PT. MADITECH MEDIKA FARMA

PT. MADITECH MEDIKA FARMA  is well established in   Medical,   Laboratory,   Instrument    and Hospital furniture.

Our core Bussiness included Radioterapy, Laboratory Pantology Clinic/Anatomy,   Operating  Theatre  equipment, X-Ray, Fisiotheraphy, USG, ECG, EEG, EMG,  CT-Scan,  MRI,  Treadmill,  Spirometre, Bonedencity, Dental Unit, Dental X-Ray, Intensive Care, Medical Ventilator, Medical Gas Piping, Electrical Hospital Bads, Medical Apparel & Textile, Emergency Product, Ambulance ….etc.

At present we are as Sole Agent for Radiotherapy as like as Cobalt 60 and Linex from Radon “TURKI”. We do supply the material/Equipment, but we are also involve in Design, Install, Service, Testing and commisioning all Product offered.  We are proffesional in our  field  and  offer  complete  program  for serve you with further details.

Our mission is to serve our customer by providing the reliable  and  high  quality  products  with  cost

effective and after sales services to meet their requirements and expectations.

For More information :

PT. MADITECH MEDIKA FARMA

                        Ofiice :                                                                                                   

                                Jl. Lenteng Agung Raya No. 4 ( Apotik Lenteng Agung ) Jakarta Selatan

                                 Phone      : 62-21-7873058     Fax : 62-21-7873058

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 Wisma GE 1st Floor
 Jl. Tanjung Barat Selatan / Sonton No. 37 A                                        

  JAKARTA SELATAN 12610  INDONESIA                                               Banker    :

  Phone      : 62-217800375       Fax : 62-21-7800375                              Bank Mandiri Cab. UP            

 Mobile : 081213786999,  087878196999                                                        A/C No : 157-00-0016372-6

E-mail : marketing.maditech@gmail.com

E-mail : maditech.medika.farma@gmail.com

DIATHERMY UNITS AND ARGON GAS ENHANCED DIATHERMY UNITS FOR MAJOR SURGERY EXCELL MCDSe SERIES

DIATHERMY UNITS AND ARGON GAS ENHANCED DIATHERMY UNITS FOR MAJOR SURGERY EXCELL  MCDSe SERIES

The equipments of the series Excell MCDSe System are electrosurgical units for major surgery, suitable for all operations where the monopolar and the bipolar techniques are used, as well as the monopolar mode with the Argon gas flow. The units are available in 5 different models. The models 400 MCDSe, 350 MCDSe, 250 MCDSe, and 200 MCDSe are indicated for electrosurgery, but they can be also connected to an external module for the Argon gas. By the contrary, the model 400/A MCDSe is suitable both for electrosurgery and electrosurgery with Argon gas. It is equipped with all the necessary functions for this type of application, and so it is easier to use.

AUTO-CHECK AND SELF-REGULATION OF OUTPUT POWERS MCDSe System

A new system with double microprocessor Master Slave System ensures a wide range of functions and performances at a very high level.
	Auto-Check: complete auto-control of the functioning, through:
•	Main Auto-Check, main auto-diagnosis procedure at the switching-on and Standard Auto-Check, continuous auto-diagnosis during the functioning;
•	General Error Control e Output Error Control: the auto-check systems interrupt the functioning and inform the operators through specific Error Codes in case of damages or errors in the functioning / switching on, or in case of problems that could provoke a sudden delivery of power, which is higher than the selected one.
	ADC System-constant power e Starting Impulse Control.
	All the currents are automatically and dynamically self-regulated, according to a continuous feed-back between the unit and the tissues on which the operator intervenes, and according to the electrode used and its rapidity of sliding on the tissues themselves. All the cutting currents are characterized by a starting pulse, which is controlled and automatically optimized to obtain the maximum efficacy. These two systems guarantee the best results in all the operating fields, by using the minimum possible power (the interventions under liquid included).

10 PROGRAMMABLE MEMORIES

The MCDSe models have the possibility to memorize 10 functioning programs that are selectable through a simple button. In this way, the different performances can be personalized and then reproduced.

HIGH FREQUENCY LEAKAGE CURRENTS CONTROL CIRCUIT

A specific circuit verifies that the HF leakage currents to hearth always remain within the safety limits, in order to avoid all risks of burns, even in dangerous situations like the contact between the patient and a small part of the operating table.

SAFETY CIRCUIT OF THE NEUTRAL PLATE - NPCC System

The safety circuit of the neutral electrode guarantees its complete control. With the twin section electrodes Split type, it fully checks the connection and the quality of the contact between the electrode and the patients’ tissues. If the contact is not optimum (approx. 80% of a standard electrode for adults), it gives the first luminous indication. If the contact decreases to approx. 50% of a standard electrode for adults, it gives another luminous indication, and automatically reduces the power at a safety level of 200 W. If the contact is dangerous or the electrode cable is broken / not connected at all, it interrupts the delivery of the power, through a luminous and acoustic alarm. With the one single section electrodes Non Split type, it only controls if the cable is integral and correctly connected.

PRACTICALNESS AND EASINESS

On the front panel, which is completely smooth and easily washable, there are all the control devices with selection buttons for the functions and adjustable buttons for the powers; there are also luminous activation signals or alarm signals, as well as the powers control displays. The outputs are characterized by luminous indications that light up according to the usage modes that have been selected, in order to favour the connection and the activation of the accessories.

GREAT RELIABILITY, TECHNICAL ASSISTANCE AND TECHNOLOGICAL EVOLUTION

The Excell MCDSe models have been designed with interchangeable boards, and they are equipped with a new generator RF Mosfet Powered Damped Oscillator with alimentation device switching that does not cause any problem of heating; the test procedures also include a “stress test” of 100 hours of functioning at max. power. The Auto-Check systems memorize the last 32 Error Codes for the future controls, while the functioning and the auto-check softwares can be easily updated, through a serial port for a connection to a PC.

WIDE RANGE OF CURRENTS AND PERFORMANCES

All the Excell models are equipped with 13 currents to satisfy all possible operating needs; these currents become 14 into the model 400/A MCDSe. Four for the monopolar cut, with sinusoidal wave, which can be used even with the Argon gas flow into the model 400/A MCDSe in order to reduce the smokes and the smells. They ensure the maximum rapidity and precision in all the operating fields, the procedure under liquid included.

• Pure: Pure cut without any coagulating effect;

• Blend 1: Coagulating cut with normal haemostatic effect. The two currents are characterized by special self-regulation softwares, which are particularly useful for the TUR interventions, the vaporisation, etc.

• Blend 2: Coagulating cut, with strong haemostatic effect, spray type;

• Endo:Coagulating cut, with cut phases alternated to coagulation phases and a special self-regulation software for its usage in flexible endoscopy.

Four for the monopolar coagulation, which allow to obtain different coagulation effects.

• Soft: Very delicate, with soft superficial effect and strong deep action;

• Fulg Forced: With strong superficial and deep effect;

• Pin Point Contact: Similar to the previous one, but softer;

• Spray:Without any contact and with a very strong superficial effect.

One for the Argon gas coagulation, into the model 400/A MCDSe

This current consists of a special coagulation without any contact, which can be obtained by combining the spray coagulation with an Argon gas flow through specific electrodes that guarantee a very rapid superficial effect, a very small deep action (3mm max.), an absolute absence of the sticking effect of the electrode on the tissues, and a minimum risk of perforation.

Two for the bipolar cut, which allow to use this technique with scissors, hooks for laparoscopy, etc.

• Pure: Pure cut with minimum coagulating effect;

• Blend: Coagulating cut with strong coagulating effect.

Three for the bipolar coagulation.

• Micro: Very delicate, Micro Precise type, with a minimum sticking effect of the tissues on the tips of the forceps;

• Micro Auto: The same as Micro, but with Impedance Sensing automatic Auto Start / Auto Stop device;

• Macro: Standard type, which is very rapid and efficacious, ideal for forceps with bigger section (i.e. laparoscopy).

TWO MONOPOLAR AND ONE BIPOLAR OUTPUTS

The two monopolar outputs, which can be used at the same time by two different operators, can be activated by three modes:

• Both of them by the hand-switch electrodes holder handles, both of them by the double pedal foot-switch or one by the hand-switchs and one by the double pedal foot-switch.

Into the model 400/A MCDSe, when also the functioning with Argon gas is selected, the outputs are activated alternatively:

• Both of them by the hand-switch electrodes holder handles or both of them by the double pedal foot-switch, one for the normal electrosurgery and one for the Argon gas enhanced electrosurgery;

The bipolar output, which can be used independently and at the same time as the monopolar ones, can be activated by two modes:

• For the cut or the coagulation, by the double pedal foot-switch;

• For the coagulation, by selecting the current Micro Auto with Impedance Sensing automatic Auto Start / Auto Stop device with Start Delay adjustable from 0 to 5sec. This represents a very useful system, which allows obtaining coagulation by the hand-switch activation without using any special forceps.

THE PEDAL FOOT-SWITCHES

The Excell units can be used by one double foot-switch pedal for the activation of the monopolar or bipolar functions and by two double foot-switch pedals, one for the monopolar functions and the other for the bipolar functions.

ELIMINATION AND FILTERING OF THE ELECTROSURGICAL SMOKES

In order to eliminate the bacterial/viral contamination, the Excell units can be used together with electrosurgical smoke evacuators, which are equipped with suction functions expressly studied for the laparoscopic procedures and for solving the problem of a perfect visual field while operating.

TECHNICAL FEATURES

Electronic Generator, compliant with: IEC 601-1 and IEC 60601-2-2 Standards

Classification 93/42 EEC: IIB

Approval 93/42 CEE: 187/MDD - IMQ 0051

Electromagnetic Compatibility: Unit is compliant with IEC 60601-1-2, Test report IMQ nr.80SF00709/1, 80SF00709/2

Classification and Type IEC 601-1: Class I, Type CF Typical LF leakage currents: on the patient: 4 µA= 0,004mA, into the enclosure: 1 µA= 0,001mA, to earth: 30 µA= 0,3mA

Output Circuit according to IEC 60601-2-2:“Floating”Insulated at low and high frequencies, protected against the use of the defibrillator. Typical high frequency leakage currents: 100 mA

ALSA Quality System: Approved ISO 9001:2000 and ISO 13485:2003.

Monopolar and bipolar working frequency: 440kHz

Self-Regulation System with double micro-processor Master Slave System con: Auto-Check, complete auto-control of the functioning, through: • Main Auto-Checkmain auto-diagnosis procedure at the switching-on; • Standard Auto-Check continuous auto-diagnosis during the functioning; • General Error Control and Output Error Control. the auto-check systems interrupt the functioning and inform the operators through specific Error Codes in case of errors in the activation, damages in the functioning or in case of problems that could provoke a delivery of power, which is higher than the selected one.

ADC System-constant power and Starting Impulse Control All the currents are automatically self-regulated, according to a continuous feed-back in real time (7,000 checks / sec) between the unit and the tissues on which the operator intervenes, and according to the electrode used and its rapidity of sliding on the tissues themselves.

Functioning memorization: 10 programs

Control of high frequency leakage currents: : by a specific circuit with alarm signal and automatic decrease of output powers.

Outputs, Activations, and Pedal Foot-switches There are two monopolar outputs that can be used at the same time by two operators: • Both of them by the hand-switches, both of them by the double foot-switch pedal or one by the hand-switches and one by the double foot-switch pedal. Into the model MCDSe 400/A, when also the functioning with Argon gas is selected: • Both of them by the hand-switches or by the double foot-switch pedal, one for the normal electrosurgery and the other for the electrosurgery with Argon gas. There is one bipolar output, which can be used independently and at the same time as the monopolar ones: • For the cut or the coagulation, by the double foot-switch pedal; • For the coagulation, by selecting the current Micro Auto with Impedance Sensing automatic Auto Start / Auto Stop device with Start Delay adjustable from 0 to 5sec. The Excell units can be equipped with: • One double foot-switch pedal for the activation of the monopolar or bipolar functions; • Two double foot-switch pedals (one for the monopolar functions and the other for the bipolar functions). The pedals are compliant with the Standard IEC 60601-2-2, they are waterproof (IPX7) with low voltage 12VDC supply for medical safety.

Micro/macro adjusting powers by push-buttons with low/fast changing and steps: Monopolar:0/30W=1W, 30/100W= 2W, 100/200W=5W, from 200W=10W Bipolar: 0/10W=0,5W, 10/30W=1W, 30/100=2W, from 100 W=5W

Powers control: by displays

Safety Circuit of the Neutral Electrode NPCC System Control of the connection/contact of the neutral electrodes Split - twin section type, as well as of the electrodes Non Split - one single section type. With the Split type, it fully checks the connection and the good contact of the electrode. If the contact is not optimum (approx. 80% of the surface of a standard electrode for adults), it gives the first luminous indication. If the contact decreases to approx. 50%, it gives another luminous indication, and automatically reduces the output power at max. 200W. If the contact is dangerous or the electrode cable is broken / not connected at all, it interrupts the delivery of the power and gives a luminous (red) and acoustic (loud, intermittent, not adjustable) alarm. With the Non Split type, it only controls if the cable is integral and correctly connected.

The acoustic and luminous signals are compliant with IEC 60601-2-2

Activation of the Cut (yellow light - loud sound); Activation of the Coagulation (blue light - acute sound);

Neutral Electrode (red light - loud, intermittent and not adjustable sound).

Mains:230/115VAC± 10% ~ 50/60Hz

Absorption at 230V: Max power 3,6A=828VA, Stand-by 0,4A= 92VA

Enclosure: protected against the penetration of liquids, according to IEC 60601-1

Cooling: by convection, without fan

Equipotential Connection: standard plug DIN 42801

Dimensions and Weight (LxDxH):  400/A MCDSe: 38x38x16 cm – 16 Kgs 400 MCDSe, 350 MCDSe, 250 MCDSe, 200 MCDSe: 38x35x16 cm– 15 Kgs

Facility to use an external module for Argon gas All the models: 400 MCDSe, 350 MCDSe, 250 MCDSe, 200 MCDSe

Argon gas section (only into the model Excell 400/A MCDSe) Supply: Both with 1 or 2 cylinders of 5lt. and with centralized system Max. Flow and Gas Pressure: 15lt/min. At the entrance: 2.5atm; during the functioning: 1atm

Control of the flow through Constant Flow System: from 1 to 15lt/min, through an electronic sensor with adjusting buttons, visual check on the bar-led, automatic auto-compensation according to the used electrode, and alarm just in case of absence of gas.

Control of the pressure into the circuit Safety Gas System: Reducer of the pressure on the cylinder; internal reducer of the pressure with safety valve; pressure sensor connected to the electronic control system with Auto-Check when the gas section is switched on.

Protection of the delivered gas flow: The gas output is equipped with antibacterial filter.

OUTPUT POWERS, NOMINAL LOADS OPEN CIRCUIT PEAK-TO-PEAK VOLTAGE, CREST FACTORS, MODULATIONS (Mod), DUTY CYCLE (Duty)

Monopolar Power	EXCELL 400 MCDSe*	EXCELL 350 MCDSe	EXCELL 250 MCDSe	EXCELL 200 MCDSe
PURE - Cut Mod:- Duty:-	400 WRMS a 350 ohm 3450 Vpp CF 1.6	350 WRMS a 350 ohm 3450 Vpp CF 1.6	280 WRMS a 350 ohm 3450 Vpp CF 1.6	200 WRMS a 350 ohm 3450 Vpp CF 1.6
BLEND 1 - Blend Cut Mod: 29kHz Duty: 65%	300 WRMS a 350 ohm 3600 Vpp CF 2.3	300 WRMS a 350 ohm 3600 Vpp CF 2.3	280 WRMS a 350 ohm 3540 Vpp CF 2.3	200 WRMS a 350 ohm 3500 Vpp CF 2.3
BLEND 2 - Blend Cut Mod: 19 kHz Duty: 9%	140 WRMS a 600 ohm 7600 Vpp CF 8.1	140 WRMS a 600 ohm 7600 Vpp CF 8.1	140 WRMS a 600 ohm 7600 Vpp CF 8.1	140 WRMS a 600 ohm 7600 Vpp CF 8.1
ENDO - Blend Cut composto da: 50% PURE- 50% PINPOINT	250 WRMS a 350 ohm 1880 Vpp CF 7.1	220 WRMS a 350 ohm 1880 Vpp CF 7.1	220 WRMS a 350 ohm 1880 Vpp CF 7.1	200 WRMS a 350 ohm 1880 Vpp CF 7.1
FULG FORCED - Fulguration Mod: 78 kHz Duty: 35%	150 WRMS a 350 ohm 4700 Vpp CF 4.5	150 WRMS a 350 ohm 4700 Vpp CF 4.5	150 WRMS a 350 ohm 4700 Vpp CF 4.5	150 WRMS a 350 ohm 4700 Vpp CF 4.5
PINPOINT CONTACT- Coag Contact Mod: 29 kHz Duty: 50%	250 WRMS a 250 ohm 3460 Vpp CF 2.6	250 WRMS a 250 ohm 3460 Vpp CF 2.6	250 WRMS a 250 ohm 3460 Vpp CF 2.6	200 WRMS a 250 ohm 3400 Vpp CF 2.6
SOFT - Coag. Soft Mod: 29 kHz Duty: 56%	280 WRMS a 250 ohm 3440 Vpp CF 2.5	280 WRMS a 250 ohm 3440 Vpp CF 2.5	280 WRMS a 250 ohm 3440 Vpp CF 2.5	200 WRMS a 250 ohm 3020 Vpp CF 2.5
SPRAY - Coag. Spray Mod: 19 kHz Duty: 9%	140 WRMS a 600 ohm 7600 Vpp CF 8.1	140 WRMS a 600 ohm 7600 Vpp CF 8.1	140 WRMS a 600 ohm 7600 Vpp CF 8.1	140 WRMS a 600 ohm 7600 Vpp CF 8.1

*Model MCDSe 400/A delivers the same power level of MCDSe400; it's already completed with Argon coagulator inside the unit.

Bipolar Power	EXCELL 400 MCDSe	EXCELL 350 MCDSe	EXCELL 250 MCDSe	EXCELL 200 MCDSe
PURE - Cut Mod: - Duty: -	140 WRMS a 300 ohm 790 Vpp CF 1.5	140 WRMS a 300 ohm 790 Vpp CF 1.5	99 WRMS a 300 ohm 790 Vpp CF 1.5	140 WRMS a 300 ohm 790 Vpp CF 1.5
BLEND - Blend Cut Mod: 29 kHz Duty: 75%	120 WRMS a 300 ohm 980 Vpp CF 1.8	120 WRMS a 300 ohm 980 Vpp CF 1.8	120 WRMS a 300 ohm 980 Vpp CF 1.8	120 WRMS a 300 ohm 980 Vpp CF 1.8
MICRO - Coag. Micro Precise Mod: - Duty: -	120 WRMS a 100 ohm 450 Vpp CF 1.7	120 WRMS a 100 ohm 450 Vpp CF 1.7	120 WRMS a 100 ohm 450 Vpp CF 1.7	120 WRMS a 100 ohm 450 Vpp CF 1.7
MICRO AUTO- Automatic Coag. Micro Precise Mod: - Duty: -	120 WRMS a 100 ohm 450 Vpp CF 1.7	120 WRMS a 100 ohm 450 Vpp CF 1.7	120 WRMS a 100 ohm 450 Vpp CF 1.7	120 WRMS a 100 ohm 450 Vpp CF 1.7
MACRO - Standard Macro Coag. Mod: - Duty: -	120 WRMS a 100 ohm 760 Vpp CF 1.7	120 WRMS a 100 ohm 760 Vpp CF 1.7	120 WRMS a 100 ohm 760 Vpp CF 1.7	120 WRMS a 100 ohm 760 Vpp CF 1.7

EXCELL NHP SERIES

DIATHERMY UNITS AND ARGON GAS ENHANCED DIATHERMY UNITS FOR MAJOR SURGERY 

  EXCELL  NHP SERIES

Thanks to the possibilities offered by the most recent micro-processors, the new models Excell NHP have been designed according to a “manufacturing philosophy” which privileges the easy and immediate comprehension of all the usage/regulation modes, and at the same time guarantees a wide range of performances, an absolute reproducibility and functioning personalization, as well as a maximum safety and reliability. The series is composed of three models for electro-surgery, Excell NHP-400/D, Excell NHP-350/D, and Excell NHP-250/D, which can all be connected to an independent Argon gas module; there are also two models for electro-surgery and electro-surgery with Argon gas: Excell NHP-400/DA and Excell NHP-250/DA.

EXCELL NHP endoMED is an electrosurgical unit complete, technologically extremely advanced and suitable for every kind of monopolar and bipolar use in all the surgical fields. It is even provided with a special current for the bipolar cut under liquid, and it is self controlled by a specific and innovative operative software, which makes it particularly indicated for all the new endoscopic procedures in urology and gynaecology in saline solution.

100 FUNCTION MEMORIES

In order to help the operators and assure the perfect personalization of the performances, the models Excell NHP allow memorizing and then selecting through a simple button 100 complete functioning programs, which include pre-set programs for the general or the laparoscopic surgery, the endoscopic surgery under liquid, the flexible endoscopic surgery, as well as the simple bipolar mode. For the models equipped with the Argon gas function, there are also the programs for the usage in general or laparoscopic surgery, as well as the programs for flexible endoscopy with or without the Argon gas.
A WIDE RANGE OF CURRENTS TO SATISFY ALL THE OPERATING NEEDS
The Excell NHP units have got 17 currents: 10 for the monopolar usage, and 7 for the bipolar usage.
Three for the monopolar cut, with self regulation ADC System – constant power andStarting impulse control
•	Pure, non modulated sinusoidal current for the cut without any coagulating effect;
•	Blend 1, modulated and pulsed sinusoidal current for the cut with normal coagulating effect.
	These 2 currents, thanks to specific auto-check software, are perfect for all kinds of usage: normal or specialist surgery, laparoscopy, TUR and vaporization, as well as all the applications under liquid.
•	Blend 2, modulated and pulsed current for the cut with a strong coagulating effect spray type for surgery or laparoscopy.
Three for the monopolar cut, with self regulation APC System – constant voltage andStarting impulse control
•	Auto Pure, non modulated sinusoidal current for the cut without any coagulating effect;
•	Auto Blend, modulated and pulsed sinusoidal current for the cut with normal coagulating effect;
•	Auto Endo, current with alternating phases of cut and coagulation for the flexible endoscopy.
These currents are perfect for the normal surgery, the laparoscopy and the flexible endoscopy, notably when a very delicate effect with a minimum superficial necrosis is desired.
Four for the monopolar coagulation with self regulation ADC System – constant power
•	Fulg Forced, modulated high voltage current with an optimum superficial and deep efficacy, which is suitable both for the direct usage with an active small section electrode and for the indirect usage through an insulated coagulation forceps. It is perfect also to obtain a cut with a strong coagulating effect;
•	PinPoint-Contact, modulated medium voltage current, which is very similar to the previous one, but with a more delicate effect;
•	Soft, modulated low voltage current with a strong deep effect, and no superficial carbonization. It is perfect for the direct usage with coagulation electrodes, or for the indirect usage through an insulated coagulation forceps;
•	Spray, modulated and pulsed very high voltage current, with a very strong superficial effect and a low penetration into the tissues. It is perfect for the direct usage without any contact, with small section electrodes.
Two for the bipolar cut, with self regulation ADC System – constant power and Starting impulse control
•	Pure, non modulated pulsed sinusoidal current for the cut;
•	Blend, modulated and pulsed sinusoidal current for the cut with coagulating effect. With laparoscopic forceps, it is also suitable to obtain a strong coagulating effect only. Thanks to some specific auto-check software, these currents are perfect for all kinds of usage: normal or specialist surgery, laparoscopy, TUR and all other bipolar applications with saline solution.
Thanks to some specific auto-check software, these currents are perfect for all kinds of usage: normal or specialist surgery, laparoscopy, TUR and all other bipolar applications with saline solution.
Two for the bipolar coagulation, with self regulation APC System – constant voltage
•	Micro CV, non modulated low voltage current for very delicate coagulations with Soft / Micro Precise effect, a minimum superficial carbonization, and no sticking on the tissues;
•	Micro Auto, identical to Micro CV, but with Auto Start / Auto Stop Impedance Sensing and Start Delay adjustable from 0 to 5 sec. It is perfect for the usage with manual activation, and no need of special forceps with switch device.
Two for the bipolar coagulation, with self regulation ADC System – constant power
•	Micro HC, current with Standard Forced effect in order to rapidly coagulate the vascularized points and the bleedings during the procedures with saline solution, and use instruments with tips of big dimensions;
•	Macro, modulated and pulsed current with a stronger effect than the Micro HC current.
One for the coagulation / sealing of big vessels, with self regulation ADC System – constant power
•	Seal HC, pulsed current to coagulate and close the big vessels with a minimum superficial carbonization and no sticking of the tissues. It can be activated through a pedal foot-switch, and thanks to the Auto Stop Impedance Sensing system it is very efficacious and easy to use, in laparoscopy too.

COMPLETE OUTPUT POWER CONTROL
In order to guarantee the best possible efficiency and the minimum side effects, all the output currents are completely self controlled through a micro-processor with three different systems:
•	ADC System – constant power which automatically adjusts the powers by verifying the voltage and the current, according to a continuous feed-back in real time (7,000 checks/sec) between the unit and the patient tissues, as well as between the electrode and its rapidity of sliding on the tissues. This system is also necessary to intervene in an efficacious way on many types of tissue or under liquid with the lowest possible powers;
•	APC System – constant voltage which automatically adjusts the powers, by keeping the voltage – and so the currents electric arc – constant, according to a continuous feed-back in real time (7,000 checks/sec) between the unit and the patient tissues, as well as between the electrode and its rapidity of sliding on the tissues. This system is also necessary to intervene in an efficacious and very delicate way on the operating point with the minimum superficial necrosis;
•	Starting impulse control which electronically checks the starting pulse of the cut currents, in order to guarantee the maximum efficacy with the lowest possible powers.
ALL POSSIBLE USAGE MODES, TWO MONOPOLAR OUTPUTS AND TWO BIPOLAR OUTPUTS
All models are equipped with: two monopolar outputs, which can be used at the same time by two different operators through the Twin activation device; two bipolar outputs, which are very useful and common today, notably in laparoscopy. The two monopolar outputs can be activated by three modes:
•	Both of them by the hand-switches placed on the electrodes holder handles;
•	Both of them by the double pedal foot-switch;
•	One by the hand-switches placed on the electrodes holder handle, and the other by the double pedal foot-switch.
For the usage with the Argon gas module, into the models Excell NHP-400/DA and Excell NHP-250/DA, the two outputs can also be activated as follows:
•	Both of them by the double pedal foot-switch, or both of them by the hand-switches placed on the electrodes holder handles: one is for electro-surgery, and the other one for electro-surgery with Argon gas.
The two bipolar outputs can always be activated independently from the monopolar ones, by three modes:
•	For the cut or the coagulation, by the double pedal foot-switch;
•	For the coagulation, by selecting the Micro Auto current, through the automatic Auto Start / Auto Stop Impedance Sensing, with a starting delay adjustable from 0 to 5 sec;
•	For the coagulation and the sealing of the big vessels, by selecting the Seal HC current, with activation by the pedal foot-switch and automatic Auto Stop Impedance Sensing.

BETTER PERFORMANCES, MAXIMUM SAFETY
The Excell models are equipped with an auto-check system at double microprocessor that is the Master/Slave System with two 32 bit-Microprocessors. It is characterized by an interconnection in feed-back, a serial communication, as well as a double memorization of the functioning data with validity control CRC at 16 bit, which has got a big operational capacity and can optimize the execution rapidity of all the different functions, which are necessary to guarantee the maximum safety and functionality.
Auto-Check, complete auto-check of the hardware / software by:
•	Main Auto-Check, main auto-diagnosis procedure at the switching-on;
•	Standard Auto-Check, continuous check of all the functioning parameters during the usage;
•	Immediate interruption of the functioning with contemporary alarm signal for the operators through specific Error Codes, just in case the auto-diagnosis systems find out some problems or damages to the General Error Control, that is the general functioning / activation errors, or to the Output Error Control, that is the delivery of the powers, in order to avoid the risk of a sudden and dangerous output of a power which is higher than the selected one.
•	Memorization of the last 32 Error codes, to favour the checks and the technical assistance.
Output Power Control, the complete auto-check of the output powers (see above)
HF Leakage Control, check of the high frequency leakage currents to earth
	The system, through a specific circuit, always verifies the leakage currents to hearth, and, just in case of dangerous situations - like the contact between the patient and the metallic parts of the operating table -, it keeps them within the safety limits, by automatically decreasing the output powers and by giving an alarm signal.
Argon section Auto-Check into the models Excell NHP-400/DA and Excell NHP-250/DA
At the switching on, the Argon section performs a complete auto-diagnosis on its circuit about what follows: mains supply, pressure, loss or absence of gas.
ELECTRO-SURGERY WITH ARGON GAS
The models Excell NHP-400/D, Excell NHP-350/D and Excell NHP-250/D can be used with an external module for the Argon gas, while the models Excell NHP-400/DA and Excell NHP-250/DA are already complete with all the necessary functions for the electro-surgical cut and coagulation with this type of gas; therefore, they guarantee big advantages if compared to the systems composed by the electro-surgical unit and the separate Argon module. The absence of interface devices, a bigger simplicity of functioning, the possibility to connect and use at the same time the accessories for electro-surgery and electro-surgery with Argon gas, the automatic output of the right modulated and pulsed spray coagulation when the Argon gas coagulation is activated independently from the type of coagulation selected for the simple electro-surgery, as well as the self-compensation of the gas flow Constant Flow Systemaccording to the diameter of the electrodes, with a perfect control of the penetration depth, make this technical “solution” very efficacious and appreciated by all the operators who, in general or specialist surgery, in laparoscopy or in flexible endoscopy, ask for those particular effects that are typical of the Argon gas coagulation. Among them, we can remember the rapid haemostasis of big bleeding areas without any contact nor sticking of the electrode on the tissues, a minimum deep effect (max. 3mm), a low risk of perforation of the tissues, and finally the absence of smokes and smells.
NEUTRAL ELECTRODE CONTROL CIRCUIT NPCC SYSTEM
The Excell models are equipped with a circuit that can verify the connection / contact of the neutral electrodes “non Split” type with a single section and “Split” type with a double section. With the “non Split” electrodes, the system checks the right connection of the cable: if it is broken / non well connected, the circuit interrupts the delivery of the power and gives a luminous acoustic alarm signal. With the “Split” electrodes, the system also checks the quality of the contact between the electrode and the patient tissues, by giving progressive alarm signals. If only 80% of the adult standard electrode surface is well connected, it gives the first luminous alarm signal; if the good contact of the electrode decreases to 50%, it gives another luminous alarm signal and automatically reduces the output power to max. 200W. Finally, if the contact is dangerous or the cable is broken / non well connected, the circuit interrupts the delivery of the power with a complete acoustic and luminous alarm signal.
VERY EASY TO USE
The control panels, which are completely smooth to guarantee the maximum cleaning, are divided into coloured areas that identify all the different functions and contain the selection / regulation devices, the luminous signals of activation or alarm, as well as all the visible displays which show the selected powers to the operators. In order to favour the connection of the accessories, all the outputs are equipped with luminous indicators that light according to the selected functioning modes.
STATE-OF-THE-ART MANUFACTURING TECHNOLOGY
The manufacturing technology has been studied with extreme care, in order to guarantee the maximum reliability. The generator of the high frequency currents is Mosfet powered damped oscillator with switching supply type; it has no problem of heating for a usage without limits of time. The unit has got interchangeable boards to favor the technical assistance, and before entering into the market it must follow severe test procedures, with 100 functioning hours at maximum power. In order to facilitate the maintenance, the machine memorizes the 32 last Error Codes, and it is equipped with a state-of-the-art software system which allows its on-site calibration by using the front panel only.
ON-SITE CALIBRATION AND UPGRADE SOFTWARE TO GUARANTEE VERY HIGH PERFORMANCES
Thanks to the new software system, the units can be calibrated on-site, by using the front panel only; moreover, they have been studied to allow an eventual future updating of the software technology, through a simple serial port connected to a PC.
FOOT-SWITCH PEDALS
The choice of the pedal foot-switches is extremely flexible, according to the operators’ preferences. As a matter of fact, the Excell units can be used with one double pedal foot-switch, which allows the activation of the monopolar or bipolar functions, and with a second double pedal foot-switch, which is indicated for the independent activation of the bipolar functions only.
ELIMINATION AND FILTERING OF THE SMOKES
The units can be equipped with automatic activation aspirators that guarantee the efficacious and silent elimination of smokes or electro-surgical aerosol; they reduce not only the risks of a viral and bacterial contamination into the whole operating theatre, but they also solve the big problem of the visibility on the operating field, which is fundamental for the surgeons, notably during the laparoscopic procedures.

TECHNICAL FEATURES

Electronic Generator, compliant with: IEC 601-1 and IEC 60601-2-2 Standards

Classification 93/42 EEC: IIB

Approval 93/42 EEC: 187 MDD-IMQ 0051

Electromagnetic Compatibility: Unit is compliant with IEC 60601-1-2, Test report IMQ nr.80SF00709/1, 80SF00709/2

Classification and Type IEC 601-1: Class I, Type CF Typical BF leakage currents: on the patient: 4 µA= 0.004mA, into the enclosure: 1 µA= 0.001mA, to earth:30 µA= 0.3mA

Output Circuit according to IEC 60601-2-2:“Floating” insulated at low and high frequencies, protected against the use of the defibrillator. Typical high frequency leakage currents: 100mA.

ALSA Quality System: Approved ISO 9001:2000 and ISO 13485:2003.

Monopolar and bipolar working frequency:  440 kHz ± 5%

Functioning Control System: with double microprocessor Master/Slave System with 2 32 bit-microprocessors with interconnection in feed-back with serial communication and double memorization of the functioning data with validity control CRC at 16 bit, which performs what follows:

Auto-Check, complete self control of the hardware / software with:

• Main Auto-Check main auto-diagnosis procedure at the switching on; • Standard Auto-Check continuous auto-diagnosis during the whole functioning; • • Immediate interruption of the functioning (in less than 100millisec) with contemporary alarm signal to the operators through specific Error Codes, when the auto-diagnosis systems find out some problems or failures about: a) General Error Control, that is the general functioning or the activation errors; b) Output Error Control, that is the delivery of the powers, in order to eliminate the risk of a sudden and dangerous output of a power which is higher than the selected one. • Memorization of the 32 last Error Codes in order to facilitate the check and the technical assistance.

Output Power Control, complete self regulation by microprocessors of the output powers through three different modes:

• ADC System – constant power which automatically auto-adjusts the powers by verifying the voltage and the current, according to a continuous feed-back in real time (7,000 checks/sec) between the unit and the patient tissues, as well as between the electrode and its rapidity of sliding on the tissues. This system is also necessary to intervene in an efficacious way on many types of tissue or under liquid with the lowest possible powers;

• APC System – constant voltage which automatically auto-adjusts the powers, by keeping the voltage – and so the currents electric arc – constant, according to a continuous feed-back in real time (7,000 checks/sec) between the unit and the patient tissues, as well as between the electrode and its rapidity of sliding on the tissues. This system is also necessary to intervene in an efficacious and very delicate way on the operating point with the minimum superficial necrosis;

• Starting impulse control which electronically checks the starting pulse of the cut currents, in order to guarantee the maximum efficacy with the lowest possible powers.

HF Leakage control, check of the high frequency leakage currents to earth:  The system, through a specific circuit, always verifies the leakage currents to hearth, and, just in case of dangerous situations, it keeps them within the safety limits, by automatically decreasing the output powers and by giving an alarm signal.

Argon section Auto-Check, into the models Excell NHP-400/DA and Excell NHP-250/DA,complete auto-check of the Argon gas circuit. At the switching on, the Argon section performs a complete auto-diagnosis on its circuit about what follows: mains supply, pressure, loss or absence of gas.

Functioning memorization: 100 memorisable programs; among them, some pre-set programs for general or laparoscopic surgery, endoscopic surgery under liquid and flexible endoscopic surgery, as well as for the bipolar use only. Into the models Excell NHP-400/DA and Excell NHP-250/DA, which are already equipped with the Argon gas functions, there are also pre-set programs for the usage in general or laparoscopic surgery and flexible endoscopy with or without the Argon gas.

Micro/macro powers adjusting by push-buttons with low/fast changing and steps: Monopolar:0/30W=1W, 30/100W= 2W, 100/200W=5W, da 200W=10W Bipolar: 0/10W=0,5W, 10/30W=1W, 30/100=2W, da 100 W=5W

Selected powers control: by displays.

Outputs, activations  All the models are equipped with two monopolar outputs and two bipolar outputs The two monopolar outputs can be used at the same time by two different operators with Twin activation device, as follows: • Both of them by the double pedal foot-switch; • Both of them by the hand switches placed on the electrodes holder handles; • One by hand switches and one by the double pedal foot-switch. 250/DA, the two outputs can also be activated as follows: • Both of them by the double pedal foot-switch: one for the electro-surgery, and one for the electro-surgery with Argon gas; • Both of them by the hand switches placed on the electrodes holder handles: one for the electro-surgery, and one for the electro-surgery with Argon gas. The two bipolar outputs can be always activated independently from the monopolar ones, through three modes: • For the cut or the coagulation, by the double pedal foot-switch; • For the coagulation, with the Micro Auto current, by the automatic Auto Start / Auto StopImpedance Sensing device and starting delay adjustable from 0 to 5 sec. • For the coagulation / sealing of big vessels, with the Seal HC current, by the pedal foot-switch and automatic Auto Stop Impedance Sensing.

Foot-switches The Excell units can be equipped with: • One double pedal foot-switch, selectable for the monopolar or bipolar functions; • Two double pedal foot-switches: one for the monopolar functions, and one for the bipolar functions. The pedals are compliant with IEC 60601-2-2 Standard, and have an extra protection against the involuntary activation; they are waterproof (IPX7), and have a low tension supply for medical safety 12VDC.

Neutral electrode safety circuit NPCC System Complete control on the connection of the neutral electrodes “non split” type with one single section, and “split” type with double section. With the “non split” electrodes, it checks the status of the cable and its connection. • If the cable is broken/non well connected, the circuit interrupts the delivery of the power and gives a luminous acoustic alarm. With the “split” electrodes, it also checks the contact between the electrode and the patient tissues. • If only 80% of an adult standard electrode is well connected, the circuit gives a first luminous alarm signal. If the contact decreases to 50%, it gives another luminous alarm signal, and automatically reduces the output power to max. 200W. Finally, if the contact is dangerous or the cable is broken/non well connected, it interrupts the delivery of the power by giving a complete acoustic and luminous alarm signal.

Colour codes and luminous or acoustic signals compliant with IEC 60601-2-2

Cut: hand switches or pedal foot-switches (yellow), activation (yellow light / low tone); Coagulation: hand switches or pedal foot-switches (blue), activation (blue light / high tone); Neutral electrode alarm: (red light / high and intermittent tone, not adjustable).

Mains:230/115VAC± 10% ~ 50/60Hz

Absorption at 230V: max power 3.6A=828VA, Stand-by 0.4A=92VA

Enclosure: protected against the penetration of liquids, according to IEC 60601-1

Cooling: by convection, without fan

Equipotential Connection: standard plug DIN 42801

Software Updating: through a serial port connected to a PC

On-site Calibration: yes, special software

Dimensions and Weight (LxDxH) NHP 400/DA, NHP 250/DA: cm 38x38x16 – 16 Kgs NHP 400/D, NHP 350/D, NHP 250/D: cm 38x35x16 – 15 Kgs

Facility to use an external module for Argon gas The models: NHP 400/D, NHP 350/D, NHP 250/D.

Argon gas section (model Excell NHP 400/DA and Excell NHP 250/DA only) Supply: both with 1 or 2 cylinders of 5lt. and with a centralized system;

Max. flow and gas pressure: 15lt/min - input pressure: 2.5 atm; working pressure: 1 atm;

Control of the flow through Constant flow System:from 1 to 15lt/min., through an electronic sensor with adjusting buttons, visual check on the bar-led, automatic auto-compensation according to the used electrode, and alarm just in case of absence of gas;

Control of the pressure into the circuit Safety gas System: Reducer of the pressure on the cylinder; internal reducer of the pressure with safety valve; pressure sensor connected to the electronic control system with Auto-Check when the gas section is activated;

Protection of the supplied gas flow: The output device for the gas is equipped with antibacterial filter.

OUTPUT POWERS, OPEN CIRCUIT PEAK TO PEAK VOLTAGES AND CREST FACTORS

Monopolar modes	EXCELL 400/D NHP*	EXCELL 350/D NHP	EXCELL 250/D NHP*
PURE - Pure Cut Mod:- Duty:-	400 WRMS @ 350 ohm 3450 Vpp CF 1.6	350 WRMS @ 350 ohm 3450 Vpp CF 1.6	280 WRMS @ 350 ohm 3450 Vpp CF 1.6
BLEND 1 - Blend Cut Mod: 29kHz Duty: 65%	300 WRMS @ 350 ohm 3600 Vpp CF 2.3	300 WRMS @ 350 ohm 3600 Vpp CF 2.3	280 WRMS @ 350 ohm 3540 Vpp CF 2.3
BLEND 2 - Blend Cut Mod: 19 kHz Duty: 9%	140 WRMS @ 600 ohm 7600 Vpp CF 8.1	140 WRMS @ 600 ohm 7600 Vpp CF 8.1	140 WRMS @ 600 ohm 7600 Vpp CF 8.1
AUTO PURE - APC System Constant Voltage Pure Cut Mod: - Duty: -	400 WRMS @ 350 ohm 3450 Vpp CF 1.6	350 WRMS @ 350 ohm 3450 Vpp CF 1.6	280 WRMS @ 350 ohm 3450 Vpp CF 1.6
AUTO BLEND - APC System Constant Voltage Blend Cut Mod: 29 kHz Duty: 65%	300 WRMS @ 350 ohm 3600 Vpp CF 2.3	300 WRMS @ 350 ohm 3600 Vpp CF 2.3	280 WRMS @ 350 ohm 3540 Vpp CF 2.3
AUTO ENDO - Blend Cut composed of: 50% PURE- 50% PINPOINT	250 WRMS @ 350 ohm 1880 Vpp CF 7.1	220 WRMS @ 350 ohm 1880 Vpp CF 7.1	220 WRMS @ 350 ohm 1880 Vpp CF 7.1
FULG FORCED - Fulguration Mod: 78 kHz Duty: 35%	150 WRMS @ 350 ohm 4700 Vpp CF 4.5	150 WRMS @ 350 ohm 4700 Vpp CF 4.5	150 WRMS @ 350 ohm 4700 Vpp CF 4.5
PINPOINT CONTACT- Coag Contact Mod: 29 kHz Duty: 50%	250 WRMS @ 250 ohm 3460 Vpp CF 2.6	250 WRMS @ 250 ohm 3460 Vpp CF 2.6	250 WRMS @ 250 ohm 3460 Vpp CF 2.6
SOFT - Coag Soft Mod: 29 kHz Duty: 56%	280 WRMS @ 250 ohm 3440 Vpp CF 2.5	280 WRMS @ 250 ohm 3440 Vpp CF 2.5	280 WRMS @ 250 ohm 3440 Vpp CF 2.5
SPRAY - Coag Spray Mod: 19 kHz Duty: 9%	140 WRMS @ 600 ohm 7600 Vpp CF 8.1	140 WRMS @ 600 ohm 7600 Vpp CF 8.1	140 WRMS @ 600 ohm 7600 Vpp CF 8.1

*Model 400/DA and 250/DA delivers the same HF output powers of 400/D and 250/D respectively; they're completed with Argon coagulator section inside the unit.

Bipolar modes	EXCELL 400/D NHP	EXCELL 350/D NHP	EXCELL 250/D NHP
PURE - Pure Cut Mod: - Duty: -	160 WRMS @ 300 ohm 850 Vpp CF 1.5	160 WRMS @ 300 ohm 850 Vpp CF 1.5	160 WRMS @ 300 ohm 850 Vpp CF 1.5
BLEND - Blend Cut Mod: 29 kHz Duty: 75%	130 WRMS @ 300 ohm 1000 Vpp CF 1.8	130 WRMS @ 300 ohm 1000 Vpp CF 1.8	130 WRMS @ 300 ohm 1000 Vpp CF 1.8
MICRO CV - APC Constant VoltageCoag. Micro Precise Mod: - Duty: -	130 WRMS @ 100 ohm 450 Vpp CF 1.7	130 WRMS @ 100 ohm 450 Vpp CF 1.7	130 WRMS @ 100 ohm 450 Vpp CF 1.7
MICRO HC - Coag. Micro Precise Mod: - Duty: -	130 WRMS @ 100 ohm 760 Vpp CF 1.7	130 WRMS @ 100 ohm 760 Vpp CF 1.7	130 WRMS @ 100 ohm 760 Vpp CF 1.7
MICRO AUTO- Coag. Micro Precise Automatic Start/Stop Mod: - Duty: -	130 WRMS @ 100 ohm 450 Vpp CF 1.7	130 WRMS @ 100 ohm 450 Vpp CF 1.7	130 WRMS @ 100 ohm 450 Vpp CF 1.7
MACRO - Coag. Standard Macro Mod: - Duty: -	130 WRMS @ 100 ohm 760 Vpp CF 1.7	130 WRMS @ 100 ohm 760 Vpp CF 1.7	130 WRMS @ 100 ohm 760 Vpp CF 1.7
SEAL - Coag. Macro with Automatic Stop Mod: - Duty: -	130 WRMS @ 100 ohm 710 Vpp CF 1.7	130 WRMS @ 100 ohm 710 Vpp CF 1.7	130 WRMS @ 100 ohm 710 Vpp CF 1.7