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Olympus ESG-100 / AFU-100 A new dimension in electrosurgery

Olympus ESG-100 / AFU-100 A new dimension in electrosurgery. December 9, 2007 Ralph Gloser Celon AG. ESG-300. PSD-60. VIO 200D. ICC 200. VIO 300D. ESG-100. EndoStatII. PSD-30. ICC 80. Product Positioning. Price. Capture middle segment customer with new function, new technology.

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Olympus ESG-100 / AFU-100 A new dimension in electrosurgery

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  1. Olympus ESG-100 / AFU-100A new dimension in electrosurgery December 9, 2007 Ralph Gloser Celon AG

  2. ESG-300 PSD-60 VIO 200D ICC 200 VIO 300D ESG-100 EndoStatII PSD-30 ICC 80 Product Positioning Price Capture middle segment customer with new function, new technology... Capture low segment customer with middle range function and reasonable low price low middle high Function

  3. System Solution

  4. Simply Smart.

  5. Key Features • HF generator for G&R applications • 120 Watts maximum output power • Supports common G&R procedures • Enables new G&R procedures • Simple user interface • Highest safety standards • System approach withperistaltic pump

  6. Modes • Monopolar Cutting: - Cut 1 / Cut 2 / Cut 3 • - PulseCut slow / PulseCut fast • Monopolar Coagulation: - SoftCoag • - ForcedCoag 1 / ForcedCoag 2 • Bipolar Cutting: - Cut 1 / Cut 2 / Cut 3 • Bipolar Coagulation: - SoftCoag • - RFCoag / RFCoag + RCAP

  7. High Power Cut Support (HPCS) Optimizes cutting procedures without initial delays Leads to higher effectiveness of cutting procedures Technical Highlights

  8. High Power Cut Support (HPCS) very high power within 3 ms HPCS in PulseCut mode Duration of HPCS: until spark is detected; max. 50 ms

  9. High Power Cut Support (HPCS) Optimizes cutting procedures without initial delays Leads to higher effectiveness of cutting procedures Fast Spark Monitor (FSM) Allows the application of output powers that are as low as possible and as much as necessary Significantly reduces leakage currents, optimizes tissue effects and protects ET instruments Technical Highlights

  10. Cs HF generator HF current Control cutting direction Signalprocessing DC voltage measurement Set value (Cut 1,2,3) sparks Fast Spark Monitor (FSM) When cutting tissue, an electric arc is generated between the tissue and the electrode. This arc generates a DC voltage across the capacitor (Cs). This DC voltage is used to control the output voltage.

  11. High Power Cut Support (HPCS) Optimizes cutting procedures without initial delays Leads to higher effectiveness of cutting procedures Fast Spark Monitor (FSM) Allows the application of output powers that are as low as Possible and as much as necessary Significantly reduces leakage currents, optimizes tissue effects and protects ET instruments Leakage Protection Sensor (LPS) Permanently measures the leakage current to earth S-cord obsolete  simpler handling and cost-savings Offers highest safety to user and patient Technical Highlights

  12. Leakage Protection Sensor (LPS) Measurement ofdifference betweenIin and Iout The LPS automatically monitors the HF leakage current through the patient and produces an optic and acoustic signal if the current is too high.

  13. Simply Smart.

  14. Polypectomy / Hot Biopsy Sphincterotomy Hemostasis Endoscopic Mucosal Resection Endoscopic Submucosal Dissection Tumor Ablation HF Applications in G&R

  15. Simply Smart.

  16. Meeting your needsin your daily clinical work ...

  17. …is extremly user-friendly… „The new Olympus ESG-100 generator is extremely user-friendly and offers all the options that I need for Cutting and Coagulation in the GI tract…..“ Dr. Brian Saunders, St. Marks Hospital, London, UK

  18. … what we need for our daily use… „In my first evaluation of this new Olympus generator, I really appreciated its ease of use and effectiveness – this is exactly what we need for our daily use….“ Dr. med. Peter N. Meier, Medical Director of the Medizinische Klinik II, Diakoniekrankenhaus Henriettenstiftung gGmbH, Hannover, Germany

  19. …even suitable for beginners… „The Olympus ESG-100 is perfect. The system is easy to use – thus even suitable for young doctors who just need a few functions in electrosurgery.“ Nadja Triller, MD, University Clinic of Respiratory and Allergic Diseases, Golnik, Slovenia

  20. ….superficial cutting without any risk to damage deeper tissue structures… „The PulseCut modes of this new Olympus generator are impressive. I really like the excellent superficial cutting performance - without any risk to damage deeper tissue structures. An outstanding new electrosurgical generator...“ Dr. Chris E. Forsmark, Professor of Medicine, Chief Division of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, FL, USA

  21. ….excellent cutting performance…without any restrictions in safety… „The Olympus ESG-100 offers excellent cutting performance. This new HF generator allows faster cutting than other generators - without any restrictions in safety. The coagulation was very good…..“ Dr. med. Schad, Gemeinschaftskrankenhaus Havelhöhe, Berlin, Germany

  22. …our doctors and nurses like its compact design and user-friendliness… „The new Olympus generator has got the modes that we need in our daily GI cases. Our doctors and nurses like its compact design and user-friendliness. We plan on getting the ESG-100 for our new endoscopy lab completing well our Olympus equipment….“ Dr. med. Nikos Stergiou, Asklepios Kliniken, Langen-Seligenstadt, Germany

  23. ….excellent for mucosectomies… „The Olympus ESG-100 is excellent for mucosectomies. I am very satisfied with the performance of the new HF generator from Olympus…..” Prof. Dr. Hiroshi Kashida, Showa University Northern Yokohma Hospital, Japan

  24. ….good compromise of cutting and coagulating… „… excellent performance of the new Olympus generator - even in challenging mucosectomies…. The Olympus ESG-100 offers a good compromise of cutting and coagulation…..” Prof. Dr. Thierry Ponchon, Centre Hospitalier Universitaire, Lyon, France

  25. Simply Smart.

  26. Meeting your needsfor advanced procedures ...

  27. ESDready! Endoscopic Submucosal Dissection

  28. Unique ET product portfolio for ESD TT Knife FlexKnife Needle FlexKnife IT Knife2 HookKnife IT Knife

  29. ESD benchmark tests at Olympus lab • Incision (intermittent cut) Conventional generator ESG-100 PulseCut

  30. ESD benchmark tests at Olympus lab • Hemostasis (forced coagulation) Conventional generator ESG-100 ForcedCoag

  31. RFITTready! Radiofrequency Induced Thermotherapy

  32. Bipolar RFITT electrode 2 insulator electrode 1

  33. Coagulation in Egg-White

  34. Radiofrequency Ablation • one rigid RFITT applicator that can be attached with a special connector • internally cooled applicator by AFU-100 • suitable for small tumors (i.e. in the liver) with a diameter < Ø1.0 cm that can be localised by US Please note: the ESG-100 does not replace the CelonLabPower – the system suitable for RFA of tumors of up to 6cm thanks to multipolar RFITT!

  35. NOTESready! Natural Orifice Transluminal Endoscopic Surgery

  36. 1st NOTES workshop with Prof. Dr. Fuchs (Oct. 07)

  37. 2nd NOTES workshop with Prof. Dr. Fuchs (Nov. 07)

  38. Procedural Solutions

  39. Benchmarking OLYMPUS vs. ERBE

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