1. Evidence-BasedRecommended Practicesfor Electrosurgery COVIDIEN, COVIDIEN with Logo and marked brands are trademarks of Covidien or its affiliate. 2008 Covidien or its affiliate. All rights reserved. R0005658

2. Program Content - Principles of electricity and electrosurgery - Electrosurgical safety innovations - Innovations in hemostasis and tissue division - Best practices for patient safetyCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 3. Universal Properties of ElectricityElectricity always . . .- Seeks ground (its source)- Seeks path of least resistanceCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 4. Properties of Electricity CurrentFlow of electrons during a period of Impedance Obstacle to the flow of current time, measured in amperes measured in ohms Circuit Pathway for the uninterrupted flow of Voltage Force pushing current through the electrons (must be complete/closed to flow) resistance, measured in voltsCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 5. Current Concentration/DispersalCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 6. WaveformsCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 7. Frequency SpectrumCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 8. MonopolarReturn electrode at another site Active electrode at surgical site High voltageCurrent flows through the bodyCoag 3,000-9,000Cut 1,350-4,000COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 9. Bipolar Active and return electrodes within the instrument Current flow confined to tissue between electrodesCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 10. Electrosurgery Safety Innovations1968 Solid state 1995 Tissue response 2006 Tissue sensing 1999 Tissue fusion1926 RF ESU1981 Return electrode monitoringCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 11. Grounded System Revolutionized surgery blood loss could be controlled.Vender, 2005 holds untold possibilities for the future Cushing, 1927 However..Current referenced to earth ground could seek alternate pathway.COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 12. Pathways to GroundGround-referenced ESUs increase safety risks to patientsand are not recommended for use. ECRI, 1995COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 13. Alternate Site Injury Alternate site injury resulted from the use on a ground reference generator. The use of isolated generators has minimized this risk. Still a risk when using large capacitive patient return electrodes. AORN Recommended Practices 2008COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 14. Isolated SystemIsolated ESUs decrease the risk of patient burns and are safer to use ECRI, 1995COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 15. Return Electrode Site Injury Historically the most common injury has been a skin injury at the patient return electrode site. This risk has been minimized through advances in patient return electrode design and the use of return electrode contact quality monitoringAORN Recommended Practices 2008 Non CQM (split) PREsCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 16. Contact Quality MonitoringReturn electrode contact quality monitors help prevent patient burns. ECRI, 1995COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 17. Tissue Response Technology Computer-controlled system senses impedance at active electrode.Adjust output voltage 200 times per second(cut and blend) to maintain consistent surgical effectEggleston et al, 1997COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 18. Clinical Benefits of Tissue Response Reduced lateral thermal spread Fewer power setting changes Less video interference Minimized sparking Consistent/precise tissue effectPollinger et al, 2003 #1 #3 Cut at 30 wattsCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 19. Tissue Sealing/Fusion Technology - Controlled combination of pressure and radiofrequency bipolar energy - Low voltage - High current - Fuses tissue bundles, lymphatics and vessels up to 7 mm in diameter - Clips, sutures, mechanical ligation devices NOT required - Superior clinical performance when compared to ultrasonic scalpel, plasma bipolar coagulator, and nano ES device Lamberton et al, 2008Microscopic stain of arteryCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 20. Tissue Effect of FusionUses energy to denature the collagen and elastin in vessel walls and rearrange thecollagen and elastin into a permanent sealCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 21. Clinical Results of Tissue FusionReduced thermal spreadCan reduce blood lossLess risk of retained needlesFewer needlestick injuriesNo dislodged clipsNo foreign material left behindTissue in normal anatomical position Less sticking, quicker seal and no tissue fusion failures.Ponsky et al, 2008COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 22. Tissue Sensing Technology - Senses tissue impedance - Decisions about tissue and output made every 300 milliseconds, or 3,333 times per second - Lower power settings and voltages in all modes reduces patient injury risk - Closed-loop control coagCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 23. Three Mode Device Three distinct output modes: BLUE CoagulationCuts faster, bleeds less ClearDissection with hemostasis Yellow CutCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 24. Evidence-Based Practices For Electrosurgery Patient SafetyCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 25. Follow Manufacturers Written Instructions ESU and accessories should be used according to the manufacturers written instructions AORN Recommended Practices 2008Instructions are on package inserts and on package wrappers!COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 26. General Safety PrecautionsTest alarm systemsSet activation toneto audible levelPlug accessories into correctreceptacles Confirm power settingsCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 27. Patient Return Electrode Site Selection -Follow manufacturers writteninstructions -Well vascularizedmuscle mass -Convex area -Close to surgical site Hotline News, 2000COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 28. Patient Return Electrodes Site SelectionProsthesesBony prominences Avoid sites high in resistance Ball, 2004 Scar tissueHairCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 29. Patient Return Electrode Site PreparationFollow manufacturersProtect return electrode Do not use flammableinstructions for hairfrom fluid invasionagents for PRE siteremoval, cleaning, andpreparationdrying siteAORN Recommended Practices 2008COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 30. Active ElectrodeActive electrode MUST be in a non-conductiveholster when not in useElectrode that does not fit holster should be placedin a designated site with tip away from flammablematerialActive electrode tips should be securely seatedinto the hand piece AORN Recommended Practices 2008COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 31. Active Electrodes Frequent cleaning of theelectrode tip is recommended. Massarweh, 2006 Use a coated electrode to easily remove eschar buildup on electrode tip.COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 32. Active Electrodes Do not use red rubber catheters or other materials as a sheath. - Red rubber or plastic materials may ignite -Use manufacturer approved insulated tipsCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 33. Radiofrequency Current Leakage - Active electrode cords should not be wrapped around metal instruments - Active electrode and other electrical cords should not be bundled togetherCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 34. Electrosurgery During Pregnancy No evidence to contraindicate use Dispersive amniotic fluid protects fetus from concentration of electrical current No neuromuscular stimulation above 100 kHz radiofrequency range Leonardo da Vinci c. 1510 - 1512 Te Lindes Operative Gynecology Text, 8th EditionCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 35. Pacemakers - Consult pacemaker manufacturer - Use ESU with care - Use bipolar - Use low power setting (cut) - Avoid current flow through heart and pacemaker - Keep cords away from pacemaker and leads Heart with Leads and Pacemaker AORN Recommended Practices 2008COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 36. Implantable Cardioverter Defibrillator (ICD) - Cardiology consult to evaluate ICD function and risk - Defibrillator available - Deactivate ICD before ESU use - ECG and peripheral pulse monitoring - Use bipolar - If monopolar used place PRE close to surgical site - Avoid current flow through heart and ICD - Check ICD post-op by a trained person AORN Recommended Practices 2008 Donnelly, 2007COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 37. Jewelry - Jewelry should be removed if it is within the activation range of the active electrode - When using a reusable, capacitive-coupled return electrode, all of the patients metal jewelry should be removed AORN Recommended Practices 2008COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 38. TattoosAvoid placing the patient return electrodeover a tattoo.AORN Recommended Practices 2008Inks (red in particular) contain metalswhich could serve as a heat or electricalconductor Clinical HotlineCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 39. Hearing Aids Best to remove before surgery. Radiofrequency leakage may cause interference. Radiofrequency current may damage two-piece wireless devices. They should not be worn when electrosurgery is used. ECRI, 2003 Hotline News, 2005COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 40. Avoid Hemostat Burns - Use lowest power setting - Activate low voltage (cut) - Avoid touching patient - Hold hemostat with full grip - Do not open circuit activate - Avoid metal to metal arcing Note: Surgical gloves do not insulate against RF currentCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 41. What is Surgical Smoke?The gaseous byproducts of the disruption and vaporization of tissueprotein and fat.COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 42. Smoke Chemical Soup xylenebenzene ile enitren toaceyrSt xideca rbon monone methaacet yleformnealdehydecyanide letha enoneph tolal uefurfurneCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 43. Chemicals and Health EffectsChemicalHealth EffectsAcetaldehyde Eye, skin, respiratory irritant; causes erythema, coughing, pulmonary edema; may be teratogenic AcroleinEye, skin, respiratory irritant; liver kidney damage; increased clotting time AcetonitrileNose irritant, throat asphyxiant; liver and kidney damage in animal models Benzene Headache, fatigue, weakness; bone marrow damage; trigger for leukemiaStyreneRespiratory irritant; vapors cause nose lining damage in animal models Toluene Eye, respiratory irritant; CNS function; teratogenesis with high inhalation levels XyleneRespiratory irritant; chronic exposure associated with changes in blood cellsCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 44. Evacuate and Filter Smoke Evacuation System Components - Capture device - Vacuum source - Filtration systemCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 45. Promote Patient and Staff Safety ThroughBest Practices An educated perioperative staff is the patients best advocateCOVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658 46. Program Summary - Principles of electricity and electrosurgery - Electrosurgical safety innovations - Innovations in hemostasis and tissue division - Best practices for patient safetyPrior to use, clinicians should review the Instructions forUse package inserts and/or Users Guide provided by themanufacturer to ensure safe and appropriate utilization ofelectrosurgical devices.COVIDIEN, COVIDIEN with Logo andand marked brands are trademarksCovidien AG or its affiliate. 2008 Covidien or itsor its affiliate. All rights reserved. CONFIDENTIAL. Not forCOVIDIEN, COVIDIEN with Logo marked brands are trademarks of of Covidien or its affiliate. 2008 Covidien AG affiliate. All rights reserved. R0005658further distribution or reproduction. R000658