OBJ_DOKU-184381-011.fm Seite 33 Montag, 25. Januar 2021 11:38 11
are not touching (known as "capacitive coupling"). Risk of burns
to the patient and/or operating theater staff:
• Place the instrument at the usual working distance from the
tissue before activating the instrument. To do so, proceed as
follows:
• Do not use hybrid trocars (e.g. a combination of metal and
plastic). Only use trocars designed for use with electrosurgi-
cal devices.
• Only use approved endoscopes for electrosurgery.
4.7
Danger of unintentional damage to nerve
structures
Bear in mind that during an APC application in the direct vicinity
of nerve structures stimulation may be induced by electric cur-
rents.
In the case of nerves which require protection it is advisable to
keep the APC activation time short and adapt maximum power
output to the required indication.
4.8
Risks in the case of endoscopic use
The HF leakage current at the ocular of the endoscope may
cause thermal injury to the user. In order to prevent this, please
use only endoscopes designed for use with electrosurgical devic-
es.
Unwanted stimulation of nerves and muscles due to low-fre-
quency currents. Dangerous summation of patient leakage cur-
rents from several power sources: It is not possible to entirely
avoid low-frequency currents in electrosurgery, but they can be
limited by applying technical measures to equipment and acces-
sories. Limit types show how wide-ranging these measures are,
e.g. type B, BF or CF as per EN 60601. Type CF offers the highest
level of protection against low-frequency currents. However,
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