only if the self-test has been completed.
• Never turn the activation tone down to an inaudible level in any case.
• In any case, patient should not touch any metal parts that are connected to earth/floor/ground.
Take excessive precaution, use antistatic pads.
• Do not lean on the patient, while buzzing the hemostat, accidental and unintended burn injury
may occur.
• To reduce the risk of an inadvertent burn at the electrode site due to monitoring equipment
place the electrode and / or probe as far away as possible from the electrosurgical site.
Cautions:
• Read all the Warnings & Cautions before using this generator.
• Use hand switches, footswitches provided by XcelLance Medical
Technologies Pvt. Ltd. only.
• In case of any doubt or query contact XcelLance Medical Technologies Pvt. Ltd.
• Avoid use of needle like monitoring equipment on patient wherever possible.
Warnings-
• Always ensure that instrument & electrode is properly cleaned
and dried before attaching to the generator.
• Keep the cables of electrodes at distant as possible from patient or
other wires.
Version: 1.4
• Do not activate the generator, before touching the active electrode to the tissues, electrical arcs
may be created.
• Do not activate the generator in an open circuit condition. Do not short Active electrode with
return electrode.
• Do not activate electrodes while in contact with other instrument, an unintended tissue injury
may occur.
• Do not wrap instrument cables around and/or bring in contact with any metal object as
electromagnetic induction may produce hazardous electric current.
• Never use any instrument above maximum power, voltage ratings as specified by the
manufacturer.
• Never use broken or damaged instruments or cords it may turn out harmful for patient and/ or
surgeon.
Cautions:
• Always use the appropriate instrument for the surgery.
• Always ensure your electrodes are properly cleaned & in good working condition.
Bipolar
Cautions:
• Bipolar accessories must be connected to the bipolar socket only.
• Bipolar mode should be utilized whenever possible.
Warnings:
• During Auto Bipolar mode which is available on request, activation may occur with contact of
any material. When not in use, place electrosurgical instruments in a safety holster or safely
away from patients/user/operator and flammable materials.
• Desired clinical effects may vary depending upon the degree of cleanliness of the electrode tip.
Therefore it is always recommended to maintain a clean electrode tip to eliminate the risk of
detecting wrong tissue impedance.
Warnings-
• Make use of a dry cheesecloth between patient and ground body.
• Inspect electrode connections and contacts frequently.
• Check all the power settings & each and every connection to the generator
before using the device on patient.
• Check if the earthing of power source in surgical room is proper. Make sure equipment chassis
or cabinets are grounded. Never cut off or reverse the ground connection on a plug.
• Please check if power from the main line (AC) is within the specified range as required for
proper functioning of the generator. Inappropriate voltage from the mains plug (AC Line) may
damage the device and/or may turn out to be hazardous to patient and/or surgeon.
• Always use lowest output setting for desired surgical effect. If proper setting is unknown, set
the generator at a very low setting & increase the power continuously until the desired effect is
achieved.
Version: 1.4
• Take faults of the circuitry into consideration any time the surgeon continues to request a
higher power. Check all the problematic extents such as: patient electrode, active electrode or
ESU as excessive power may damage and/or burn the tissue.
• Simultaneously activating irrigation & electrosurgical current may result in increased arcing at
electrode tip, burns to unintended tissues, shocks & burns to the surgical site.
Cautions:
• Never use power plug adaptors.
• Avoid the use of “extension cord” for the mains power supply.
• Do not plug in or unplug power cord when mains switch &/or generator’s
switch is in the ON state.
• Never defeat the purpose of a fuse or circuit breaker. Never install a fuse of higher amperage
rating than specified.
• Keep the active electrode clean. Dirty electrode causes the reduction of output power.
• The ESU's electrical cord should be adequate in length & flexibility, to reach the electrical
outlet without stress or the use of an extension cord.
• Replace defective cords and plugs. Inspect cabling for defects such as frayed wiring, loose
connections, or cracked insulation.
• Check all accessories and connections to the electrosurgical generator before using. Improper
connection may result in arcs, sparks.
Accessories Related:
Warnings-
• Inspect ESU unit prior to use. Remove accessories which are
damaged and/or not working properly.
• Do not wrap the accessory leads around the metal objects. This
may induce currents that are dangerous to the patient.
• Do not try to increase or reduce length of cables. Excessive or improper current may
unintentionally damage the tissue or skin.
Cautions:
• Place Foot paddles on flat, dry & clean surfaces.
• Do not reuse or re-sterilize accessories labeled “disposable or single use only”.
• Check all accessories before using, especially if they are endoscopic accessories.
Warnings-
• Keep the monitoring equipment electrode as distant as possible
from electrosurgical site, to reduce the risk of inadvertent
electrosurgical burn.
• Avoid skin-to-skin contact points such as fingers touching leg use dry cloth between contacts.
• Do not activate the electrodes for extended period of time (more than 1 minute) it leads to
excessive heating of the electrode and may burn the tissue.
Version: 1.4
Warnings-
• Never place containers of liquid on diathermy unit.
• Never use electrosurgical unit in presence of flammable
anesthetic gases.
• In presence of excessive Oxygen & Nitrogen gases, extra measures must be taken to reduce the
concentration of these gases.
Cautions:
• Do not place the generator on the top of any electrical equipment.
• Always keep as much distance as possible between monitoring
equipment, video equipment and electrosurgical generator.
• Do not disconnect the generator from main line (AC) immediately after turning off keep it
connected to the main line for at least for a minute.
• If generator is relocated from cold to warm room, keep generator ON at least for half an hour
to let generator to acclimate to the room temperature.
Other:
Warnings-
• Check if activation, safety, warning audio & visual alarms are
working properly. If found problematic; restart the generator,
check it again after restarting. If problem still exists do not use the
generator as it may result in erratic functioning which may lead to
hazards. Contact XcelLance Medical Technologies Pvt. Ltd service department.
• Always perform cleaning operation of the generator after surgery; disconnect all the electrical
connections and accessories before cleaning the generator.
• In case if a patient is moved from one place to another recheck all the connections, as the
proper contact of electrode cable with the generator is necessary.
• During procedures in small surgical field, accidental and unintended burn injury may occur.
• Shave off body hairs coming in contact with surgical site whenever necessary.
Cautions:
• Avoid the use of hybrid tracers that include both metal & plastic components.
• Always maintain proper ventilation in the surgical room, as surgical smoke
generated during surgery is harmful to health.
Version: 1.4
CHAPTER 3
Controls, Indicators & Output Sockets
A. FRONT PANEL
Bipolar Socket: Accepts
standard 4mm bipolar
interface cables. Active
HF cord in one hole &
return HF cord from lure
Back /Select lock adapter in other hole.
Button PREM Contact/Contact indicator:
It indicates the contact adequacy
using process bars (Green) or gives
audio-visual alarm (flashes Red)
Navigation Keys: Monopolar Footswitch
when contact with the patient is
To Increase/ Socket:
inadequate.
Decrease the power This accepts standard
& To Select modes. single pin foot switching
cable.
Please Note: Function of the keys above changes according to operating screen. Utility function
when different than default; is highlighted in respective windows.
Patient Return
Monopolar Handswitch Electrode Socket:
Power ON/OFF
Socket: Connect a patient plate
switch: To turn the This accepts standard to this receptacle in
generator ON/ OFF.
Three Pin Hand switching Monopolar
cable. electrosurgery.
Version: 1.4
• On main screen, use right/ left Key to navigate horizontally between modes.
• While selecting ‘Modes’ of surgical procedure use right/left arrow keys to
choose desired mode from different available modes.
• Use keys relevant to desired icon.
Version: 1.4
B. REAR PANEL
Heat Sink:
Power Socket: To supply AC Volume Control: To adjust
Do not place anything
(230V / 50Hz) or (110V/60 Hz) volume of activation tones.
near heat-sink to allow
power to ESU. Please Note: Alarm Volumes
proper cooling of the
are not adjustable
generator
Note: This manual is common for both 110V/230V mains power supply.
For technical specification, refer Chap 4: Technical Specification; Section: Input Power.
Footswitch: 2-paddle
Fuse Socket: Fuse Rating
footswitch for Cut &
(230V, 6A) or (110V, 10A)
Coagulation
Please Note: In case of fuse
malfunction replace fuse
with the same rating
Grounding Lug:
Reduces noise in other
equipments. Connect it
to earthing receptacle.
Version: 1.4
C. WELCOME SCREEN
Once the generator is turned ON successfully, Screen1 will be displayed.
Select the check box after reading the instruction manual and press the “Proceed” button, Screen 2
will appear if “Factory Reset” option was selected in “Startup” of Setup option.
Note: While restarting the unit if user wish to get previously used setting or wants unit in standby mode,
refer “Startup” option from Section D.
Version: 1.4
D. SYSTEM SETTING
Press “Setup” option from Main screen to enter
into System setting option. Screen1 will be
displayed.
Select the desired option by selecting relevant
icon present at left hand side on System setting
screen.
Brightness Adjustment:
Volume Adjustment:
For volume adjustment, select “System” option from Screen1 and select “Volume” option, Screen3 will
be displayed.
Note: After setting the desired brightness press “OK” button to save the setting.
Version: 1.4
Calibration
Warning: To be accessed
only by trained professional.
Please contact the
manufacturer to obtain the
Authorization code.
User can set the time period of HF output and bipolar auto delay using Function Time Setup.
Version: 1.4
Startup
Version: 1.4
Press the “Previous activated” key on display to get the previously used settings every time the unit
starts.
Press the “Standby” option to disable any inputs and outputs from the generator. Generator will not respond
to any sort of activation in standby mode. Generator will show the below screen.
User can exit standby mode anytime by pressing the standby option again.
Entering and exiting the mode will not affect any user settings.
Note: While restarting the unit if user wants unit in standby mode, “Standby” option in the Setup setting
is used. “Standby” option on the main screen is used during the surgery.
Press the “Factory Reset” to restore the device to its original manufacturing settings (refer below screen)
by erasing all the earlier information stored in it.
About screen:
The screen will display the serial number and current software version of the unit.
Version: 1.4
STEP 2: Once desired sub-mode (procedure) is selected, increase/decrease the power using on-screen or
front panel keypad’s up/down arrow keys to.
STEP 3: Now once power is selected for the desired sub-mode (procedure) press Enter Key (On-screen
or Keypad). Pressing appropriate foot paddle or Handswitch will make power available on relevant port.
SCREEN 1
SCREEN 2
Version: 1.4
F. Program manager
Program manager gives facility to edit, load & store custom user programs.
SCREEN 2
Note: To understand the process to select power,
refer the section named “How to select power &
Mode?”
SCREEN 3
Version: 1.4
CHAPTER 4
Technical Specifications
A. GENERAL SPECIFICATIONS
SHOCK To reduce the risk of electric shock: Do not remove the cover.
For servicing consult qualified service personnel.
IP Class Specification
IP Class of this equipment is rated at IP21 as per IEC Standard 60529.
Caution - Do not stack any equipment upon Shalya Sigma or place the generator on top of
other electrical equipment. This configuration does not allow proper cooling of the
generator.
Caution - Do not place any chemical or solution in operating room, may spoil safety of
electronic circuit by liquid spillage.
Version: 1.4
Defibrillator Proof
The Shalya Sigma meets specifications for “Defibrillator proof” design.
Operating Parameters
Temperature range: 10°C to 40°C
Relative humidity: 30% to 75%, noncondensing.
Warm-up time
Allow one hour for the generator to reach room temperature before use, if transported or stored
at temperature outside the operating temperature range.
Internal Memory
Non-volatile
Audio Volume
Activation Tone: Volume (adjustable): 40 to 65 dB
Frequency: Bip Cut: 340Hz
Bip Coag: 455Hz
Mono Cut: 580Hz
Mono Coag: 865Hz
Version: 1.4
1. Monopolar Cut:
Low: 1 to 40 by step of 1, 40 to 100 by step of 5, 100 to 300 by step of 10.
Pure & Endo: 1 to 40 by step of 1, 40 to 100 by step of 5, 100 to 400 by step of 10.
Blend: 1 to 40 by step of 1, 40 to 100 by step of 5, 100 to 250 by step of 10.
2. Monopolar Coag:
Soft : 1 to 40 by step of 1, 40 to 100 by step of 5, 100 to 150 by step of 10.
Swift, Fulgar and Spray: 1 to 40 by step of 1, 40 to 100 by step of 5, 100 to 120 by step of 10.
3. Bipolar Cut
Macro and Bicut:1 to 40 by step of 1, 40 to 100 by step of 5
4. Bipolar Coag
Micro, Standard and Force :1 to 40 by step of 1, 40 to 100 by step of 5
Version: 1.4
C. OUTPUT CHARACTERISTICS
Maximum Output for Bipolar and Monopolar Modes
Power readouts agree with actual power into rated load to within 20% or 10watts, whichever is greater.
D. OUTPUT FREQUENCIES
6SENSE Technology, an automatic adjustment, is applied to all bipolar modes and all cut modes. It is not
applied to the Coag modes because of their non-contact capabilities.
Bipolar Cut
Macro 390 kHz sinusoidal
Bi cut 390 kHz sinusoidal
Bipolar Coag
Micro 390 kHz sinusoidal
Standard 390 kHz sinusoidal
Force 390 kHz sinusoidal
Monopolar Cut
Low 390 kHz sinusoidal. Maximum voltage is limited to a lower value.
Pure 390 kHz sinusoidal
Blend 390 kHz bursts of sinusoid, recurring at 29 kHz intervals. 55% duty cycle envelope
Version: 1.4
Monopolar Coag
Soft 460 kHz damped sinusoid repeated at 84 kHz. 20% duty cycle
Swift 460 kHz damped sinusoidal repeating at 42 kHz
Fulgurate 460 kHz damped sinusoidal bursts repeated at 34 kHz.
Spray 460 kHz damped sinusoid repeated at randomized frequencies 34 kHz < f <50 kHz.
E. AREA OF APPLICATION
225
200
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Version: 1.4
400
375
350
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225 200W
Output Power (W)
200 400W
175
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100
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250
Output Power ( watts )
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125W
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250W
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Version: 1.4
140
Output Power ( watts )
120
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75W
80 150W
60
40
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Version: 1.4
120
Output Power ( watts )
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60W
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Version: 1.4
100
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Output Power ( watts )
60 50 watt
100 watt
40
20
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Load Resistance ( ohms )
Version: 1.4
Version: 1.4
CHAPTER 5
Before Surgery
Electric Shock Hazard:
Warning - Never remove the cover of the instrument.
Before Surgery:
Caution - Read all the Warnings, Cautions provided with this generator before using.
Active accessories:
Electric Shock Hazard:
Warning - Avoid the connection of wet accessories to the generator.
Caution - Do not reuse or desterilize accessories labeled “disposable” or “single use
only”.
Patient Return Electrode:
Warning - Do not cut patient return electrode to reduce its size, due to this, pad site
burns may occur.
Version: 1.4
C. ACCESSORY CONNECTIONS
For Bipolar surgery, insert bipolar instrument in Bipolar front panel socket and Footswitch in
footswitch socket on the rear panel. Use of Neutral Electrode (Patient Return Electrode) in Bipolar
surgery is not recommended.
Version: 1.4
For Monopolar surgery, insert Foot switching or Hand switching accessory in socket on front panel
and connect Foot switch in footswitch socket on the rear panel. Also connect patient return
electrode in front panel socket.
Please Note: Patient Return Electrode is necessary for Monopolar electrosurgical modes only.
Handswitching Pencil
Version: 1.4
During normal Monopolar operation, Handswitching electrode (Pencil) can be used for Monopolar Cut
and Monopolar Coagulation operations. Pressing yellow button will activate Monopolar Cut output and
pressing blue button will activate Monopolar Coagulation output.
Please Note 1:- Power can be adjusted for recently activated mode.
Please Note 2:- For Enter operation: Press cut & coag keys simultaneously.
Step-I Increase
To activate remote control press cut & coag button simultaneously.
Step-II
Activate the desired mode using the corresponding input i.e. to enter in Decrease
the cut mode, press cut key (yellow).
Similarly to enter coag mode, press coag key (blue).
Step-III
Press cut & coag switches simultaneously to enter the recently activated mode for which power has to be
set.
Step-IV
Use cut and coag buttons to increase and decrease the power respectively. And press Enter (Ref. Note2).
Step-V
Choose keys to switch between modes.
Step-VI
Once the desired mode and power is selected press enter (Ref. Note2) & activate corresponding input.
Version: 1.4
CHAPTER 6
During Surgery
Electric Shock Hazard:
Warning - Never remove the cover of instrument.
Active Accessories
Warning - Fire Hazard-Keep the active accessories away from flammable
materials.
Warning - Place the active accessories in dry, clean & nonconductive area when not
in use.
Version: 1.4
c) TURP/ TCRE/Hysteroscopy –
Cut Pure: 110, Coag Fulgurate: 50
Version: 1.4
e) Laparo/Gynac/Hernia-
Cut Pure: 40, Coag Fulgur: 35, Bipolar BiCut: 45 to 60, Bipolar Standard: 25 to 35
a) Ortho/Open/General Surgery-
Cut Pure: 45, Coag Fulgur: 35, Bipolar BiCut: 1 to 10, Bipolar Standard: 15 to 20
b) GI/Papillotomy/Polypectomy/ERCP—
Cut Endo: 40 to 60, Coag Soft: 35 to 45
E. ALARM CONDITIONS
The following conditions can generate a PREM alarm:
1. The patient return electrode is not connected to the generator when the generator is activated
for Monopolar surgery.
2. The return electrode does not have adequate contact with the patient.
3. The contact area is reduced due to movement, loss of adhesion, fluid pooling or dry contact
gel.
4. The return electrode cord is damaged, causing excessive resistance.
System Alarm:
When the generator senses a system alarm condition, an alarm tone sounds and the generator is
deactivated. An alarm number flashes on the display.
1. Turn off the generator.
2. Turn on the generator & verify that the self – test is completed successfully.
If you are unable to correct the system alarm condition use standby generator to complete the surgical
procedure.
Version: 1.4
CHAPTER 7
After Surgery
Electric Shock Hazard:
Warning - Never remove the cover of instrument.
After Surgery:
Electric Shock Hazard
Warning - Always turn off & unplug the generator before cleaning.
Cleaning
Caution - Do not clean the generator with abrasive cleaning that could damage the
generator.
C. INSTRUMENT CLEANING
• Cleaning is required for all instruments with lumens and hollow spaces.
• Abrasive materials should not be used on the any parts because they will damage the instrument’s
outer surface. Instead, use soft-brushes & cottons clothes.
• Use distilled de-mineralized water for the final rinse.
• Hard water (high mineral contains) should not be used, it may impact the performance of the
instrument.
• Use Neutral PH enzymatic detergent for cleaning whenever possible. Alkaline detergents, if used,
must be completely rinsed from the devices. Do not use corrosive fluids.
• Do not exceed 130°C during the washing and sterilization process. Cold soak sterilization is not
typically recommended and, as is always necessary for all instrumentation.
• After disassembly, the following manual cleaning steps are important:
1. All components should be soaked in a blood-dissolving enzymatic solution for at least five minutes
with gentle agitation.
Note: It is advisable to soak longer if protein containing material is present.
2. Soak instruments vertically which cleans instrument thoroughly.
3. Rinse it thoroughly with tap water for 5 minutes.
4. Clean all surfaces of instrument using detergent solution.
Version: 1.4
5. Brush the surfaces using soft brush. Handle cord connectors, fittings and joints with care.
6. Use the soft brushes in up and down motion to clean completely through the lumen.
7. Compressed air can be used for flushing if a precise nozzle is available and if the pressure can be
controlled. Ultrasonic irrigators are also a useful way to flush instruments with lumens to remove debris
from hard-to-reach areas, and they can do so in a less time than a manual cleaning process. The cycle
time should be five minutes or less, and water temperature should not exceed 50°C.
8. Rinse thoroughly under running distilled water for at least five minutes.
Version: 1.4
CHAPTER 8
Operating Principle
Operating Principle:
This section will emphasize on the working principle of the system.
• General description
• Block diagram
• Detailed description
A. GENERAL DESCRIPTION
6SENSE Technology:
This is a recent innovation in field of advance feedback controlled Electrosurgical technology System
maintains the set power by sensing- voltage, current, power, tissue density, patient return electrode
monitoring and leakage RF current- at 4000 times per second.
• Minimizes dragging of electrodes in different tissues.
• No need to change the power setting as the tissue changes.
• Less thermal damage by 50% than standard ESU’s hence improves the patient recovery time.
• Reduces the risk of collateral tissue damage.
• Reduces noise in other OT equipment.
• Reduces the risk of neuro-muscular stimulation.
• Less charring and sparking hence precise & clean cutting.
Randomized spray coag: In conventional spray coag, beam tends to follow the same path left by
previous spark. Hence, no homogeneous coagulation over larger area occurs. By randomizing spray
frequency & amplitude, spark takes multiple paths.
• Starts sparking more distance from tissue.
• Uniform & homogeneous coagulation over large surface area at lower power settings.
• Less tissue necrosis & carbonization.
• Increases the speed. Reduces the output voltages.
• Drastically improves the performance when combined with Argon enhanced ESUs.
PREM – Ultimate safety from burns: Patient Return Electrode Monitoring – PREM is the care &
safety against the return electrode site burns. This ensures burn free electrosurgery using DUAL AREA
Return electrode by continuously monitoring the contact quality with the patient. PREM system gives an
audio-visual alarm and stops the RF output before critical situation arises.
BiCoag Alarm: The system is delivering an alarm after completion of coagulation in endoscopic & open
surgery. This feature is very effective in endoscopic surgeries where surgeon do not have direct contact with
Version: 1.4
tissue being coagulated. BiCoag Alarm avoids over coagulation of tissue, hence reduces tissue sticking to
instruments and reduces smoke, charring, necrosis & carbonization of tissue.
Version: 1.4
1. Main microcontroller: IC U02 is main microcontroller and brain of the system, which controls
overall function of a system using inbuilt I/O ports. U02 has inbuilt program memory to store the
system program. All activation requests go to the system and it works accordingly by giving I/O
signals to process tasks.
2. Digital to Analog converter: Two analog control signals, Power control signal & voltage control
signal are derived from ICs U03. During activation of power delivery both control signals change
with change in tissue impedance.
3. Output waveform Coupler: RF output waveform as per selected mode is delivered by main
microcontroller U02. Signal conditioning is done by U07 & Q01.
4. Analog to Digital converter: Micro-controllers in-built ADC converts all analog sense voltage in
digital form to process them for monitoring the calculation in a close loop. Sensed voltage is
continuously monitored by the processor for checking the contact quality of patient with return
electrode.
6. Keyboard Circuit: Front panel keyboard is directly connected to the CPU. CPU continually
scans for the pressed key.
7. LED driver Circuit: Front panel socket LEDs are driven by IC U05 & U06.
Version: 1.4
Version: 1.4
• Footswitch decode logic: This circuit checks the footswitch activation input gives the input signal to
CPU Board for activation of RF output.
• Audio circuit: Circuit generates different audio tones for cut, coag and bipolar activation. It gives
two pulse outputs for ERROR conditions. Audio oscillator & driver stage comprises of U18 to U20.
Signals are fed to speaker SPK 01 & audio volume can be controlled by control knob kP01.
Detailed circuit diagrams & components list relevant to the purchased product will be
made available to a valid customer upon request.
Version: 1.4
CHAPTER 9
Testing Procedures
Warning- Electric Shock Hazard - the generator power cord must be connected only with a properly
grounded socket. Do not use power plug adaptors.
Warning- Fire Hazard - Do not use extension cords.
Caution - Do not stack equipment on top of the Shalya Sigma or do not place the
generator on top of other electrical equipment. These configurations do not
allow for adequate cooling.
Caution - Place the generator on any stable or flat surface, such as a table or
platform.
Carts with conductive wheels are recommended. Refer to the procedures for your
institution or to local codes for details.
Provide at least four to six inches of space from the sides and top of the generator for
cooling. Normally, the top, sides and rear panel are warm when the generator is used
continuously for extended period of time.
Caution - According to the procedures, connect an equipotential grounding cable to the grounding
plug on the rear panel of the generator. Then, connect the cable to earth ground.
Caution - If required connect the generator to the hospital equalization connector
with an equipotential cable.
Caution - Connect the power cord to a wall socket having the correct voltage.
Otherwise, product damage may result.
Caution - Plug the generator power cord into a grounded socket. Grasp the plug, not
the Power cord. Do not pull the cord itself.
Warning- Keep test leads to the minimum length usable; lead inductance and stray capacitance can
adversely affect readings. Carefully select suitable ground points to avoid ground loop
error in measurements. The accuracy of most RF instruments is approximately 1-5% of
full scale. Do not use uncompensated scope probe, causes large errors when measuring
high voltage RF waveforms.
Perform the following safety check every two years to verify that the Shalya Sigma
Generator is functioning properly. Record the test results for reference in future tests. If
the generator fails to meet any of the checks, refer to Chapter 10, troubleshooting.
Version: 1.4
Handle circuit boards by their nonconductive edges. Use an antistatic container for
transport of electrostatic-sensitive components and circuit boards.
Front Panel
1. Check the bipolar instrument socket for any obstructions or damage. Insert the bipolar
instrument connector (footswitching) into the appropriate socket to verify a secure fit. If the
connection is loose, replace the front panel assembly.
2. Check the monopolar instrument sockets for obstructions or damage. Insert the monopolar
instrument connector (footswitching and handswitching) into the appropriate socket to verify
a secure fit. If any of the connections are loose, replace the front panel assembly.
3. Check the patient return electrode socket for a broken pin or an obstruction. If the socket is
damaged or obstructed, replace the front panel assembly.
Version: 1.4
Power cord:
1. Remove the power cord from the unit and ensure that it is unplugged from the wall socket.
2. Visually inspect the power cord for damage.
3. Reconnect the power cord to the generator and wall socket.
Equipment list
-Phillips screwdriver
o Turn OFF (0) the generator by pressing the front panel power switch.
o Loosen the chassis screws. Lift the cover off the chassis. Set the cover aside for reinstallation.
o Verify that all connectors are firmly seated.
o Inspect each board for damaged components, wires, cracks, and corrosion.
o If you find evidence of damage on the Controller board, Relay Board or Front panel, replace the
board.
o If you find evidence of damage on the Power Supply /RF Board, replace the board only if the
damage is severe. Reinstall the cover on the generator. Tighten the screws that fit the cover to the
chassis.
Configuration Outputs:
Use these procedures to ensure the accuracy of the generator. Always confirm the output at these times.
o After calibrating the generator
o Every Year
Equipment
o Two small test cables (less than 24 inches long) with banana plugs
o Current transformer
o True RMS voltmeter
o 100,300, and 500 Ω 1% non-inductive power resistors
o Dual paddle toggle (Bipolar/monopolar footswitch)
Version: 1.4
5. Connect the 100 Ω power resistor across the output jacks at the end of the test cables.
6. Connect the Dual paddle toggle footswitch to Footswitch socket on the rear panel.
7. Set the footswitch in bipolar mode by pressing toggle switch provided on the top side of
footswitch or by enabling the footswitch icon in the mode & power setting window.
(Visible indication provided for footswitch selection on LCD display)
8. Select the Macro mode in Bipolar cut and set the bipolar power to 10.
9. Press the footswitch cut pedal and, while activating the generator, note the output on the
voltmeter.
10. Test the output current for the selected bipolar mode.
11. Select other sub modes from the Bipolar cut & Bipolar coag and repeat step 4.
12. Verify that the generator output for each mode is 316 ± 16mA rms.
If the output is outside the specified range, calibrate the bipolar output as described in calibration step
then repeat this procedure. If the output for one or more modes remains outside the specified range,
contact XcelLance Medical Technologies Pvt. Ltd. Service Center.
Version: 1.4
1. Remove the test cable from the Patient (return electrode) socket. Confirm the REM LED indicator
light illuminates red.
2. Set the resistance decade box to 100 Ω or select a 100 Ω load. Connect the resistance box to the REM
receptacle, and verify that the PREM level bar is within Level 1 to Level 3. Confirm that the REM LED
indicator light illuminates green.
3. Decrease the resistance to 50 Ω or select a 50 Ω load and verify that the PREM level bar is within
Level 4 to Level 6.
4. Decrease the resistance to 0 Ω or short the REM pins together and confirm the
REM LED indicator light illuminates red with no level bar.
Version: 1.4
Version: 1.4
Equipment
o 200 Ω, 250 watt, noninductive resistor
o Current transformer
o True RMS voltmeter (Fluke 8920 or equivalent)
o Dual paddle toggle (Bipolar/monopolar) footswitches and handswitching accessories
o Leakage setup per IEC 60601-2-2 clause 19.101 or 19.102
Version: 1.4
Version: 1.4
CHAPTER 10
Calibration Procedures
Calibrating the Shalya Sigma
For normal running Shalya Sigma, program requires data constants, which are dependent on the
hardware. All this data is stored in NV Ram after calibration process is completed. Calibration is
recommended after:
• Changing CPU or RF main board.
• Every six months.
Steps and description:
Step 1 - PREM Calibration
Step 2 -Energy Calibration
A - Close loop current Calibration
B - Close loop voltage Calibration
C - Close loop power Calibration
D - Open loop power Calibration
E - Open loop voltage Calibration
Version: 1.4
Procedure:
1) Select mode ‘1:1 REM min’.
2) Connect PREM plug in the PREM socket and connect appropriate substitution resistor as
indicated by ‘Load R’, across the PREM socket.
3) Press the Coag pedal switch provided to get Fire count reading. Press ‘Write counts’ to store the
acquired count.
4) Once the memory write operation is successful press Back key
5) Follow the same Steps(1 to 4) for ‘1:3 REM Max’
Version: 1.4
Verify:
a) The display shows calibration mode 2:1.
b) Resistor substitution box must of 50Ω.
Procedure:
1) Connect
a) One test cable from Bipolar socket in series with RMS current meter to 50 Ω resistor.
b) One test cable from Bipolar socket to 50 Ω resistor.
c) Dual paddle toggle footswitch to the footswitch socket on the rear panel.
2) Check and adjust the I-max for bipolar output.
a) Press the coag pedal & check if current reading is equivalent to 1000 mA ± 20 mA RMS.
b) Stop activation. If the output current is high decrease Fire count by pressing down key. If
low, increase it by pressing up key.
c) Repeat step (b) until the meter reading is not in the stated range.
d) When reading is in stated range, press ‘Write Counts’ for storing corresponding fire count
reading in the system memory.
Procedure:
1) Connect:
a) One test cable from Monopolar socket in series with RMS current meter to 50 Ω resistor.
b) Another test cable from PREM socket to 50 Ω resistor.
c) Dual paddle toggle footswitch to the footswitch socket on the rear panel.
2) Check and adjust the I-max for Monopolar Cut output.
Version: 1.4
a) Press the cut footswitch pedal & check if current reading is equivalent to 1414 mA ± 20
mA RMS.
b) Stop activation. If the output current is high decrease fire Counts by pressing down key. If
low increase it by pressing up key.
c) Repeat step (b) until the meter reading is not in the stated range.
d) When reading is in stated range, press ‘Write Counts’ for storing corresponding fire count
reading in the system memory.
e) I-max for Pure Endo & Low modes are adjusted automatically.
3) Disconnect the test cables from Monopolar output.
Procedure:
• Connect:
a) One test cable from Bipolar socket in series with RMS current meter to 1000 Ω resistor.
Version: 1.4
• Press the coag footswitch pedal & check if current reading is equivalent to 158 mA ± 5
mA RMS.
• Stop activation. If the output current is high decrease fire Counts by pressing down key. If
low increase it by pressing up key.
• Repeat step (b) until the meter reading is not in the stated range.
• When reading is in stated range, press ‘Write Counts’ for storing corresponding fire count
reading in the system memory.
Version: 1.4
Verify:
a) The display shows calibration mode 3:3.
b) Resistor substitution box must of 3000Ω.
Procedure:
1) Connect:
a) One test cable from Monopolar socket in series with RMS current meter to 3000 Ω resistor.
b) Another test cable from PREM socket to 3000 Ω resistor.
c) Dual paddle toggle footswitch to the footswitch socket on the rear panel.
2) Check and adjust the V-max for Monopolar Blend output.
a) Press the Cut footswitch pedal & check if current reading is equivalent to 85 mA ± 5 mA
RMS.
b) Stop activation. If the output current is high, decrease fire Counts by pressing down key. If
low increase it by pressing up key.
c) Repeat step (b) until the meter reading is not in the stated range.
d) When reading is in stated range, press ‘Write Counts’ for storing corresponding fire count
reading in the system memory.
3) Disconnect the test cables from Monopolar output.
Version: 1.4
Procedure:
1) Connect:
a) One test cable from Monopolar socket in series with RMS current meter to 300 Ω resistor.
b) Another test cable from PREM socket to 300 Ω resistor.
c) Dual paddle toggle footswitch to the footswitch socket on the rear panel.
2) Check and adjust the P-max for Monopolar Cut output.
a) Press the cut footswitch pedal & check if current reading is equivalent to 365 mA ± 10 mA
RMS.
a) Stop activation. If the output current is high decrease fire Counts by pressing down key. If low
increase it by pressing up key.
b) Repeat step (b) until the meter reading is not in the stated range.
c) When reading is in stated range, press ‘Write Counts’ for storing corresponding fire count
reading in the system memory.
d) P-max for Pure Endo & Low modes is adjusted automatically.
3) Disconnect the test cables from Monopolar output.
Version: 1.4
Verify:
1) Mode displayed on the screen is 5:‘x’ ( x may be 1,2,3,4 as per chosen mode)
2) Resistance of connected resistance substitution box 500Ω
Procedure:
1. Connect:
a) One test cable from socket PREM plug to 500 Ω.
b) Another test cable from Monopolar socket passes through true RMS current meter to 500Ω.
c) Dual paddle toggle footswitch to the footswitch socket on the rear panel.
Use same equipments & repeat the same procedure for calibrating ‘Vpk’ of different modes
(Swift/Fulgar/Spray) by choosing corresponding calibration modes.
Version: 1.4
Procedure:
Connect:
Use same equipments & repeat the same procedure for calibrating ‘Vpk’ of different modes
(Swift/Fulgar/Spray – Measuring current(69 mA ± 5mA RMS) by choosing corresponding
calibration modes.
Version: 1.4
CHAPTER 11
Care, 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 electrosurgical unit
malfunction.
WARNING
After cleaning the electrosurgical unit, dry it thoroughly before using it again. If it is used when wet,
there is the risk of an electric shock.
Usage of Dust Cover on the unit is mandatory.
CAUTION
Never immerse the electrosurgical unit in water, clean or disinfect by immersion, gas sterilization or
autoclaving. It may cause equipment damage.
Do not wipe the external surface with hard or abrasive wiping material. The surface will be scratched.
Before sending the accessories for servicing, ensure the sterilization by Autoclaving from the User end.
1. Turn the electrosurgical unit OFF and disconnect the power cord from the receptacle (wall mains
outlet)
2. If the equipment is soiled with blood or other potentially infectious materials, first wipe off all the
debris using neutral detergent, 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 foot switch using a soft,
lint-free cloth moistened with 70% ethyl or isopropyl alcohol.
4. Make sure that the electrosurgical unit and foot switch are completely dry before storage.
WARNING
Do not store these devices in humid and unventilated environment as it may encourage the growth of
micro-organisms and pose an infection control risk.
CAUTION
Do not store the electrosurgical unit in a location exposed to direct sunlight, x-ray, radioactivity, liquids
or strong electromagnetic radiation (e.g. near microwave medical treatment equipment, short wave
medical treatment equipment, MRI equipment, radio or mobile phones). Damage to the electrosurgical
unit may result.
Do not apply excessive bending, straining or squeezing force to any cords during storage. It may cause
malfunction.
Version: 1.4
CAUTION
The cable should not be sterilized by EtO gas or autoclaving. These methods will cause deformation and
damage that will render the cable useless.
Ensure that foreign matter does not enter the mains cord end connection as this will result in poor
connection.
1. After each procedure, wipe with a soft, clean, lint-free cloth. If dirt persists, moisten the cloth
with 70% ethyl or isopropyl alcohol and wipe again.
2. Dry thoroughly after wiping. A cable that is not completely dry may cause an electric shock.
WARNING
Never store the cable in shipping box as this may pose an infection control risk.
1. Store under the conditions away from direct sunlight and source of liquids.
2. Store the cable with the clamping screw attached.
11.5 DISPOSAL
When disposing this electrosurgical unit, accessories or any of its components (such as fuses), follow all
applicable national and local laws and guidelines.
Version: 1.4
CHAPTER 12
Trouble Shooting
Trouble shooting
If the generator is not functioning properly, use the information in this section to perform the following
tasks:
Identify and correct the malfunction.
If a system alarm number is displayed, take the appropriate action to correct the alarm conditions.
A. CORRECTING MALFUNCTIONS
If a solution is not readily apparent, use the table below to help identify and correct specific malfunctions.
After you correct malfunction, verify that the generator completes the self-test.
Version: 1.4
LCD display Faulty ribbon cable between Check/connect ribbon cable that connects the LCD
Not turning CPU and LCD Display Display to the CPU board.
ON or Incorrect data communicated Replace the CPU board.
Malfunctioning through the CPU board
. LCD Display malfunction Replace the LCD Display .
Front Panel Faulty ribbon cable between Check/connect ribbon cable that the keypad to the
keys do not CPU board and Keypad Control board.
function Incorrect data communicated Replace the CPU board.
correctly when through the CPU board
pressed
Generator is on Malfunctioning footswitch or Turn off the generator. Check and connect all accessory
and accessory handswitching instrument connections. Turn on the generator. Replace
is activated, the accessory if it continues to malfunction.
but generator Connect the footswitch & the footswitching instrument
does not to the same instrumentation socket.
deliver o/p Power set too low Increase the power setting.
Blown fuse on Main RF board Check the high voltage power supply fuse (F02) and
Replace if necessary.
Version: 1.4
CPU board malfunction If the indicator bar does not illuminate and the tone
does not sound, replace the CPU board.
High voltage power supply If high voltage is not present on the Main RF board,
malfunction (high voltage is troubleshoot the high voltage power supply
not present during activation) Check all MOSFET Q01 to Q04, replace with same part
no. if require.
Generator is on Check Diodes CR02 to CR05 replace with same part
and accessory no. if require.
is activated, RF output stage malfunction Troubleshoot the RF output stage as described below on
but generator (high voltage is present during the Power Supply /RF board :
does not activation) verify T_ON pulses at R77, If pulses are present,
deliver output. Check all MOSFET Q09 to Q12, replace with same
part no. if require.
Check Diodes CR27 replace with same part no.
If T_ON pulses are not present,
verify T_ON pulses at TP 16, If pulses are not
present ,replace the CPU
Check IC U14, replace with same part no. if require.
Version: 1.4
Metal-to-metal sparking
Can occur during coag Use a lower power setting for the Fulgurate and spray
modes or select the Desiccate mode.
Abnormal
neuromuscular
stimulation Abnormal 50-60 Hz leakage Inside the generator, carefully inspect for the damage
(stop surgery currents that may cause shorting between the AC line voltage
immediately) and connected patient components.
Note down the error code and type of error and take necessary measures to eliminate as described in the
following table.
Version: 1.4
Version: 1.4
Warranty
XcelLance Medical Technologies Pvt. Ltd. warrants each product manufactured by it to be free from
defects in material and workmanship under normal use and service for the period.
XcelLance Medical Technologies Pvt. Ltd. obligation under this warranty is limited to the repair or
replacement, at its sole option, of any product, or part thereof, which has been returned to it or its
Distributor within the applicable time period shown below after delivery of the product to the original
purchaser, and which examination discloses, to company’s satisfaction, that the product is defective.
This warranty does not apply to any product, or part thereof, which has been repaired or altered outside
XcelLance Medical Technologies Pvt. Ltd. factory in a way so as, in company’s judgment, to affect its
stability or reliability, or which has been subjected to misuse, neglect, or accident.
The warranty periods for XcelLance Medical Technologies Pvt. Ltd. products are as follows:
Please Note: Warranty on accessories is subject to manufacturing defect before usage only.
Please Note: XcelLance Medical Technologies Pvt. Ltd. will not be liable to pay/fund any sort of
penalty/due other than the aggregate purchase price of goods sold by XcelLance
Medical Technologies Pvt.Ltd., in case of any damage/injury occurs to patient/ surgeon
and/or any entity.
XcelLance Medical Technologies Pvt. Ltd. neither assumes nor authorizes any other person to assume
for it any other liability in connection with the sale or use of any of XcelLance Medical Technologies
Pvt. Ltd. products.
This warranty and the rights and obligations hereunder shall be construed under the governed by the
laws of the Maharashtra State, India. The sole forum for resolving disputes arising under or relating in
any way to this warranty is the Court of Mumbai, Maharashtra State, India.
XcelLance Medical Technologies Pvt. Ltd. its dealers and representatives reserve the right to make
changes in equipment built and/or sold by them at any time without incurring any obligation to make the
same or similar changes on equipment previously built and /or sold by them.
Version: 1.4
Disclaimer
3) Electro Surgery is proven in surgical applications over more than 60 yrs. If safety instructions are
not followed/ implemented, usage of this equipment in operation theatre can be hazardous. Risk
associated with the product/procedure cannot be denied, if not used as per ‘user & safety
instructions’ provided in ‘User/ Instruction Manual’.
4) The equipment has to be strictly used only by qualified, trained & licensed surgeon/physician.
5) Optimized & safe usage of equipment is warranted only if manufacturer’s approved accessories
are used along with the equipment during surgery. Company will not be responsible for any
damage/injuries/complications caused to user or patient due to the use of unsafe, non-approved
electrosurgical accessories.
6) Company is not responsible for any damage/ complications to patient or user due to use any
equipment which has not been maintained & calibrated periodically as described in
user/instruction manual.
8) Consumables/ accessories have to be used as per the instructions given in the accompanying
documents. Use of expired or re-used accessories beyond the lifecycle may lead to
injury/damage/complication to patient or user. Company will not be responsible for such
injury/damage/complications.
9) The equipment’s warranty is in lieu of all other warranties, expressed or implied, including
without limitations, the warranties of merchantability and fitness for a particular purpose, and of
all other obligations or liabilities on the part of the Company. Company neither assumes nor
authorizes any other person to assume for any other liability in connection with the sale or use of
any of the Company products.
10) Notwithstanding any other provision herein or in any other document or communication,
Company’s liability of products sold hereunder shall be limited to the aggregate purchase price
for the goods sold by Company to the customer. There are no warranties which extend beyond the
terms hereof. Company disclaims any liability hereunder or elsewhere in connection with the sale
of this product, for indirect or consequential damages.