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CSA Z387-2019 pdf free download
CSA Z387-2019 pdf free download.Safe use of electrosurgical medical devices and systems in health care.
b) All active electrodes and cords shall be visually inspected at the surgical field for impaired insulation and any damage before use.
Note: Insulation failure of electrodes caused by reprocessing or trauma during use can provide an alternate pathway for the electrical current to leave the active electrode,
c) An active electrode or accessory (e.g., cord) that is damaged should be immediately removed from the sterile field and discarded.
d) Monopolar active electrodes should not be used In the presence of flammable agents, including vapours (e.g., alcohol-based skin prep or hand antisepsis agents, tinctures, defatting agents, collodion, petroleum-based lubricants, phenol, aerosol adhesives, uncured methyl methacrylate).
e) The active electrode should not be used In the presence of intestinal gases.
f) The active electrode shall not be used In an oxygen-enriched environment. An active electrode tip
or accessory should never be used to enter the trachea when the Fi02 (fraction of Inspired oxygen)
Is over 30%.
Note: Caution should be exercised during surgery on the head and neck near combustible anesthetic gases.
The actsve electrode should be used as for from the oxygen source as possible.
g) If the monopolar active electrode Is being used In a fluid-filled cavity, the fluid used shall be an electrically inert, near-isotonic solution unless the manufacturer of the equipment Instructs otherwise.
h) An active electrode or accessory labelled as “single-use only” or “disposable” shall not be reused or resterilized.
i) Reposable products shall be used for the designated number of times and then discarded in accordance with the manufacturer’s instructions.
j) Appropriate power settings should be applied in accordance with the manufacturer’s instructions.
k) Active electrodes shall be kept clean. If eschar builds up on the active electrode tip, the health care setting personnel shall remove it according to the manufacturer’s recommendations
Note: One of the potential hazards associated with active electrode tips is buildup of eschar on the tip. Ischar buildup greatly increases the impedance or resistance of the tip, and It con represent afire hazard and reduce performance. ESU tips are also available with a special coating that minimizes eschar buildup. Non-stick active electrode tips con facilitate the removal of eschor, but this does not eliminate the need for frequent cleaning.
I) The active electrode shall be placed in a sterile, non-conductive holster when not in use.
Note: Active electrodes can be inadvertently activated or cause burns at an unintended site if not returned to holster
m) The active electrode or accessory shall be activated only by the user of the device.
n) The user shall avoid Inadvertent open circuit (air) activation of the active electrode or accessory tip.
The active electrode or accessory tip shall be activated only when It Is In contact with tissue or
Instrumentation and in direct view of the user.
Note: A loose rip can cause a short (arc, spark) or burn tissue contacting the exposed, non-insulated section
of the tip.
o) The active electrode or accessory tip shall be deactivated immediately following intended use.CSA Z387-2019 pdf free download.
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