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

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

• December 9, 2007
• Ralph Gloser
• Celon AG

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Product Positioning
Price
Capture middle segment customer with new
function, new technology...
Capture low segment customer with middle range
function and reasonable low price
Function
high
middle
low
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System Solution
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Simply Smart.
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Key Features

• HF generator for GR applications
• 120 Watts maximum output power
• Supports common GR procedures
• Enables new GR procedures
• Simple user interface
• Highest safety standards
• System approach withperistaltic pump

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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

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Technical Highlights

• High Power Cut Support (HPCS)
• Optimizes cutting procedures without initial
  delays
• Leads to higher effectiveness of cutting
  procedures

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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
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Technical Highlights

• 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

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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.
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Technical Highlights

• 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

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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.
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Simply Smart.
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HF Applications in GR
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Simply Smart.
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Meeting your needsin your daily clinical work ...
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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
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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
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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
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.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
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.excellent cutting performancewithout 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, Gemeinschaftskrankenhau
s Havelhöhe, Berlin, Germany
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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
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.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
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.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.. Pr
of. Dr. Thierry Ponchon, Centre Hospitalier
Universitaire, Lyon, France
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Simply Smart.
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Meeting your needsfor advanced procedures ...
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ESDready!
Endoscopic Submucosal Dissection
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Unique ET product portfolio for ESD
TT Knife
FlexKnife
Needle
FlexKnife
IT Knife2
HookKnife
IT Knife
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ESD benchmark tests at Olympus lab

• Incision (intermittent cut)

Conventional generator
ESG-100 PulseCut
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ESD benchmark tests at Olympus lab

• Hemostasis (forced coagulation)

Conventional generator
ESG-100 ForcedCoag
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RFITTready!
Radiofrequency Induced Thermotherapy
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Bipolar RFITT
electrode 1
electrode 2
insulator
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Coagulation in Egg-White
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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 lt 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!
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NOTESready!
Natural Orifice Transluminal Endoscopic
Surgery
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1st NOTES workshop with Prof. Dr. Fuchs (Oct. 07)
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2nd NOTES workshop with Prof. Dr. Fuchs (Nov. 07)
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Procedural Solutions
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Benchmarking OLYMPUS vs. ERBE
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