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Trusted
Choices for
Consistent Performance
2
Electrosurgical Grounding Pad & Accessory Guide
3
Explanation of Symbols
The lot in a box and the hourglass are symbols that represent lot number and expiration date.
The hourglass is followed by a year and month which represents the expiration date (year and month: 2010-10).
The entire line after the hourglass represents the lot number (2010-10AZ).
Do not reuse.
Solid Style
Split Style
Universal Pads.
o If YES - use split-style
Universal Pads.
Universal Pads. Universal Pads. To reduce the risk of burns and pressure necroses:
chokes to prevent electrosurgical
• Use ECG cables with RF suppressors/chokes to prevent electrosurgical • Select a smooth, well-vascularized, muscular area close
electrodes. • Use ECG cables with RF suppressors/chokes to prevent
current from flowing5. through
Pad removal
the ECG electrodes. 5. Pad removal to surgical site that allows full Universal Pad-to-skin
red with 3M Universal•Pads.
Use 3M cables and adapters• Doas notrequired
removewith
by pulling on cablePads.
or cord. • Do not remove by pulling on cable or cord.
M Universal Pads are •safe to use
Check for electrosurgical current from flowing through the ECG
expiration date on• package.
Start at corner.
3M Universal
Peel back
3M Universal slowly
Pads at 180
are safe degree
to use for angle to prevent
• Start contact.
skinat corner. Peel back slowly at 180 degree angle to prevent skin
electrodes. trauma.
14 days after package is opened. trauma.
• Site must be clean, dry, and free of hair. Remove hair at
verload the Universal
2. ToPad withthe
Reduce TooRisk of Burns, Do Not Overload the Universal Pad with Too
Much Current For more information on electrosurgery, or to obtain a copy of For the more
3M High application site.
Current on electrosurgery, or to obtain a copy of the 3M High Current
information
vice or active accessory for not
• Do moreactivate theTechnical Bulletindevice
electrosurgical (70-2009-8640-7), go to http://www.3M.com/groundingpad
or active accessory for more Technical Bulletin (70-2009-8640-7), go to http://www.3M.com/groundingpad
od, as this will overload than
the 60 seconds in any 2-minute period, as this will overload the
4
esult in a patient burn. Universal Pad withNotice
currenttoand
manufacturers
may result in of radio frequency
a patient burn. (RF) medical devices
Notice toand active
manufacturers of radio frequency (RF) medical devices and active
activation time, and• a Any combination ofaccessories:
conductive high power,All 3Mactivation
long Universal Pads
time,conform to Section 4.2.3.1accessories:
and a conductive of the AAMI AllHF-18
3M Universal Pads conform to Section 4.2.3.1 of the AAMI HF-18
e Universal Pad with current and Standard, 2001 Edition, which specifies that a grounding pad must be capable
Standard, of
2001 Edition, which specifies that a grounding pad must be capable of
• Do not use electrode gel.
3M Universal Electrosurgical Pads (i.e. grounding pads, neutral electrodes) provide • Do not wrap Universal Pad completely around a limb. Do not overlap.
a safe return path for electrosurgical current. 3M Universal Pads consist of a • Do not reposition Universal Pad after initial application. If patient is
conductive adhesive area surrounded by a nonconductive border adhesive. The repositioned, confirm full pad-to-skin contact and integrity of all
Universal Pad backing is fluid resistant. Universal Pads are single use only, connections.
disposable and not sterile. Universal Pads are supplied pre-corded or non-corded. • Do not place compression stocking or device over Universal Pad.
Universal Pads are compatible with electrosurgical generators (ESUs) used in • Do not coil or wrap cord or cable around limb or metal object.
surgical procedures defined by the ANSI/AAMI Standard HF-18:2001, • Do not allow cord or cable to lie on or under patient.
Electrosurgical devices, Electrosurgical Devices (AAMI HF-18). • Do not place cable clamp under patient.
WARNING Use of two Universal Pads with 1157C Y-adapter:
• LocateImproper
Universaluse of Pad closer
Universal to the surgical
Electrosurgical Pads can site
causethan
electrosurgical • Do •notPatients
plugwith
cords intoadipose
dry skin, 1157C Y-adapter
tissue, until after may
and/or poor vascularization
require two Universal Pads..
to theburns
ECG orelectrodes.
pressure necroses. For patient safety, follow all of the instructions
below. Failure to follow any of these instructions increases the risk of
each Universal Pad has been applied.
• Do not plug cords into 1157C Y-adapter until after each Universal Pad has
• Remove metal jewelry.
electrosurgical burns or pressure necroses. • Preferred placement of each pad is bilaterally (i.e.,
been applied.
• AvoidInstructions
placement overUse
for Safe bony prominences, metal left•and
Preferred placement of each pad is bilaterally (i.e., left and right side)
right side) equally distant from surgical site.
equally distant from surgical site.
1. Use Appropriate Pads, Equipment, and Accessories
prostheses, • Doesor scar tissue. generator have a Contact Quality Monitoring
the electrosurgical
• Avoid placement such
System (e.g. thatARM™,
REM™, current flows through a
NESSY™)?
Solid Style
Split Style
Universal Pads.
with implanted o Ifelectronic devices, contact device
YES - use split-style
manufacturer for precautions
Universal Pads. to avoid interference.
• Use ECG cables with RF suppressors/chokes to prevent electrosurgical
• Do not apply Universal Pad where fluids may pool.
current from flowing through the ECG electrodes. 5. Pad removal
• Do not apply • UseUniversal
3M cables and Pad overasinjection
adapters required with site.
3M Universal Pads. 5. Pad removal
• Do not remove by pulling on cable or cord.
• Check expiration date on package. 3M Universal Pads are safe to use for • Start at corner. Peel back slowly at 180 degree angle to prevent skin
• Select a suitable sitepackage
14 days after remoteis opened.
from any warming device. • Do not removetrauma. by pulling on cable or cord.
2. To Reduce the Risk of Burns, Do Not Overload the Universal Pad with Too • Start at corner. Peel back slowly at 180 degree angle to
Much Current For more information on electrosurgery, or to obtain a copy of the 3M High Current
4. Pad Application• Do not activate the electrosurgical device or active accessory for more prevent skinBulletin
Technical trauma.(70-2009-8640-7), go to http://www.3M.com/groundingpad
To reduce the risk of burns and pressure necroses:
than 60 seconds in any 2-minute period, as this will overload the
Universal Pad with current and may result in a patient burn. For more
Noticeinformation
to manufacturers onofelectrosurgery,
radio frequency (RF)obtain
medical adevices
copyand active
• Inspect Universal Pad, cord,of high and
power,cable. Do nottime, useand a conductive accessories: All 3M Universal Pads conform to Section 4.2.3.1 of the AAMI HF-18
• Any combination long activation of the 3M High Current Technical Bulletin (70-2009-8640-7).
if cut, modified,
irrigantor damaged.
(e.g., saline) may overload the Universal Pad with current and Standard, 2001 Edition, which specifies that a grounding pad must be capable of
may result in a patient burn. To reduce this risk: carrying a current of 700 milliamperes (mA) for a continuous period of 60 seconds.
• Apply one end of Universal Pad and smoothly press
o Use non-conductive solutions unless specific medical reasons to Notice to manufacturers
Manufacturers of radio
of RF medical devices frequency
or accessories should not (RF)
recommend 3M
other end. Avoidindicate air entrapment.
otherwise. Universal Pads for use with RF medical devices or accessories that can deliver a
medical devices and active accessories: All 3M™
o Use the lowest possible power setting. current load to the Universal Pad that exceeds the AAMI HF-18 Standard.
• Avoid stretching o Useorshort
folding either
activation times.Universal Padis or
If long activation necessary, Universal Pads conform to Section 201.15.101.5 of the ANSI/
patient’s skin. allow time between activations to allow the tissue under AAMI/IEC 60601-2-2:2009 Standard, which specifies that a
Universal Pad to cool.
• Do not use electrode gel. Universal Pads with the 1157C Y-adapter.
o Use two split-style grounding pad must be capable of carrying a current of 700
• Do not wrap oUniversal If you do notPad completely
receive around
the desired surgical a stop
effect, limb.and verify the
milliamperes
3 (mA) for a continuous period of 60 seconds.
correct distention/irrigation solution and good Universal Pad contact
Do not overlap.before proceeding with electrosurgery or increasing the power 3M™Made certifies that
in U.S.A. by the 3M™ 9100 Series Split Style Universal
REM is a trademark of Valleylab.
ARM is a trademark of Conmed/Aspen Labs.
• Do not reposition Universal Pad after initial application.
setting.
Electrosurgical
3M Health Care
Pads, when used in NESSY accordance with
is a trademark these
of ERBE.
St. Paul, MN. 55144-1000
If patient is repositioned, confirm full pad-to-skin contact Instructions for Use, meet the requirements
(USA) 1-800-228-3957 of the ANSI/AAMI/
©3M 2007 All rights reserved.
www.3M.com 3M is a trademark of 3M Co.
and integrity of all connections. IEC 60601-2-2:2009 standard for compatibility when used
• Do not place compression stocking or device over with high frequency (HF) electrosurgical generators with CQM
Universal Pad. systems that operate with both a maximum impedance limit
• Do not coil or wrap cord or cable around limb or metal (not to exceed 150 ohms) and a differential (dynamic) imped-
object. ance limit (not to exceed 40%). Manufacturers of RF medical
• Do not allow cord or cable to lie on or under patient. devices or accessories should not recommend 3M™ Universal
• Do not place cable clamp under patient. Pads for use with RF medical devices or accessories that can
Use of two Universal Pads with 1157C Y-adapter: deliver a current load to the Universal Pad that exceeds the
• Patients with dry skin, adipose tissue and/or poor ANSI/AAMI/IEC 60601-2-2:2009 Standard.
vascularization may require two Universal Pads.
5
Instructions for Use - 3M™ Electrosurgical Patient Plates 1100 and 8100 Series
Read and save this document. Make sure everyone who period, as this will overload the patient plate with current
will use this product knows and understands all information and may result in a patient burn.
contained within this document and AORN recommended • Any combination of high power, long activation time,
practices for electrosurgery. READ WARNING. and a conductive irrigant (e.g.,saline) may overload the
Product Description patient plate with current and may result in a patient
3M Electrosurgical Patient Plates (i.e. grounding pads, burn. To reduce this risk:
Patient3M Plates
™
Electrosurgical
neutral electrodes) Patient
3. Select an Appropriate Site
provide
To reduce the riska safe Plates
of burns return path necroses:
and pressure for
3. Select an Appropriate Site - Use non-conductive solutions unless specific medical
To reduce the risk of burns and pressure necroses:
1100 electrosurgical
and English 8100 Series • Select a smooth, well-vascularized,
current. Patient Plates consist muscular area close
English of a • toSelect
surgical site well-vascularized,
a smooth, reasons muscularindicate
area close to otherwise.
surgical site
that allows full patient plate-to-skin contact.
conductive adhesive • Site area
must besurrounded
clean, dry,whoand will byuse
free ofahair.
non-conductive - Use
that allows full patient plate-to-skin contact.
the lowest possible power setting.
sure everyone who Readwill usesave
and this this document. Make sure everyone thisRemove hair at • application
Site must be site.
clean, dry, and free of hair. Remove hair at application site.
border adhesive. • Locate patient plate closer to the surgical site than to the ECG electrodes.
• Locate patient plate closer to-the Use short
surgical activation
site than to the ECG times.
electrodes.If long activation is
•The
information contained productwithin
knows this and understands allpatient
information plate backing
contained withinis thisfluid resistant.
Remove metal jewelry. • Remove metal jewelry.
practices for electrosurgery.
document and AORN recommended
READ Patient
WARNINGplates are • single
practices
use only,
Avoid placement
for electrosurgery.
over bonydisposable
prominences,and metal non •sterile.
prostheses, or scar
Avoid necessary, allow
tissue. over bony prominences, metal prostheses, or scar
placement time between
tissue. activations to allow
ExplanationPatient
• Avoid placement such that current flows through a metal
plates are supplied pre-corded
prosthesis
• Avoid or
placement such that current the tissue
flows throughunder
a metalpatient
prosthesis plate
or to cool.
of Symbols: conductive implant. For patientsor withnon-corded.
implanted electronicconductive devices, contact
implant. For patients with implanted electronic devices, contact
s for use. device manufacturer
• Attention, see instructions for use. -
for precautions to avoid interference.device manufacturer for precautions to avoid interference.U
se two split-style patient plate with the 1157C
The •3M™ 1146, • 1148-LP,
Do not apply patient 1181 plateandwhere1182 fluids may Electrosurgical
pool.
hourglass are symbols LOT that represent
2010-10AZ The lot in a box and the hourglass are symbols that represent • Do not apply patient plate where Y-adapter.
fluids may pool.
n date. The hourglass isPatientfollowed lot byPlates
number andare
• Do designed
not apply patientfor
expiration date. The hourglass
plateuse on
over injection
is followed pediatric
site.
by patients
• Do not apply patient plate over injection site.
represents the expiration date (year • Select a suitable site remote
a year and month which represents the expiration date (year
from any warming device. • Select a suitable
site remote -fromIf you do notdevice.
any warming receive the desired surgical effect, stop
and should notPlate
4. be Application
used on patients greater than 4. Plate 15kg Application
To reduce the risk of burns and pressure necroses: To reduce the risk of burns and pressure necroses: correct distention/irrigation solution
and verify the
e entire line after the hourglass and month: 2010-10). The entire line after the hourglass
er 2010-10AZ). (33 lbs). represents the lot number 2010-10AZ).
• Use the largest plate that will fit.
2 • Do not reuse. • Inspect patient plate, cord, and cable. Do not use if cut,• modified,
• Use the largest plate that will fit. and good patient plate contact before proceeding
or
Inspect patient plate, cord, and cable. Do not use if cut, modified, or
• Shock hazard warning. damaged. damaged. with electrosurgery or increasing the power setting.
er latex. WARNING LATEX
• Contains no natural
• Apply patient plate onto skin with long edge toward surgical
rubber latex.
• Apply site.patient plate onto skin with long edge toward surgical site.
• Apply one end of patient plate and smoothly press to other end. oneAvoid
endairof patient plate and smoothly press to other end. Avoid air
Electrosurgical Patient Plates canentrapment. 3. Select an Appropriate Site
• Apply
Improper use of entrapment.
Product Description
g pads, neutral electrodes) provide
3M Electrosurgical Patienta Plates (i.e.•grounding pads, neutral electrodes) provideplatea or patient’s skin. stretching To reduce the risk ofpatient’s
burns and pressure necroses:
of acause electrosurgical burns or pressure necroses.
Avoid stretching or folding either patient • Avoid or folding either patient plate or skin.
tient Plates safe
consist
return conductive
path for electrosurgical current.
• Do not Patient Plates consist
use electrode gel. of a conductive • Do not use electrode gel.
border adhesive.
adhesiveTheareaFor
patient patient
plate by a safety,
surrounded nonconductive
• Do not follow
border all of
adhesive.
wrap patient the
plateThe instructions
patient
completely around a limb. below.
plate Do• notDo overlap.
not wrap patient plate • Scompletely
elect a around smooth,a limb.well-vascularized,
Do not overlap. muscular area close
gle use only, disposable and not
backing
or non-corded.
is fluid
Patient
sterile.
resistant.
Failure
plates
Patient platesare areto
Patient plates
follow
supplied
• Doarenotsingle use only,
reposition
anyorofnon-corded.
pre-corded these
disposable
patient
instructions
Patient
and not
plate after initial application. •If patient
plates arecontact increases Do not isreposition patient plate to surgical
after initial site that
application. Ifallows
patient isfull patient plate-to-skin
repositioned, confirm full plate-to-skin and integrity of all
repositioned, confirm full plate-to-skin contact and integrity of all
Us) used incompatible
the
surgical procedures
risk of
with electrosurgical electrosurgical
generators (ESUs) used inburns
connections. or
surgical procedures pressure necroses. connections. contact.
1, Electrosurgical
defineddevices,
by the ANSI/AAMI Standard HF-18:2001, • Do not place Electrosurgical
compressiondevices,
stocking or device over patient plate.
Electrosurgical Devices (AAMI HF-18).• Do not coil or wrap cord or cable around limb or metal•object.
• Do
•
Site must be clean, dry, and free of hair. Remove hair at
not place compression stocking or device over patient plate.
Do not coil or wrap cord or cable around limb or metal object.
WARNING • Do not allow cord or cable to lie on or under patient. • Do not allow cord or cableapplication to lie on or under site.
patient.
• Do Plates
not place cancable clamp under patient.
Instructions Use for Safe all Use
tes can cause electrosurgical
Improper use of Electrosurgical Patient cause electrosurgical • Do not place cable clamp under patient.
ety, follow burns
all of the instructions
or pressure necroses. For patient ofsafety,
two patient
followplates of with 1157C Y-adapter:
the instructions Use of two patient plates with 1157C Y-adapter:plate closer to the surgical site than to the
• L ocate patient
ctions increases
below.the risk of
Failure to follow any of these • instructions
Patients with increases
dry skin, adipose
the risktissue,
of and/or poor vascularization• Patients may ECGtissue,
with dry skin, adipose electrodes.
and/or poor vascularization may
. electrosurgical1. Use burnsAppropriate
or pressure necroses. Pads,
require Equipment,
two patient plates. and Accessories require two patient plates.
Instructions for Safe
• Do not plug cords into 1157C Y-adapter until after each• patient Do notplateplughascords into 1157C Y-adaptermetal
• Remove jewelry.
until after each patient plate has
• D oes
Use the electrosurgical generator have a Contact Quality
Accessories1. Use Appropriate Pads, Equipment, and Accessories
been applied. been applied. • A void placement over bony prominences, metal
ve a Monitoring
• Does the electrosurgical
•System
generator have a(e.g. REM™, ARM™, NESSY™)?
Preferred placement of each plate is bilaterally (i.e., left• and right side)
Preferred placement of each plate is bilaterally (i.e., left and right side)
g. REM™, equally
Contact Quality Monitoring System (e.g. REM™,
distant from surgical site. equally distant from prostheses,
surgical site. or scar tissue.
ARM™, NESSY™)?
NO- use solid-style YES- use split-style • A void placement such that current flows through a metal
Solid Style
Solid Style
Split Style
Split Style
7
Frequently Asked Questions
Generator and Grounding Pad Q: Can you use a split style grounding pad on any
Compatibility generator?
Q: Can 3M Grounding Pads be used with ANY medical A: No. For older generators which are not equipped with a
device that generates or uses radiofrequency (RF) CQM, only solid style grounding pads can be used. If a split pad
current? is mistakenly used, the generator will refuse to work.
A: NO. 3M Grounding pads are intended for use with standard Q: What happens if you try to use any brand of solid
electrosurgical generators for the purposes of tissue cutting style pad (including 3M, Valleylab, Conmed, Aspen, and
and coagulation as described in the ANSI/AAMI/IEC 60601-2- Megadyne) with a generator equipped with a CQM?
2:2009 standard. 3M Grounding Pads have not been approved A: The generator will sense that a solid pad has been connect-
for other medical uses such as cryogenic tissue freezing or ed to it, and will automatically deactivate the CQM circuit.
pain management procedures. If there is any question about an
RF medical device, the manufacturer should be asked to certify Q: What will happen if a grounding pad starts to come
in writing that their device is safe and efficacious for use with loose under the drapes during surgery?
grounding pads that comply with the ANSI/AAMI/IEC 60601-2-
2:2009 standard. A: If a split style pad is being used with a generator equipped
with a CQM, an alarm will sound and the generator will be
Q: What does CQM stand for? deactivated. If a solid pad is being used, there will be no alarm
even if the pad becomes completely detached from the patient.
A: CQM is the abbreviation for Contact Quality Monitor, and is
the generic term used for REM™, ARM™, NESSY™, all of which Q: In an O.R. with a mix of generators where some
are trademarks of individual generator manufacturers. have CQM and some do not, would it be possible to
standardize on a single brand of solid pad for the
Q. How does a CQM protect the patient against whole O.R.?
electrosurgical burns?
A:While this would be possible, this would deactivate the
A: The CQM is designed to be used with split style grounding CQM in the generators, and result in a loss of 3M’s
pads, and will not permit the generator to work if the grounding indemnification coverage. 3M strongly recommends that
pad does not have adequate electrical contact with the patient. no type of solid grounding pad ever be used with a CQM
generator.
8
Frequently Asked Questions
A: No. The use of a warming blanket or warming device over A: It is generally known as the “1/4 inch phono plug”. The
a grounding pad elevates the skin temperature at the pad site 3M part numbers for this plug are 1151C for corded ground-
and does not allow the heat from under the pad to escape ing pads and 3151C for non-corded pads. There are more
properly. If it is not possible to keep the pad away from the old generators that use this plug style than all the other types
warming blanket/device, then the warming blanket/device combined.
should not be used at the same time as the electrosurgical
generator. Q: What is a Y-adapter, and when is it used?
Q: What conditions can make a grounding pad stick A: A Y-adapter is used to connect two split style pads to an
more aggressively to a patient, and possibly cause some electrosurgical generator with a CQM. It is 3M part number
delamination of the conductive adhesive from the pad 1157C. It is used when one split pad alone will not satisfy the
upon removal? CQM system on the generator due to high skin impedance or
excessive adipose tissue on the patient.
A: Applying a grounding pad to a weight-bearing site will
significantly increase its adhesion to the patient. In addition, Q: Does the red tab side of a 3M reusable grounding pad
perspiration from a patient will be absorbed by the conductive cable have to face a certain direction when attached to
adhesive on the pad making it softer and stickier. Additional a 3M non-corded grounding pad?
care and a very slow removal technique should be used on any A: No. The conductors inside the reusable cable will make
grounding pad that is strongly adhered to the patient. contact with the pad either way.
Q: Can you ETO sterilize a grounding pad? Q: What is the 3M 1178C adapter used for?
A: The pad by itself may not be sterilized, but it may be left A: It is used with CQM generators which may have small or
sealed in its original packaging and placed on the outside of a worn connector pins in the grounding pad receptacle. It will
kit which will undergo ETO sterilization. This will sterilize the ex- make good electrical contact with the generator receptacle
terior of the package, but the pad will remain non-sterile. This itself and then allow the split style pad to be plugged into
sterilization must not compromise the integrity of the package. the 1178C adapter.
If the plate is exposed to ETO, residuals left in the adhesive or
gel can cause a severe skin reaction.
9
Competitive Grounding Pad Cross-Reference
10
Reference Number Recommended 3M Part # Alternate 3M Part #
400-2100 9135-LP 1149C-LP
400-2349 9130 1149
400-2700 9130F 1149F
402-2204 9165 1179
402-2204-15 9165L
402-2508 9165 1181
402-2750 9160 1180
402-2800 9160F 1180F
410-2000 9165
410-2100 9165L
410-2200 9160F
410-2400 9160
425-2200 9135-LP 1148-LP
425-2725 9130 1146
440-2400 No 3M equivalent
450-2300 No 3M equivalent
51-7310 9165 1179
51-7410 9160 1180
51-7710 9165 1181
51-7810 9135-LP 1149C-LP
51-7910 9135-LP 1148-LP
7-382 9165 1179
7-383 9165 1181
E7506 9135-LP 1149C-LP
E7507 9165 1179
E7507-DB 9165L
E7509 9160 1180
E7509B 9160F 1180F
E7510-25 9165 1181
E7510-25DB 9165L
E7512 No 3M equivalent
11
Listing for Electrosurgical Generators
which Use Solid Style Grounding Pads
Notes: Split style grounding pads cannot be used with these generators as they will usually keep the generator from
producing surgical current.
12
Listing for Electrosurgical Generators which Use Solid Style Grounding Pads (cont.)
13
Listing for Electrosurgical Generators which Use Solid Style Grounding Pads (cont.)
14
Listing for Electrosurgical Generators which Use Solid Style Grounding Pads (cont.)
15
Listing for Electrosurgical Generators
which Use Split Style Grounding Pads
Notes: Split style grounding pads should always be used with these generators.While these generators will
accept solid style pads, the use of any brand of solid pad (including 3M, Conmed, Valleylab, and Megadyne) will
cause the CQM system (such as REM™, ARM™, NESSY™, and PSS™) to automatically turn itself off.
16
3M Electrosurgical Grounding Pads 1100 Series Small
The 3M 1146, 1148-LP, 1181 and 1182 grounding pads all have a conductor area of approximately 10
square inches, have a white foam backing, and are intended for use when a larger pad is too big to use
at a recommended placement site.
1146
Small non-corded solid
1148-LP
Small precorded solid
grounding pad for use with a grounding pad for use with a
3M 21172 reusable cable and a 3M 31xxC series adapter plug
3M 31xxC series adapter plug
1181
Small precorded split
1182
Small non-corded split
grounding pad grounding pad for use with a
3M 21174 reusable cable
17
3M Electrosurgical Grounding Pads 1100 Series
The 3M 1149, 1149C-LP, 1179 and 1180 grounding pads all have a conductor area of approximately
20 square inches and have a white foam backing.
1149
or 1149F 5-pack
1149C-LP
Precorded solid grounding pad
Non-corded solid grounding for use with a 3M 31xxC series
pad for use with a 3M 21172 adapter plug
reusable cable and a 3M
31xxC series adapter plug
1179
Precorded split grounding pad
1180
or 1180F 5-pack
Non-corded split grounding pad for
use with a 3M 21174 reusable cable
18
3M Electrosurgical Grounding Pads 8100 Series
The 3M 8149F and 8180F grounding pads both have a conductor area of approximately 20 square inches and
fluid resistant non-woven backing which allows heat to pass through up to 25% faster than foam.
8149F 5-pack
8180F 5-pack
Non-corded solid grounding Non-corded split grounding
pad for use with a 3M 21172 pad for use with a 3M 21174
reusable cable and a 3M 31xxC reusable cable
series adapter plug
19
3M Electrosurgical Grounding Pads 9100 Series
The 3M 9130, 9135, 9135-LP, 9160 and 9165 Universal Grounding Pads all have a conductor area of 15 square
inches and come with the patented 3M Green Safety Ring technology which allows them to perform the same as
grounding pads that are up to 33% larger in conductor area.In addition, they have fluid resistant, non-woven backing
which allows heat to pass through up to 25% faster than foam and they have no minimum age or weight limit.
9130
or 9130F 5-pack
9135-LP
Universal precorded solid
Universal non-corded solid grounding pad for use with a 3M
grounding pad for use with a 3M 31xxC series adapter plug
21172 reusable cable and a 3M
31xxC series adapter plug
9160
or 9160F 5-pack
9165
Universal precorded split
Universal non-corded split grounding pad
grounding pad for use with a 3M
21174 reusable cable
20
Expiration and Shelf Life Information
3M Electrosurgical Pads are considered safe to use up to 14 days after package seal has been broken. Shelf life
expiration date appears on each package. To the right of the hourglass (see illustration on package), we are now
stating the year of expiration followed by the month of expiration in that year. The day of expiration will always
be the last day of that month. If for example, “2012-10 AT” were to appear to the right of the hourglass, year of
expiration would be year 2012, month would be October and day would be the 31st.
“Lot number” will now become “lot code.” The lot code will be made up of two letters that will follow the numbers
for year and month. For example, if “2012-10 AT” were to appear to the right of the hourglass, the lot code would
be: “AT.” These two letters will vary from AA to ZZ during the month.
The new lot code will not state the date of manufacture. However, because our electrosurgical pads have a three-
year shelf life, subtracting three-year shelf life from the expiration date will tell us the date of manufacture.
Expiration
Month
(Always last day
of the month.)
Expiration Year Lot Color
2012 - 10 AT
21
Electrosurgical Generator Adapters
for Solid Style Grounding Pads
Notes: All 3M 31xxC series adapters may be used with non-corded 3M solid style grounding pads and when
used in conjunction with a 3M 21172 reusable cable. This combination of adapter, reusable cable and grounding
pad are for generators that use solid style grounding pads. These adapters may be used with corded 3M solid
style grounding pads.
3151C
For use with 3M solid style
grounding pads in conjunc-
tion with a 3M 21172 reusable
grounding pad cable.
3M Order #3151C - 3M Part # 70-2007-2685-2
3153C
For use with 3M solid style
grounding pads in conjunc-
tion with a 3M 21172 reusable
grounding pad cable.
22
3154C
For use with 3M solid style
grounding pads in
conjunction with a 3M 21172
reusable grounding pad cable.
3M Order #3154C - 3M Part # 70-2007-2687-8
3155C
For use with 3M solid style
grounding pads in
conjunction with a 3M 21172
reusable grounding pad cable.
3M Order #3155C - 3M Part # 70-2007-2688-6
3171C
For use with 3M solid style
grounding pads in
conjunction with a 3M 21172
reusable grounding pad cable.
3M Order #3171C - 3M Part # 70-2007-2690-2
23
Electrosurgical Generator Adapters
for Split Style Grounding Pads
1157C
(also called a “Y” adapter)
1178C
For use with 3M split style
grounding pad with preattached
cord or for use with a 3M 21174
reusable cable and non-corded
3M split style grounding pad.
3M Order #1178C - 3M Part # 70-2007-0497-4
1178CL
(5’ cable length)
21172
(10’ cable length)
21172L
(15’ cable length)
25
Reusable Cables for Use with Non-Corded
3M Split Style Grounding Pads
21174
(10’ cable length)
21174L
(15’ cable length)
21174ABC
(10’ cable length)
3M 3151C adapter
+ 3M 21172 reusable cable
21151K
(10’ cable length)
27
3M 3153C adapter 3M 3171C adapter
+ 3M 21172 reusable cable + 3M 21172 reusable cable
21153K 21171K
(10’ cable length) (10’ cable length)
For use with 3M non-corded solid style For use with 3M non-corded solid style
grounding pads. grounding pads.
28
Common Electrosurgical Generator
Grounding Pad Receptacles
Generator Receptacles Designed for Split Style Grounding Pads
The receptacle for split style grounding pads is almost an industry standard. This receptacle is rectangular in
shape and measures 0.8 inches (20 mm) wide by 0.4 inches (10 mm) high.Within this receptacle are two metal
pins, symmetrically spaced, located 0.4 inches (10 mm) away from each other. In addition, there is a small, round
hole located midway between these two metal pins.
In the case of Valleylab generators, the tip of a small micro-switch can be seen protruding into the area of
the hole.With all other brands of generators, the hole is empty. Both the 3M split style grounding pads with a
preattached cord and the 3M 21174 reusable grounding pad cable are designed to fit into these receptacles.
Valleylab Generators All Other Generator Brands
Note: In areas outside of the United States, some newer brands of generators that are designed only for use with
solid style grounding pads may have a receptacle similar to this. In all cases, however, there is one key difference
between this solid plate receptacle and the two shown above. For generators that use solid plates, there is no
hole between the two metal pins. In this case, use the 3M 21172 reusable cable with a 3M non-corded, solid
style grounding pad.
The most common receptacle type in every country in the world for electrosurgical generators that use solid style
grounding pads is the one that accepts the 3M 3151C adapter. This receptacle type is the one that was used in
the original Bovie generators since the 1930’s and is known as “the quarter inch phono jack”. It is a round hole
that is .250 inches (6.35 mm) in diameter. A picture of this type of receptacle is shown below along with the plug
that fits into it.
29
Generator Receptacles Designed for Solid Style Grounding Pads (cont.)
The second most common receptacle type for electrosurgical generators that use solid style grounding pads is
the one that accepts the 3M 3153C adapter. This receptacle is a round hole that is approximately 5/32 inches (4
mm) in diameter. This receptacle is found on a wide variety of older European electrosurgical generators and also
the Valleylab Surgistat generator. A picture of this type of receptacle is shown below along with the plug that fits
into it.
There is a much less common receptacle type that is visually similar to the “quarter inch phono jack” except that
both the receptacle and the plug that fit into it are smaller. This receptacle is a round hole that is .175 inches
(4.45 mm) in diameter and accepts the 3M 3173C adapters. This receptacle can be confused with the larger 1/4
inches (6.35 mm) receptacle due to the fact that the plugs that fit into both holes are similar in design. If a 3M
3151C is found to be too big to fit into the receptacle, then it is most likely designed for the 3173C adapter plug.
A picture of this type of receptacle is shown below along with the plug that fits into it.
As mentioned above in the section on generator receptacles designed for split style grounding pads, there is a
receptacle style that is similar except for the fact that there is no hole between the two metal pins. This recep-
tacle can be found on some newer brands of electrosurgical generators that are sold outside of the United States
and Europe. This receptacle has the same dimensions, but is designed to accept the 3M 21172 reusable cable
for use with non-corded 3M solid style grounding pads. A picture of this type of receptacle is shown below along
with the plug that fits into it.
30
Cable and Adapter Cleaning Information
• Reusable cables can be subjected to 3M™ Steri-Vac™ EO Sterilizer using a warm cycle (55°C), followed by a
16-hour mechanical aeration period at 55°C.
NOTE: 3M Reusable Cables have not been tested for other manufacturer’s EO sterilizers or EO sterilizer
equipment. CAUTION: 3M makes no claims regarding the efficacy of the process as a means of infection
control. Consult your hospital’s Infection Control Officer or Epidemiologist.
Adapters
Cleaning the adapter is generally not needed, however, if it becomes contaminated, follow these instructions:
31
Reusable Cable Instructions for Use
Explanation of Symbols:
Product Description:
The 3M Electrosurgical Reusable Cable is an accessory in an electrosurgical system. The cable uses plastic
insulated conductive wire strands with a metallic connector that fits into the electrosurgical unit (ESU) and a
clamping mechanism that securely connects to a 3M dispersive electrode (patient plate, grounding pad, Bovie
pad, return electrode, etc.). These reusable cables meet AAMI/ANSI Standards and Recommended Practices,
HF 18-1993, for electrosurgical accessories.
The 3M Electrosurgical Reusable Cable is designed to provide a safe pathway for the return of electrosurgical
radio frequency (RF) current when used with 3M non-corded dispersive electrodes (return electrodes, patient
plates, Bovie pads, grounding pads, etc.). These cables are only for use with 3M non-corded dispersive elec-
trodes. The cables are adapted to work with most electrosurgical units (ESUs) where electrosurgery is utilized.
Each cable has a specific ESU connector to match a variety of manufacturer’s ESU’s. Please consult a 3M
Electrosurgical Products representative if you have questions about the reusable cable for your specific ESU. Use
of this product for unintended applications could lead to an unsafe condition.
Precautions:
• Improper application of use of any electrosurgical accessory (reusable cable, adapter or dispersive electrode)
may result in electrosurgical shock or burn.
• To prevent electrical shock, only plug ESU connectors into appropriate ESUs. Do not allow the ESU cable
connector to touch any earth ground potential (floor, grounded metal object, etc.).
• 3M manufactures these cables to be used multiple times. No cable is indestructible. Because it is an
essential component, each cable should be carefully inspected monthly. Instructions for cable inspection
and continuity testing are described in the Inspection Procedures section of this document.
• Do not use if the product has been damaged or modified in any manner.
• If concerned about the function or quality of any electrosurgical device or accessory, replace it.
• Do not use cable as a tool to remove the dispersive electrode from the patient. If utilized in this fashion, skin
stripping or other skin injuries can occur.
• The Contact Quality Monitoring System (CQMS, REM™, ARM™, NESSY™, etc.) will not function if the
incorrect reusable cable is used. The type of ESU will determine which cable should be used.
32
Shock hazard warning!
Instructions for Use:
• Visually inspect cable, clamp and connector for damage prior to each use.
• Ensure clamp lever is in the open (up) position. Insert the tab of the dispersive electrode
into slot on the clamp. See figure 1. Figure 1
• Make certain the entire tab of the dispersive electrode is centered in the clamp and
inserted up to the electrode backing material.
• Depress the clamp lever arm to the fully closed (down) position, flush with the top of the clamp. See figure 1.
• Verify the function of the ESU’s audible alarm circuit by turning on the ESU before attaching the cable. An alarm
should sound. If no alarm sounds, check the alarm volume adjustment. If not working properly, return the ESU
for service.When the alarm sounds, insert the cable connector into the ESU dispersive electrode receiver and the
alarm should cease. If it does not, try the procedure again. If the alarm does not stop after repeating the procedure,
exchange the ESU and/or cable and try the test again.
• Once the cable continuity is established, check the ESU’s CQM System if applicable. If the CQM System alarms at
this time or during surgery, carefully check dispersive electrode to patient contact, cable and clamp connections.
If the alarm fault is not found, replace the dispersive electrode and/or cable. If this does not satisfy the alarm fault,
replace the ESU.
• At the conclusion of the surgical procedure, remove the clamp from the dispersive electrode, then remove the
dispersive electrode from the patient.
Cleaning Procedure:
33
Inspection Procedures
Visual Inspection
1. Clean cable assembly as recommended to remove dirt, tape, patient skin preparation solution or body fluids.
2. Inspect cable insulation for nicks and cuts. Inspect clamp for plastic fractures and seam separation. Insure
that the locking lever sits flush with the top of the clamp body when in the down position.
3. Hold the clamp and wire so that the insulation can be viewed at the clamp/wire interface while bending.
See figure 2.
4. B end and flex the cable side to side while viewing. If the insulation is cracked, this will be seen during
maximum flexing of the cable at the outside radius. See figure 3. Discard the cable if the insulation is
cracked or it fails visual inspection.
Electrical Inspection
Equipment needed for this inspection is a multi-meter or volt-ohm meter with extension leads and a small piece
of metal (shim stock or a cut off tab from the end of a 3M split style dispersive electrode) to insert into the clamp
end of a reusable cable. The following inspection technique is based on electrical continuity of individual reusable
cable wires.
1. Set the multi-meter or volt-ohm meter to measure resistance or continuity.
2. Insert a piece of shim stock or a cut split tab into each individual contact area of the clamp on the reusable
cable assembly and close the clamp lever. Ensure that the shim stock pieces do not come into contact with
each other.
3. A ttach the meter leads to the shim stock and the corresponding plug pin of the cable connector. The lead
should be securely attached to obtain a stable resistance measurement.
4. Measure the resistance of the cable while flexing the wire at the cable/connector interface. If the measured
resistance indicates discontinuity, the cable should be discarded and replaced with a new one. Repeat steps
3 and 4 to measure resistance for the second wire.
5. T his inspection should be preformed monthly or as directed by hospital policy for similar electrosurgical
devices.
Figure 1 Figure 1
34
Adapter Cable Instructions for Use
Explanation of Symbols:
Product Description:
The 3M Electrosurgical Adapter is a reusable accessory in an electrosurgical system. The adapter consists of
a metallic conductive connector designed to fit into the electrosurgical unit (ESU, generator, etc.) and a plastic
insulated connector receptacle that receives a 3M corded dispersive electrode plug.
The 3M Electrosurgical Adapter is designed to provide a safe pathway for the return of electrosurgical radio
frequency (RF) current when used with 3M corded dispersive electrode (return electrode, patient plate, Bovie
pad, grounding pad, etc.). These adapters are only for use with 3M corded dispersive electrodes. The adapters
are designed to work with most electrosurgical units (ESUs) where electrosurgery is utilized. Each adapter has a
specific ESU connector to match a variety of manufacturer’s ESU’s. Please consult a 3M Electrosurgical Products
representative if you have questions about an adapter for your specific ESU. Use of this product for unintended
applications could lead to an unsafe condition.
Precautions:
• Improper use of any electrosurgical accessory (reusable cable, adapter or dispersive electrode) may result in
electrosurgical shock or burn.
• To prevent electrical shock, only plug ESU adapters into the appropriate ESU. Do not allow ESU adapter to touch
any earth ground potential (floor, grounded metal object, etc.).
• Do not use if the product has been damaged or modified in any manner.
• If concerned about the function or quality of any electrosurgical device or accessory, replace it.
35
Shock hazard warning!
Instructions for Use:
• Inspect plug connector to ensure correct fit with the ESU to be used.
• Verify the function of the ESU audible alarm circuit by turning the ESU on before attaching dispersive electrode
to adapter. An alarm should sound. If no alarm sounds, check the alarm volume adjustment. If ESU is not work-
ing properly, return it for service. Once the alarm sounds, insert the dispersive electrode plug into adapter and
the alarm should cease. If it does not, try the procedure again. If the alarm does not stop after repeating this
procedure, exchange the ESU and/or adapter and try the test again.
• Once the cable continuity is established, check the CQM System if a split style dispersive electrode is used. If
the CQM System alarms at this time or during surgery, carefully check dispersive electrode to patient contact,
cable and adapter connections and the active electrode. If the alarm fault is not found, replace the dispersive
electrode and/or adapter or the active electrode. If this does not satisfy the alarm fault, replace the ESU.
• At the conclusion of the surgical procedure, remove the dispersive electrode cord from the adapter, then
remove the dispersive electrode from the patient.
Cleaning Procedure:
Cleaning the adapter is generally not needed, however if it becomes contaminated, follow these
instructions:
• Be certain the adapter is completely dry after cleaning, before next use.
36
Inspection Procedures
Visual Inspection
1. Clean adapter as recommended to remove dirt, tape, patient skin preparation solution or body fluids.
Electrical Inspection
Equipment needed for this inspection is a multi-meter or volt-ohm meter with extension leads. The following
inspection technique is based on electrical continuity of individual adapter lead wires.
2. A ttach the meter leads to the corresponding plug pin receiver. The lead should be securely attached to
obtain a stable resistance measurement.
3. M
easure the resistance of each adapter lead. If the measured resistance indicates discontinuity, the adapter
should be discarded and replaced with a new one. Repeat steps 2 and 3 to measure resistance for the second
lead.
4. This inspection should be preformed as directed by hospital policy for similar electrosurgical devices.
37
3M Cable and Adapter Part Numbers
3100 Series Electrosurgical Generator Adapters for 3M Non-Corded Solid Style Grounding Pads
(see page 22 for pictures)
3151C 70-2007-2685-2
3153C 70-2007-2686-0
3154C 70-2007-2687-8
3155C 70-2007-2688-6
3171C 70-2007-2690-2
1157C 70-2005-2302-8
1178C 70-2007-0497-4
1178CL 70-2007-1355-3
38
3M Cable and Adapter Part Numbers
Reusable Cables for Use with Non-Corded 3M Grounding Pads
(see page 25 for pictures)
Solid Style
21172 70-2007-0191-3
21172L 70-2007-0192-1
Split Style
21174 70-2007-0195-4
21174L 70-2007-0196-2
21174ABC 70-2007-0197-0
Adapter Kits for Use with 3M Non-Corded Solid Style Grounding Pads
(see page 27 for pictures)
21151K 70-2007-2778-5
21153K 70-2007-2780-1
21171K 70-2007-2784-3
39
Macrolyte and ThermoGard are registered trademarks of Conmed.
SureFit is a trademark of Conmed.
Polyhesive is a trademark of Covidien.
Infection Prevention Division REM is a trademark of Covidien.
3M Health Care ARM is a trademark of Conmed/Aspen Labs.
3M Center, Building 275-4E-01 NESSY is a trademark of ERBE.
St. Paul, MN 55144-1000 3M is a trademark of 3M.
U.S.A. Please recycle. Printed in U.S.A.
1 800 228-3957 © 3M 2005, 2007, 2012 All rights reserved.
www.3m.com/healthcare 70-2009-7127-6