ENDO precision in endoscopic procedures 1 ENDO precision in endoscopic procedures When designing electrosurgical unit ENDO, we focused on the specific requirements of endoscopic procedures performed in the gastrointestinal tract that pose a challenge to electrosurgery. Our aim was to design an electrosurgical unit that enables efficient work during endoscopic procedures and at the same time is very easy to use. The result of our work is ENDO. It is a compact electrosurgical unit that offers functionality which so far was available only in large, complicated electrosurgical equipment.

2  ENDO gastroenterology in mind  ENDO gastroenterology in mind • advanced endoscopic cutting modes for polypectomy, sphincterectomy, mucosectomy • special monopolar coagulation modes for endoscopic procedures • 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 unit’s working parameters • colour touch screen and system for recognition of connected instruments, SDS • control system for the neutral electrode, NEM, and the EMED...

SDS – Smart Device System ENDO is ready for work immediately after surgical instruments are connected. The unit detects and recognises all connected instruments. It automatically adjusts the appropriate working mode and output parameters for the instrument, thereby increasing user comfort during work. The surgeon does not need to think about which mode or setting to use for the selected instrument. Sockets of ENDO electrosurgical unit feature Smart Device System (SDS) – technology that recognizes connected instrument. CUT/COAG socket is designed for endoscopic instruments. PLASMA socket is designed...

4  ENDO automatic adjustment   ENDO automatic adjustment Measuring parameters in real time WORK AUTOMATIC ADJUSTMENT ENDO is based on automatic adjustment of working parameters. The user does not have to correct or select settings. The unit selects working parameters for the connected instrument. ENDO recognises the instrument and automatically selects the appropriate working mode and electrical parameters. Using the SpectrumResult technology, ENDO monitors all working parameters in real time: actual power, current intensity and voltage applied. Thanks to continuous monitoring of all parameters,...

ENDO ergonomics and comfort A three-pedal footswitch was designed especially for ENDO. The three independent pedals enable immediate activation of the cutting, coagulation or argon plasma modes without changing the footswitch option. The ENDO three-pedal footswitch is also available in wireless version. This innovative solution eliminates the additional cables from the operating theatre or procedure room. The ENDO footswitch communicates with the unit using wireless data transfer. The state-of-the-art technology used in the wireless module guarantees data transfer without undue delay and without...

ENDO applications WORKING MODE: ENDOSCOPIC CUTTING POLIPO CUT Monopolar cutting for endoscopic procedures. Necessary for polyp removal. Alternating cutting and coagulation ensures optimum coagulation and reduces the risk of bleeding. Instruments: standard endoscopic loops, e.g. from Olympus or Pentax. ENDO is equipped with an automatic power adjustment system. It supplies the required power in the initial phase to begin cutting without undue delay or coagulation. It then automatically adjusts the power depending on the conditions of the surgery. The power is adjusted on the basis of continuous...

WORKING MODE: 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, e.g. from Olympus or Pentax. PAPILLO CUT limits the risk of uncontrolled cutting of Oddi’s sphincter, which may cause intense bleeding. This is avoided by delivering the power for cutting and coagulation in short impulses. The device operator is able to adjust the intensity of the cutting process depending on the current requirements. Regulation of the cutting intensity provides...

WORKING MODE: 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. Instruments: endoscopic knife or needle, e.g. from Fujifilm. In the MUCO CUT mode, the cutting current is supplied as impulses. A nine-degree scale makes it possible to adjust the cutting process to the lesion and user’s working method. MUCO CUT ensures high-precision in terms of cutting depth...

WORKING MODE: Safe and effective contact coagulation and contactless in gastroenterological procedures. ENDOSCOPIC COAGULATION ENDO COAG Monopolar endoscopic coagulation. It is used for additional haemostasis in polypectomy and marking the lesions. Instruments: standard endoscopic loops, e.g. from Olympus or Pentax. ENDO SPRAY Monopolar endoscopic coagulation. It is used for quick haemostasis of local haemorrhages. Instruments: standard endoscopic loops, e.g. from Olympus or Pentax. Indications: • haemostasis of surface haemorrhage • marking lesions for resection

WORKING MODE: 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 REF 281-60S. ENDO BI-COAG is a gentle, bipolar coagulation mode. It is designed for specialist bipolar endoscopic probes, also with the irrigation function. In this mode, the bipolar current flows between two poles located on the working tip of the bi-polar probe. Haemostasis is achieved by heating the tissue in direct contact with the bipolar probe tip. Irrigation using saline solution...