Atom Electrosurgical System

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  atom  atom   1 ••••••••

atom
create your performance
•••••••• 2  atom   atom

create your performance


  atom  atom create your performance  3 ••••••••

atom create your performance

Electrosurgery is a constantly developing discipline of medical technology.


It has been applied for dozens of years and is still looking for novel approaches as well as more
effective and safer solutions. With an enhanced range of electrosurgical applications
in a number of different specializations, electrosurgical systems have become more complex
and complicated, while the scope of available functionalities and operational modalities
has not necessarily matched the actual needs and requirements of their users.

For 20 years now EMED has been involved in


the manufacture of top-quality electrosurgical
systems. Our considerable experience and conti-
nually evolving technology have enabled us to set
new trends in electrosurgery.
Our aim is to deliver devices as simple to ope-
rate as possible. This would make it possible to
take a full advantage of the opportunities offered
by advanced electrosurgical methods in medical
procedures.

Atom is the first electrosurgical system which


combines perfectly well a small size and a wide
spectrum of applications.
•••••••• 4  atom create your performance  atom

atom create your performance

Atom is a compact device which offers possibili-


ties which have so far been provided by large
and complicated electrosurgical systems only.

Create your electrosurgical system


Atom is a system which easily adapts to the user.
Since it is possible to configure in any way the
available operating modes, each user can set up
an electrosurgical system that accurately meets
the actual needs and requirements. Based on the
configuration options for each operating mode,
the electrosurgical system can be freely adjusted
to the specialist’s needs and requirements.

With an innovative user interface as well as a large


and easy-to-read touchscreen, the operation of the
system is simple and intuitive.
  atom  atom smartdevice system  5 ••••••••

atom SmartDevice System

Atom does not require any complicated pre-pro-


cedure configuration – you simply need to connect
the instrument. The system will automatically
detect it and adjust the appropriate settings.

The device is equipped with SmartDevice (SDS)


sockets.
The SDS system detects and identifies the con-
nected instrument. Atom automatically adjusts
the operating mode and output settings, thus
ensuring greater comfort and safety of work.
If the settings are changed during the procedure,
SDS plug SDSA plug with integrated
the device will store them in memory, and
argon connection
automatically recall them when the instrument is
connected for the next procedure.
SDSA argon socket with integrated argon connec-
tion makes plugging the argon cables very conve-
nient and user-friendly.

Connect the instrument and start work.


•••••••• 6  atom create your performance  atom

atom create your performance

• monopolar and bipolar modes

• highly-specialized operating modes, e.g. bipolar resection,


an endoscopic cutting procedure and ThermoStapler®

• argon plasma coagulation in standard and pulse mode

• automatic regulation of working parameters


on the basis of real-time measurements

• instantaneous and average power monitor that enables


the operator to control the device’s working parameters

• colour touch screen and system for recognition of connected instruments, SDS

• integrated argon connection – SDSA

• control system for the neutral electrode, NEM,


and the EMED SAFE electrode that guarantees safety of the procedure

• innovative user interface as well as a large and easy-to-read touch-screen

• dedicated trolley with case for argon cylinder and handy basket
for accessories and cables ensure comfort and ergonomic conditions in the surgery theatre
  atom  atom safety of performance  7 ••••••••

atom safety of performance

Safety of the patient

Correct application of a neutral electrode (pas-


sive plate) is a very important part of every elec-
trosurgical procedure. In monopolar operation,
neutral electrode collects the high frequency
current and discharges it, closing the electrical
circuit.

The ring around the EmedSafe electrode dis-


sipates the HF-current over the entire surface
of the neutral electrode. It means that the
HF-current dispersion is the same regardless of
the direction of the electrode.

Neutral Electrode Monitor (NEM) system con-


tinuously verifies if the neutral electrode keeps
accurate contact with patient’s body during the
procedure. In case the contact has been detected
to be not sufficient and therefore not safe, the
unit stops operation and warns the user.
Two different types of disposable split neutral EmedSafe neutral electrode EmedSafe neutral electrode
electrode can be selected by the operator: for adults and children for infants
version for adults and version for infants.
•••••••• 8  atom setting performance  atom

atom setting performance

Power monitor

A modern operating room is focused on effects Atom is fitted out with an advanced measuring sys- result regardless of the working conditions during
rather than power settings. The operator chooses tem which automatically adjusts in real-time the the procedure.
the desired coagulation or cutting effect. It is not output power to the changing conditions within
necessary to focus on analyzing and selecting the the operating field based on measurements of the Power monitor shows the diagram of instantaneous
appropriate power level, which would allow to output parameters. Due to continuous monitoring output power and the average power value after the
achieve the required effect. of all parameters, the user always obtains the best cutting or coagulation process is completed.

Measuring parameters
in real time
  atom  atom footswitch  9 ••••••••

atom footswitch

Wireless footswitch operation

This innovative solution eliminates the


additional cables from the operating theatre
or procedure room. The atom footswitch com-
municates with the device using wireless data
transfer.
The state-of-the-art technology used in the
wireless module guarantees data transfer
without undue delay and without interference
in functions of other equipment in the operating
theatre. MultiSwitch, 2-button footswitch, wireless

Footswitch options:
n
recognition of connected footswitch (type, serial number, etc.)
n
different options of assigning of the buttons to the outputs
n
constant monitoring of battery level
n
low battery level alert
Footswitch settings menu
•••••••• 10  atom applications  atom

atom applications

Versatility of applications

Atom features monopolar and bipolar techniques in a variety of cutting and coagulation modes.
The generator features highly-specialized operating modes, e.g. bipolar resection,
an endoscopic cutting procedure and ThermoStapler® - a system for sealing large blood vessels.
An integrated argon module brings the benefits from argon plasma coagulation and cutting.

Monopolar and bipolar Argon cutting Vessel sealing


resection and coagulation system

Monopolar and bipolar resection

URO BI-CUT and URO BI-COAG Bipolar cutting and coagulation


for urological procedures. This mode is used in a wet environment.

URO CUT and URO COAG Monopolar cutting and coagulation


for urological procedures. The mode is used in the environment
of non-conductive liquids.
  atom  atom applications  11 ••••••••

atom applications

Argon cut and coagulation

ARGON COAG Argon-enhanced monopolar coagulation.


This mode is used for non-contact coagulation of bleeding tissue surfaces.
It eliminates smoke and smell. It ensures a very shallow and gentle coagulation.
Instrument: rigid argon electrodes for coagulation.

ENDO ARGON Argon-enhanced monopolar coagulation for endoscopic procedures.


It ensures a very shallow and gentle coagulation. It is necessary when there is a risk of perforation.
The elimination of smoke ensures a perfect visibility of the operating field.
Instrument: flexible argon probes.

PULSE ARGON Argon-enhanced pulse monopolar coagulation.


It is used in gastroenterology for bleeding control.
It enables precise dosing exactly at the bleeding site.
Instrument: flexible argon probes.

ARGON CUT Argon-enhanced monopolar cutting.


The argon shield reduces the amount of generated smoke and smell.
The thermal damage to tissues is reduced and bleeding control is improved.
This function is particularly desirable during procedures that require intensive use of the device.
Instrument: needle- or lancet-type argon electrodes.

ThermoStapler®
ThermoStapler® the mode for sealing large blond vessels
is used for vessels with a diameter of not more than 7mm
(clamps for open surgery) and for preparing tissues, e.g.,
before their mechanical cutting.
•••••••• 12  atom applications  atom

atom applications

STANDARD MONOPOLAR MODES

MONO CUT Monopolar cutting with different hemostasis effects.


Effect 1 is used to cut the tissues when additional bleeding control is not needed.
This cutting mode is the least damaging for tissues.
Other effects include enhanced hemostasis levels.
They are used when there is a need for more intensive
bleeding control already in the course of cutting.
The higher hemostasis levels control bleeding better,
but exert a stronger thermal effect on the tissues.
Instrument: monopolar electrodes, e.g. knife, loop or needle.

MIXED CUT Monopolar drying cutting.


Alternating cutting and soft coagulation enables the cutting
of tissues with severe bleeding, while minimising blood loss.
Instrument: monopolar electrodes, e.g. knife, loop or needle.

PRECISE CUT Precise monopolar cutting.


Used when cutting small and precise structures.
Weaker current ensures enhanced cutting precision.
Instrument: monopolar electrodes, e.g. knife, loop or needle.
  atom  atom applications  13 ••••••••

atom applications

FORCED COAG The traditional type of coagulation


which enables quick and efficient coagulation of local bleeding.
Instrument: monopolar electrodes, e.g. ball, spatula or lancet.

SOFT COAG Low-voltage monopolar contact coagulation.


This mode enables deep coagulation, reaching deeper than the other types.
Instrument: monopolar electrodes, e.g. ball, spatula or lancet.

SPRAY COAG Non-contact monopolar coagulation with high voltage.


It enables quick and effective coagulation of larger areas.
It prevents tissue adherence to the instrument.
Instrument: monopolar electrodes, e.g. ball, spatula or lancet.

HYBRID COAG Monopolar coagulation for contact


and non-contact applications with high voltage.
Instrument: monopolar electrodes, e.g. ball, spatula or lancet.
•••••••• 14  atom applications  atom

atom applications

STANDARD BIPOLAR MODES

BI-CUT Bipolar cutting with different hemostasis effects.


Special bipolar instruments are used for this mode. This mode is particularly useful
for procedures performed in neonates and patients with a heart pacemaker.

SOFT BI-COAG Low-voltage bipolar contact coagulation.


In this mode, the current flows between the electrode tips and no passive
electrode is required. Typically used for closing individual medium-sized blood vessels.
Instruments: bipolar forceps, bipolar needle electrodes, bipolar laparoscopic instruments.

SCISS BI-COAG Universal soft bipolar coagulation


for cutting with bipolar scissors.
Instruments: bipolar SDS scissors.

FORCED BI-COAG High-voltage bipolar coagulation.


In this mode, the current flows between the electrode tips and no passive electrode is required.
Typically used for closing medium-sized blood vessels.
Instruments: bipolar forceps.
  atom  atom applications  15 ••••••••

atom applications

GASTROENTEROLOGY

POLIPO CUT Monopolar cutting for endoscopic procedures.


Necessary for polyp removal. Alternating cutting and coagulation
ensures optimum coagulation and reduces the risk of bleeding.
Instrument: loops for polypectomy.

PAPILLO CUT Monopolar cutting for endoscopic procedures.


Used for cutting Vater’s papilla during a papillotomy procedure.
It ensures safe cutting with the optimum hemostatic effect.
Instrument: papillotome.

MUCO CUT Monopolar cutting for mucosectomy procedures.


A specialized endoscopic cutting mode for mucosectomy procedures.
Pulsed cutting current and precise pulse duration enable safe and fast cutting in endoscopic
submucosal dissection (ESD) and endoscopic mucosal resection (EMR) procedures.
Instrument: endoscopic mucosectomy knife, loops for polypectomy.
•••••••• 16  atom applications  atom

atom applications

GASTROENTEROLOGY

ENDO COAG Monopolar endoscopic coagulation.


It is used for additional hemostasis in polypectomy and marking the lesions.
Instrument: a polypectomy snare.

ENDO SPRAY Monopolar endoscopic coagulation .


It is used for rapid hemostasis of local hemorrhages.
Instrument: polypectomy snare.

ENDO BI-COAG Bipolar coagulation for endoscopic procedures.


Soft hemostasis without carbonisation of the tissue.
Instrument: a bipolar probe and a SDS adaptor
for bipolar endoscopic hemostasis probe.
  atom  atom applications  17 ••••••••

atom applications

ARTHROSCOPY

ARTRO CUT Monopolar cutting for arthroscopic procedures.


This mode is used in wet environment.
It requires the use of nonconductive fluids, e.g. distilled water or glycine.
Instrument: monopolar arthroscopic electrodes.

ARTRO COAG Arthroscopic monopolar coagulation


in non-conductive liquids, e.g. purisol or glucose.
Instrument: monopolar arthroscopic electrodes.

ARTRO BI-CUT Bipolar cutting for arthroscopic procedures.


This mode is used in a wet environment.
It requires the use of conductive fluids, e.g. normal saline.
Instrument: bipolar arthroscopic electrodes.

ARTRO BI-COAG Arthroscopic bipolar coagulation


in conductive liquids, e.g. saline solution.
Instruments: bipolar arthroscopic electrodes.
•••••••• 18  atom efficiency oriented performance  atom

atom efficiency oriented performance


Argon cutting
and coagulation

Argon cutting and coagulation

Atom has a built-in argon module, which brings condution of high frequency current by ionised Efficiency enhancing features of argon plasma
the benefits of argon plasma coagulation and argon. Argon is a chemically inert gas, devoid of coagulation:
cutting into the open, laparoscopic and endoscopic physiological effects and non combustible. Under n immediate hemostasis helps efficiently
surgical procedures. the effect of current, it becomes ionised and forms coagulate large areas of bleeding surface
Argon coagulation uses the phenomenon of good a plasma cloud in which electric arcs are formed. n penetration depth limited to approximately
3 mm minimizes risk of perforation
n tissue carbonization is minimal compared
to standard electrocoagulation
n no tissue vaporization minimizes the risk
of perforation
n no contact between the applicator and tissue
Length 1.5 m - 3 m means no tissue adhesion
n less surgical smoke gives good visibility
of operating area
n reduced smoke eliminates unpleasant odors
n precise application of thermal energy results
in reducing procedure time

Rigid argon electrode tip Flexible argon electrode tip


  atom  atom time oriented performance  19 ••••••••

atom time oriented performance


Laparoscopic and open surgery
vessel sealing

ThermoStapler®

Time and cost reducing features of the ThermoSta-


pler® system:
n enables fast and effective of blood vessels, n time of operation is significantly reduced
arteries or tissue bundles n natural sealing of vessels
n blood loss is significantly reduced, the system n no foreign body remains in the patient’s body
allows to economize on sutures and staplers n no risk of adhesion or infection

Straight clamps

Angled clamps
•••••••• 20  atom time oriented performance  atom

atom time oriented performance

ThermoStaplerEdge®

This instrument is created for use in a minimally ThermoStaplerEdge® instrument with fixed cable thus ensuring greater comfort and safety of work.
invasive surgery, particularly in laparoscopy field. uses SDS system technology. The SDS system in Sealing and cutting without changing instrument
It enables permanent sealing of blood vessels, EMED electrosurgical units detects and identi- reduces the time of a surgical procedure.
arteries or tissue bundles and cutting without fies the connected instrument and automatically
instrument changing. adjusts the operating mode and output settings,

The disposable sharp blades ensure


a perfect cut each time.
The retractable disposable blade
is especially created to cut
360o the sealed tissue structures
easily and precisely.
  atom  atom create your tur standard  21 ••••••••

atom create your TUR standard


Bipolar resection Bipolar coagulation Bipolar coagulation
in saline with loop electrode with ball electrode

Universal resectoscope

Along with the EMED resectoscope, the atom sys- nuous flow function. Benefits of continuous flow To ensure the comfort of use, the working element
tem is a multipurpose set which is always ready function: is available in two versions: active or passive,
for use, whatever operating technique is chosen. n helps to quickly remove tissue fragments and according to the operator’s preferences and habits.
The EMED resectoscope is a multifunctional replace the irrigation solution,
instrument, which enables both monopolar n reduces the temperature of the irrigation solu-
and bipolar operations without changing the tion when it is heated up by the energy generated
working elements. by the electrosurgical unit,
It is fitted out with a rotary sheath with the conti- n ensures a clean operating field.

Loop electrode wide PI-CUT Ball electrode 5mm, angled


•••••••• 22  atom safety and ergonomics at work   atom

atom safety and ergonomics at work

AUTOTEST SUPPLEMENTAL DEVICES


Each time the power is switched on, the system Connected endoscopic irrigation pump
conducts an internal test of all the device components
and any instruments and auxiliary devices that may be
connected. The result of the AUTOTEST is displayed on POWER MONITOR
the screen as a message. Endo unit automatically adjusts the output power
to achieve desired effect on tissue, analyzing conditions
of operating area. Power monitor shows current power
MENU output during cutting.
Atom provides additional adjustment options of such
parameters as: activation signal volume,
screen brightness and language selection. ARGON RATE
Shows the status of argony argon cylinder.

FOOTSWITCH
Atom automatically identifies the type of footswitch NEM SYSTEM
connected to the device. The atom device is equipped with the NEM system
which controls the adhesion quality of the neutral
divided EMED SAFE electrode.
Application of the electrode is monitored
throughout the whole procedure. In combination
with the EMED SAFE electrodes, the NEM system
maximises safety during the procedure.
  atom  atom software update  23 ••••••••

atom software update

Always up-to-date

Atom unit features state-of-the-art software that developed. Software update is performed
enables quick and convenient updating, whene- automatically by the unit after simply plugging
ver new functionalities and modes have been in the USB flash memory to the device.

Automatic update after


USB flash memory connection
•••••••• 24  atom   atom

atom

2 work panels:
OUT1, OUT2

selected working mode icon

settings values icon

sidebar:
MENU
POWER MONITOR
ARGON indicator
FOOTSWITCH icon
NEUTRAL ELECTRODE indicator
  atom  atom 1:1 scale  25 ••••••••

OUT1 connection
- detecting monopolar and bipolar
instruments

OUT2 connection
- detecting instruments
for the argon plasma modes

ARGON connection

NEUTRAL ELECTRODE connection

atom 1:1 scale


•••••••• 26  waterfall  atom

waterfall
endoscopic irrigation pump

Good visibility and clean operating site


are of prime importance in all types of surgery.

In endoscopic procedures, the operation site may


be contaminated with chime or blood residue
in the gastrointestinal tract.
Advantages of the WATERFALL
The possibility of irrigating the operating site
endoscopic pump:
is a very important element of any endoscopic • good visibility and clean operating site • possibility of activation using the footswitch
procedure. The WATERFALL endoscopic irrigation or from the control panel
pump was designed to ensure full comfort and • less tissue adhesion on endoscopic
instruments • low-noise, does not cause nuisance in the
safety during surgeries.
procedure room
• irrigation using physiological saline
The pump makes it possible to quickly rinse the increases tissue conductivity – faster • small size and possibility of mounting
gastrointestinal tract using physiological saline electrosurgical effects of the device on the endo trolley,
directly through the endoscope’s rinsing opening which gives access to the pump during
or by using endoscopic instruments. • possibility of adjusting the saline flow the procedure
  atom  waterfall  27 ••••••••

WATERFALL enables quick and easy


cleaning of blood and chime residue
from the surgery site.

WATERFALL, connected to an
endoscopic needle, facilitates elevating
of flat lesions before resection.
•••••••• 28  atom accessories  atom

atom accessories

100-620 Electrosurgical system atom 020-100 WATERFALL endoscopy irrigation pump, set of drains

100-302 2-button footswitch, 6-pin plug, cable 5m 100-313 MultiSwitch, two-pedal footswitch, wireless
  atom  atom accessories  29 ••••••••

atom accessories

080-060 TinyLine trolley, with case for


argon cylinder (5L/10L), basket

100-051 Argon Cylinder 5L (empty cylinder - with no gas, DIN 477/6)


100-151 Argon Cylinder 10L (empty cylinder - with no gas, DIN 477/6)

5501640 Argon regulator P300-P40EMED, DIN 477/6 (Europe)


5501565 Argon regulator P300-P40EMED, DIN 477/6 (Europe)  
with pressure sensor
•••••••• 30  atom accessories  atom

atom accessories

Ø 1.5 mm 932-148 Flexible argon probe, reusable, TBS, dia. 1,5mm, 1,5m long

932-149 Flexible argon probe, reusable, GIT, dia. 2,3mm, 2,2m long

Ø 2.3 mm 932-150 Flexible argon probe, reusable, GIT, dia. 3,2mm, 2,2m long

932-151 Flexible argon probe, reusable, TBS, dia. 1,5mm, 3m long

Ø 3.2 mm 932-152 Flexible argon probe, reusable, GIT, dia. 2,3mm, 3m long

932-14A Argon electrode handle, large, 2 switches,


cable 3.5m, SDSA plug

Monopolar cable for argon flexible electrode,


432-46A flat connector, cable 3.5m, SDSA plug
Integrated argon socket for atom units
  atom  atom accessories  31 ••••••••

atom accessories

176 mm 182 mm
812-80H Disposable neutral electrode with safety ring EMED SAFE, hydrogel,
split, for adults and children, 176x122 mm, 110cm2, 10x5 pcs.

812-83H Disposable neutral electrode with safety ring EMED SAFE, hydrogel,
74 mm
122 mm

split, for infants, 182x74 mm, 37cm2, 10x5 pcs.

812-80H 812-83H

380-030  Cable for disposable neutral electrode, falt plug, length 3 m

380-050  Cable for disposable neutral electrode, falt plug, length 5 m

281-03S Monopolar endoscopic cable, length 3 m, 3mm female, SDS plug

Ø 3 mm
•••••••• 32  atom accessories  atom

atom accessories

322-14S Electrode handle 2.4 mm, large, 2 switches, SDS plug


cable 4 m

327-14S Electrode handle 2.4 mm, large, 2 switches, SDS plug 


cable 4 m

215-23S Electrode handle 4 mm, small, 2 switches, SDS plug


cable 3 m

215-25S Electrode handle 4 mm, small, 2 switches, SDS plug


cable 5 m

218-23S Electrode handle 2.4 mm, small, 2 switches, SDS plug


cable 3 m

218-25S Electrode handle 2.4 mm, small, 2 switches, SDS plug


cable 5 m
  atom  atom accessories  33 ••••••••

atom accessories

280-03S Monopolar laparoscopic cable, length 3 m, 4 mm female

Ø 4 mm Monopolar laparoscopic cable, length 5 m, 4 mm female


280-05S

281-03S Monopolar laparoscopic cable, length 3 m, 3 mm female


Ø 3 mm

405-04S Monopolar cable for TONTARRA resectoscope, length 4.5 m, 2 mm male

Ø 2 mm

408-14S Monopolar cable for STORZ resectoscope, length 4.5 m, angled connector

409-04S Monopolar cable for OLYMPUS resectoscope, length 4.5 m, 3 mm male


•••••••• 34  atom accessories  atom

atom accessories

351-03S Bipolar cable, straight connector, length 3 m

351-05S Bipolar cable, straight connector, length 5 m

351-13S Bipolar cable, angled connector, length 3 m

351-15S Bipolar cable, angled connector, length 5 m

401-03S Bipolar cable 2x2.6mm, for ThermoStapler® clamps, length 3 m

401-05S Bipolar cable 2x2.6mm, for ThermoStapler® clamps, length 5 m

348-04S Bipolar cable for STORZ resectoscope, length 4.5 m

354-04S Bipolar cable for TONTARRA, WOLF resectoscope, length 4.5 m


  atom  atom accessories  35 ••••••••

atom accessories

349-04S Bipolar cable for OLYMPUS resectoscope, length 4.5 m

359-03S Bipolar cable for STORZ laparoscopy, length 3 m

359-05S Bipolar cable for STORZ laparoscopy, length 5 m

352-03S Bipolar cable for WOLF laparoscopy, length 3 m

358-03S Bipolar cable for BiTech scissors, length 3 m


•••••••• 36  atom accessories  atom

atom accessories

824-13S Handle for bipolar laparoscopic instrument, reusable


cable 3 m, SDS plug

instrument with fixed cable

827-13S Handle, reusable, for ThermoStaplerEdge® 5mm


bipolar laparoscopic sealing and cutting instrument,
cable 3m, SDS plug

instrument with fixed cable


  atom  contact  37 ••••••••

contact

EMED SP. Z O. O. SP. K.


Ryżowa 69a, PL 05-816 Opacz Kolonia
tel. +48 22 723 08 00, fax +48 22 723 00 81
[email protected]
www.emed.pl
•••••••• 38  contact  atom

create your performance


create your performance
  atom  contact  39 ••••••••

create your performance


create
create yourperformance
your atom
•••••••• 40  contact  atom

EMED SP. Z O. O. SP. K.


Ryżowa 69a, PL 05-816 Opacz Kolonia
tel. +48 22 723 08 00, fax +48 22 723 00 81
[email protected]
www.emed.pl

Copyright© EMED.
NR REF. 2015.12.K31.EN All rights reserved. Any copying, distribution, publishing in whole or in part without written EMED permission is prohibited.

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