Electrosurgical Energy Work Station

COMBI MAX Electrosurgical Energy Work Station

Advanced Electrosurgical Workstation for Open, Laparoscopic & Specialized Surgery

COMBI MAX is a multi-function electrosurgical energy workstation designed to combine advanced monopolar, bipolar and specialized surgical energy technologies within a single platform.

The system incorporates a wide-angle color touchscreen display, multiple microcontroller supervision, real-time tissue monitoring, programmable surgeon profiles, advanced safety monitoring and a broad range of electrosurgical modes. Depending on configuration, the workstation can support monopolar surgery, bipolar surgery, vessel sealing, bipolar saline TUR and Argon Plasma Coagulation.

Electrosurgery Re-Defined

COMBI MAX is designed as a comprehensive surgical energy workstation capable of supporting a variety of procedures while providing precise RF power control, real-time tissue feedback and multiple safety functions.

Its combination of surgical modes and configurable technologies makes it suitable for operating theatres requiring a versatile electrosurgical platform.

Key Features of COMBI MAX

• Wide-angle color LCD touchscreen display
• Maximum RF output up to 400 W
• Multiple microcontroller-based RF power supervision
• Real-time tissue impedance monitoring
• 199+1 programmable user profiles
• Independent settings for two monopolar outputs
• Simultaneous monopolar coagulation capability for two surgeons
• Isolated monopolar and bipolar outputs
• Auto-Start and Auto-Stop coagulation functions
• Adjustable Blend functionality
• Randomized Spray control
• Graphical patient plate contact-quality indication
• Touchscreen Auto-Lock
• Individual RF Port ON/OFF control
• Power-up self-test
• Handswitch and footswitch short detection
• Instrument-open and instrument-short detection in Ligate mode
• Configurable activation timeout
• Audible and visual alarms
• Error and warning history with timestamp
• Footswitch assignment to different output ports
• Designed for operation with generator, inverter and UPS supplies
• Optional Argon Plasma Coagulation and specialized configurations

Multiple Surgical Technologies in One Workstation

The brochure describes COMBI MAX as an Energy Work Station capable of combining several surgical energy technologies:

Monopolar Electrosurgery

Multiple cutting and coagulation modes support different surgical tissue effects.

Bipolar Electrosurgery

Dedicated bipolar cutting and coagulation modes provide controlled energy delivery for bipolar surgical applications.

Vessel Sealing

Real-time tissue feedback and automatic power control support vessel sealing procedures.

Bipolar Saline TUR – Bi-TUR

Designed for saline-based bipolar TUR applications.

Argon Plasma Coagulation

Available configurations integrate Argon-enhanced electrosurgical functionality.

Advanced Vessel Sealing System

COMBI MAX incorporates a vessel sealing system based on real-time tissue feedback and automatic power control.

Multiple controllers supervise tissue impedance and energy delivery to maintain consistent sealing performance. The system detects conditions such as:

• Sealing completed
• Instrument open
• Instrument short
• Regrasp / repeat sealing requirement

These conditions are displayed in real time with visual messages and audible alarms.

Vessel Sealing Features

According to the brochure, the vessel sealing system:

• Works with compatible sealing instruments in different sizes, including 5 mm and 10 mm
• Supports sealing of vessels up to 7 mm
• Offers 5 ligation levels
• Includes 2 fast ligation levels
• Provides instrument-open and short detection
• Provides automatic timeout protection
• Uses dedicated audible tones for sealing, warnings and HF activation
• Supports a separate ligation foot pedal

Bipolar Saline TUR – Bi-TUR

COMBI MAX includes bipolar saline TUR functionality for suitable urological procedures.

The brochure describes the Bi-TUR system as generating plasma around the resection loop, enabling tissue cutting while the generated energy assists coagulation of capillary bleeding during resection.

Listed Bi-TUR Applications

• TUVP – Transurethral Vaporization of Prostate
• TURP – Transurethral Resection of Prostate
• TCRE – Transcervical Resection of the Endometrium
• TUBE – Transurethral Enucleation with Bipolar

Argon Plasma Coagulation

Selected COMBI MAX configurations can incorporate an Argon Plasma Coagulator.

According to the brochure, Argon functionality can enhance monopolar cutting and coagulation while providing independent Argon control for cut and coag modes.

Argon Features

• Integrated Argon Plasma Coagulator
• Argon-enhanced monopolar cut and coagulation
• Independent Argon control for Cut and Coag
• Hand-switch and footswitch operation
• Argon gas management system
• Argon ON/OFF control
• Support for two gas cylinders with automatic switchover
• Real-time Argon gas-level indication for two cylinders

Smart Tissue Monitoring Technology

COMBI MAX uses real-time tissue monitoring technology to monitor tissue impedance and dynamically regulate HF current and voltage.

According to the brochure, the system can make adjustments within microseconds based on the selected operating mode, helping achieve the desired electrosurgical tissue effect while reducing unintended power delivery.

Multiple Processors for RF Power Accuracy

Multiple microcontrollers supervise RF power delivery within the COMBI MAX platform.

This architecture is designed to dynamically control and maintain power levels as tissue impedance changes during electrosurgical procedures.

Smart Auto-Start Coagulation

The Auto-Start Coagulation function automatically activates energy when tissue presence is detected between suitable forceps or similar instruments.

This allows coagulation to begin without requiring conventional manual activation in supported modes.

Smart Auto-Stop Coagulation

COMBI MAX also incorporates Auto-Stop Coagulation.

The system monitors changes in tissue impedance and automatically stops HF delivery after the desired coagulation condition is detected. According to the brochure, this is intended to help minimize charring, sticking and unnecessary thermal spread.

HF Leakage Monitoring & Control

An active HF Leakage Monitor continuously supervises leakage current.

If leakage above the specified operating limit is detected, the microcontroller can stop HF energy delivery and generate an error message accompanied by an audible alarm.

Handswitch & Footswitch Short Detection

During startup self-testing, COMBI MAX scans connected handswitches and footswitches.

If a switch is detected in an activated or shorted condition during self-test, the system provides an error message and audible alarm to help prevent unintended HF activation.

199+1 Programmable User Profiles

COMBI MAX allows surgeons to store and recall up to 199+1 programmable profiles.

Stored preferences can include parameters such as:

• Power settings
• Operating modes
• Timeout limits
• Footswitch settings
• Key tones
• Activation tones
• Volume settings

The brochure also describes restoration of the last activated settings, providing practically 200 stored profiles/configurations.

Touchscreen Auto-Lock

For additional operational safety, the touchscreen can automatically lock after a predefined period of inactivity.

This helps prevent unintended changes to power levels or other settings from accidental touchscreen contact.

Individual RF Port ON/OFF Control

Individual RF output ports can be enabled or disabled according to the procedure.

Disabling unused ports helps reduce the possibility of accidental RF activation during surgery.

Patient Plate Contact Quality Monitoring – PPCM

COMBI MAX features Patient Plate Contact Quality Monitoring (PPCM).

With a split-type dual-pad patient plate, contact quality can be monitored in real time. If patient contact is reduced, the system can stop HF delivery and provide an error message with an audible alarm.

The brochure also recommends using the split-type patient plate with adaptive monitoring for enhanced patient safety.

ENDO CUT

COMBI MAX provides a fractionated ENDO CUT mode using alternating cutting and coagulation cycles.

The brochure states that this functionality supports controlled cutting with haemostasis and provides 10 levels for adjusting cutting speed, depth and sharpness.

Surgical Modes

COMBI MAX supports a broad selection of monopolar and bipolar modes. Page 6 of the brochure shows the available mode families including monopolar cut, monopolar coagulation, bipolar coagulation, bipolar cut, Ligate and bipolar saline TUR.

Monopolar Cut Modes

The brochure lists 10 EndoCut levels, 100 i-Cut levels and 10 V-Cut effects. Features marked with an asterisk are identified as optional.

Monopolar Coagulation Modes

Randomized Spray selections are also indicated in the brochure.

Bipolar Coagulation Modes

Auto Start/Stop functionality is also listed for bipolar modes.

Bipolar Cut & Vessel Sealing Modes

COMBI MAX provides dedicated bipolar cutting selections, including:

• Lo Cut
• Hi Cut
• SealCut – 5 levels

The vessel sealing section additionally provides:

• Ligate – 5 levels
• F-Ligate – 2 levels

Bipolar Saline TUR Output

Cutting Modes

Coagulation Modes

Technical Specifications

Argon Specifications

For configurations equipped with Argon functionality, the brochure specifies:

Safety Standards

The brochure states that COMBI MAX basic construction is in accordance with:

• IEC 60601-1
• IEC 60601-1-2
• IEC 60601-2-2

Operating Conditions

Transport & Storage

Surgical Applications

The manufacturer brochure lists COMBI MAX for a broad range of surgical disciplines and procedures, including:

• General Surgery
• Laparoscopic Surgery
• Gynaecology
• Gastroenterology
• Urology
• Thoracic Surgery
• Cardiac Surgery
• Liver Surgery
• Plastic & Reconstructive Surgery
• Underwater Surgery
• Pelviscopy
• TURP / TUVP / TCRE / TUBE procedures
• Other Open Surgical Procedures

Why Choose COMBI MAX?