OPERATING MANUAL HIGH FREQUENCY SURGICAL DEVICE
Monopolar Cut
Program
Monopolar Coag
Bipolar Coag
Blend
1
ON
2
3
4
F
ARC 300
Monopolar Cut
Program
Monopolar Coag
Bipolar Cut
Bipolar Coag
15 18
Blend
1
2
Blend
3
ON
4
F
ARC 350
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
3
4
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
5
Legend
Legend
1
2
8
9
3
4
10
11
12
14
5 6 7
Blend
13
Monopolar Cut
Program
1 2 3/4 5/6 7
Monopolar Coag
Monopolar Cut
Monopolar Coag
Bipolar Cut
8 9 10/11 12 13 14
Bipolar Coag
15
16 17
15
15 18
Blend
18
19
Blend
ON
16/17 18 19
20
Bipolar Cut
Bipolar Coag
21
22
28
29
23
24
30
31
27
32
25 26
1
15 18
Blend
20
21 22 23/24 25/26 27
ON
2
3
4
42 43
44 45 46 47
28 29 30/31 32
F
33
34
35
36 37 38 39 40 41
48 49
33 34 35
36 1
2
3
37 38 3 +4
2 +3
39 50
51
52
53
54
55
56
"Monopolar Cut" indicator arrow (yellow) "Monopolar Cut" 7-segment indicator Power limitation for monopolar cutting Key for the degree of scabbing during monopolar cutting Blend factor indicator for "Monopolar Cut" Blend settings 0-9 Indicator arrow for "Monopolar Coag" (blue) "Monopolar Coag" 7-segment indicator Power limitation for monopolar coagulation Key/indicator for "Moderate Coagulation" current Key/indicator for "Forced Coagulation" current Key/indicator for "Spray Coagulation" current Indicator on main display: programs and information Current indicator on 2-line display Program key Error status indicator EASY neutral electrode monitoring for solid neutral electrode(EASY monitoring solid) EASY neutral electrode monitoring for split neutral electrode(EASY monitoring split) "Bipolar Cut" indicator arrow (yellow) "Bipolar Cut" 7-segment indicator Power limitation for bipolar cutting Key for the degree of scabbing during bipolar cutting Blend factor indicator for "Bipolar Cut" Blend settings 0–9 Indicator arrow for "Bipolar Coag" (blue) "Bipolar Coag" 7-segment indicator Power limitation for bipolar coagulation AUTOSTART key/indicator "Bipolar Output 3 or 4“ (connection socket 43 or 47) Only for bipolar coagulation! On/off switch Socket for the neutral electrode (NE) Key/indicator for "Monopolar Output 1" (connection socket 36) For monopolar instruments with manual switching Connection socket for monopolar instruments with manual switching "Monopolar Output 1" finger switch indicator "Monopolar Output 2" foot switch assignment indicator "Monopolar Output 2" key/indicator (connection socket 40)
ARC 300/350
6
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
Legend
40
41 42 43 44 45 46 47 48 49
50 51 52 53 54 55 56 40
900-350_IFU_V2.6_10296-S13-20100111-EN
Connection socket for monopolar instruments with hand or foot switch or Bovie connector or 4 mm monopolar endoscope connector or 3-pin connector "Monopolar Output 2" finger switch indicator "Bipolar Output 3" foot switch assignment indicator Connection socket for bipolar instruments with foot switch or AUTOSTART (to be used in ligation) "Bipolar Output 3" key/indicator (connection socket 43) AUTOSTART indicator"Bipolar Output 3" (connection socket 43) active Foot switch indicator assignment to "Bipolar Output 4" Connection socket for bipolar instruments with foot switch or AUTOSTART "Bipolar Output 4" key/indicator (connection socket 47) AUTOSTART indicator"Bipolar Output 4" (connection socket 47) active Back side of ARC 300/350 Connection socket 1 for foot switch for outputs 3/4 Not assigned Connection socket 3 for foot switch for outputs 2/3 Rating label Connection for communications interface 901-045 Connection for equipotential bonding Power connection for cooling device connector Connection socket for monopolar instruments with hand or foot switch or Bovie connector or 4 mm monopolar endoscope connector or 3-pin connector
ARC 300 / ARC 350 Operating manual
7
Legend
8
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
Contents
Contents Legend .........................................................................................................................................................6 1.
2.
3.
Using this operating manual.........................................................................................................13 1.1.
Revision index...................................................................................................................13
1.2.
Validity...............................................................................................................................13
1.3.
Other applicable documents .............................................................................................13
1.4.
Icons and labeling .............................................................................................................14 1.4.1.
Structure of warning instructions .......................................................................14
1.4.2.
Risk levels in the warning instructions...............................................................14
1.4.3.
Tips ....................................................................................................................14
1.4.4.
Other icons and labeling....................................................................................15
Safety...............................................................................................................................................16 2.1.
Intended use .....................................................................................................................16
2.2.
General safety instructions ...............................................................................................17
2.3.
Personal safety instructions..............................................................................................18 2.3.1.
Patients with pacemakers..................................................................................18
2.3.2.
Safe positioning of the patient ...........................................................................18
2.3.3.
Correct connection of the HF device .................................................................18
2.3.4.
Correct use of the HF device.............................................................................19
2.3.5.
Adjusting the settings of the HF device and use of the accessories.................19
2.4.
Device-related safety instructions.....................................................................................20
2.5.
Safe handling (general instructions) .................................................................................21 2.5.1.
Surgical environment: prevention of explosions/combustion ............................22
2.5.2.
Application of the neutral electrode ...................................................................23
Functionality ...................................................................................................................................25 3.1.
3.2.
Monopolar modes .............................................................................................................25 3.1.1.
"Cut" mode.........................................................................................................25
3.1.2.
"Moderate Coag" mode .....................................................................................25
3.1.3.
"Forced Coag" mode .........................................................................................26
3.1.4.
"Spray coagulation" mode .................................................................................26
3.1.5.
"GastroCUT" mode............................................................................................27
Bipolar modes ...................................................................................................................28 3.2.1.
"Soft COAG" mode ............................................................................................28
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ARC 300 / ARC 350 Operating manual
9
Contents
4.
3.3.
Activation and alarm signals in monopolar and bipolar mode ..........................................29
3.4.
Emergency shutoff ............................................................................................................29
3.5.
Monitoring functions..........................................................................................................29 3.5.1.
Self-test..............................................................................................................29
3.5.2.
Cyclical test during operation ............................................................................29
3.6.
ARC control technology ....................................................................................................30
3.7.
Neutral electrode monitoring.............................................................................................30 3.7.1.
General information ...........................................................................................30
3.7.2.
EASY neutral electrode monitoring (EASY monitoring) ....................................30
3.8.
Foot switch........................................................................................................................31
3.9.
Memory functions..............................................................................................................31
Description......................................................................................................................................32 4.1.
Icons on the device ...........................................................................................................32 4.1.1.
5.
4.2.
Scope of delivery ..............................................................................................................33
4.3.
Components required for operation ..................................................................................33
Preparation .....................................................................................................................................34 5.1.
Setting up the HF device...................................................................................................34
5.2.
Switching on the HF device ..............................................................................................35
5.3.
Connecting instruments ....................................................................................................35
5.4.
6.
5.3.1.
Instruments for monopolar applications ............................................................36
5.3.2.
Instruments for bipolar applications...................................................................36
5.3.3.
Connecting the foot switch ................................................................................36
5.3.4.
Assigning a foot switch output...........................................................................37
Function test .....................................................................................................................39 5.4.1.
Automatic test functions ....................................................................................39
5.4.2.
EASY neutral electrode monitoring (EASY monitoring) ....................................39
Operation.........................................................................................................................................40 6.1.
Program overview .............................................................................................................40
6.2.
Basic program settings .....................................................................................................41
6.3.
6.2.1.
Calling up a program .........................................................................................41
6.2.2.
Changing the program.......................................................................................41
Program descriptions ........................................................................................................43 6.3.1.
10
Rating label........................................................................................................33
Program 0 "Standard"........................................................................................43
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
Contents
6.4.
6.3.2.
Program 1 “EndoLAP Bipolar Cut” (Bipolar Cut only for ARC 350 and ARC 350L).........................................................................................................43
6.3.3.
Program 2 “EndoLAP II Ligation” (ligation only for ARC 350L) .........................44
6.3.4.
Program 3 “Abdominal Ligation” (ligation only for ARC 350L) ..........................45
6.3.5.
Program 4 “Argon Ligation” (ligation only for ARC 350L)..................................46
6.3.6.
Program 5 "Argon Open"...................................................................................47
6.3.7.
Program 6 "Macro Plastic".................................................................................47
6.3.8.
Program 7 "Micro Plastic"..................................................................................48
6.3.9.
Program 8 "Local Anaesthesia".........................................................................48
6.3.10.
Program 9 "ENT" ...............................................................................................48
6.3.11.
Program 10 "Micro Pediatric" ............................................................................48
6.3.12.
Program 11 "Micro Neuro".................................................................................48
6.3.13.
Program 12 "DryCUT" .......................................................................................49
6.3.14.
Program 13 "SimCOAG" ...................................................................................49
6.3.15.
Program 14 "Chest"...........................................................................................49
6.3.16.
Program 15 "Mammaria" ...................................................................................50
6.3.17.
Program 16 “Gynaecology Ligation” (ligation only for ARC 350L) ....................50
6.3.18.
Program 17 "Gynecology Hystero"....................................................................51
6.3.19.
Program 18 "TUR-P Bipolar TUR" (Bipolar TUR only for ARC 350 and ARC 350L).........................................................................................................51
6.3.20.
Program 19 "TUR-BT Bipolar TUR" (Bipolar TUR only for ARC 350 and ARC 350L)..................................................................................................52
6.3.21.
Program 20 “Resection Bipolar“ (bipolar resection only for ARC 350 and ARC 350L)..................................................................................................53
6.3.22.
Program 21 "GastroCUT Pol" (optional for ARC 300).......................................54
6.3.23.
Program 22: "GastroCUT Pap" (optional for ARC 300) ....................................55
6.3.24.
Program 23 “Argon Flex” (optional for ARC 300) ..............................................56
Menu programs.................................................................................................................57 6.4.1.
Overview............................................................................................................57
6.4.2.
Menu program 1 "Set Language" ......................................................................58
6.4.3.
Menu program 2 "Sound Level" ........................................................................58
6.4.4.
Menu program 3 "Moderate Coag Mode"..........................................................59
6.4.5.
Menu program 4 "Bip Coag Mode"....................................................................59
6.4.6.
Menu program 5 "Forced Coag Mode"..............................................................60
6.4.7.
Menu program 5a “GastroCut Mode” ................................................................60
6.4.8.
Menu program 6 "Show Prev Inf-No" ................................................................60
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ARC 300 / ARC 350 Operating manual
11
Contents
7.
6.4.9.
Menu program 7 "Hide Fix Prog".......................................................................61
6.4.10.
Menu program 8 "Autostart Delay"....................................................................61
6.4.11.
Menu program 9 "Edit Prog Names" .................................................................62
6.4.12.
Menu program 10 "Restore Programs" .............................................................63
6.4.13.
Menu program 11 "Panel Check" ......................................................................63
Detecting and correcting errors ...................................................................................................64 7.1.
System- errors ..................................................................................................................64 7.1.1.
7.2. 8.
9.
Error list .............................................................................................................64
Errors in the EASY monitoring..........................................................................................68
Preparation .....................................................................................................................................69 8.1.
Preparation of the accessories .........................................................................................69
8.2.
Disinfection and cleaning ..................................................................................................69
Maintenance/Repair .......................................................................................................................70 9.1.
Maintenance .....................................................................................................................70 9.1.1.
Safety inspection ...............................................................................................70
9.2.
Repairs..............................................................................................................................71
9.3.
Technical service ..............................................................................................................72
10.
Positioning ......................................................................................................................................73
11.
Technical specifications................................................................................................................74 11.1.
Technical specifications for the HF devices ARC 300 and ARC 350 ...............................74
11.2.
Output, voltage and current diagrams ..............................................................................80
12.
Accessories/Replacement parts.................................................................................................109
13.
EMC................................................................................................................................................110 13.1.
14.
12
Guidelines and manufacturer's declaration in accordance with DIN EN 606011-2, Section 6.8.3.201.....................................................................................................110
Disposal.........................................................................................................................................114
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
1 Using this operating manual
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1.
Using this operating manual This operating manual is part of the device. BOWA-electronic GmbH & Co. KG, referred to in the following simply as BOWA, assume no liability nor provide any warranty whatsoever for damage and consequential damages that arise due to non-compliance with the operating manual. X
Read the operating manual carefully and thoroughly before using this device.
X
Store the operating manual in a safe place throughout the service life of the device.
X
Keep the operating manual accessible to operating room personnel.
X
Give the operating manual to each successive owner and/or user of this device.
X
Always update the operating manual whenever you receive additional information from the manufacturer.
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1.1.
Revision index Software version
Last revised
2.6
2010/01
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1.2.
Validity This operating manual applies only to the devices designated on the title page. Pos: 6 /679-BOWA/ARC 300/350/2 Umgang mit/2.3 Mitgeltende Dokumente @ 4\mod_1261040285210_6.doc @ 34406 @ 2
1.3.
Other applicable documents X
Comply with other applicable documents in the appendix or in the other registers.
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ARC 300 / ARC 350 Operating manual
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1 Using this operating manual
1.4. 1.4.1.
Icons and labeling Structure of warning instructions SIGNAL WORD "Risk type, source and consequences there of" (Personal injury)! X
Measure for risk prevention.
NOTE "Risk type, source and consequences there of" (Property damage)! X
1.4.2.
Measure .
Risk levels in the warning instructions Icon
1.4.3.
Risk level
Probability of occurrence
Consequences of non-compliance
DANGER
Immediate risk
Death, serious injuries
WARNING
Possible risk
Death, serious injuries
CAUTION
Possible risk
Minor injuries
NOTE
Possible risk
Property damage
Tips Tips/Additional information to facilitate tasks.
14
ARC 300 / ARC 350 Operating manual
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1 Using this operating manual
1.4.4.
Other icons and labeling Icon/Labeling
Meaning
;
Prerequisite for an activity
X
Activity with one step
1.
Activity with several steps in a binding sequence
2. 3.
ª
Result of preceding activity
•
Listing (first level)
•
Listing (second level)
Emphasis
Emphasis
..., see Chapter xxx, Page xxx
Cross reference
... “Monopolar output 1” 35
Bold numbers (e.g.: 35) refer to a schematic diagram of the ARC 300 / 350 and the respective legend (page 6 – 7)
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2 Safety
2.
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2.1.
Intended use The HF device is intended exclusively for the generation of electrical power for monopolar and bipolar cutting and coagulation in surgical interventions. It is used in the following areas: •
general surgery
•
endoscopy
•
gynecology
•
hand surgery
•
ENT
•
cardiac surgery (including open-heart surgery)
•
neurosurgery
•
orthopedics
•
urology, including transurethral resection (TUR)
BOWA requires that the HF device is operated under the supervision of qualified and authorized personnel. The surgeon and medical staff must be trained in the fundamental principles, rules for use and risks of HF surgery and must be familiar with these in order to safely and reliably prevent putting patients, personnel and devices at risk.
Any other use is neither intended nor proper and must be effectively prevented!
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ARC 300 / ARC 350 Operating manual
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2 Safety
2.2.
General safety instructions X
Ensure that no electronic devices that are subject to interference from electromagnetic fields are set up in the vicinity of the HF device.
X
Please comply with the instructions on electromagnetic compatibility (EMC), see Chapter EMC, page 110.
Additional devices that are connected to electrical medical devices must satisfy relevant IEC or ISO standards (e.g. IEC 60950 for data processing devices). Furthermore, all configurations must comply with the standard requirements for medical systems (see IEC 60601-1-1 or Section 16 of the 3rd edition of IEC 60601-1). Anyone who connects additional devices to electrical medical devices is automatically a system configurator and thus responsible for meeting standard system requirements. Please note that local laws prevail over the aforementioned standard requirements. For further advice, please contact your local specialist retailer or the Technical Service Department.
To protect personnel, BOWA recommends the use of a smoke evacuator to extract electrosurgical smoke, e.g. BOWA SHE SHA.
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ARC 300 / ARC 350 Operating manual
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2 Safety
2.3. 2.3.1.
Personal safety instructions Patients with pacemakers Malfunctions or destruction of the pacemaker can endanger the life of the patient or result in irreversible injuries to the patient.
2.3.2.
2.3.3.
18
X
In cases of patients with pacemakers, consult the cardiologist before carrying out HF surgery.
X
Use bipolar HF methods.
X
Move the HF neutral electrode close to the operating field.
X
Set the demand pacemaker to a fixed frequency.
X
Ensure that the pacemaker does not come into contact with the HF electrode.
X
Keep a fully operational defibrillator handy.
X
Carry out a postoperative pacemaker check.
Safe positioning of the patient X
Position the patient so that he is not touching any metal parts that are grounded or have considerable capacity against ground (e.g. operating table brackets). Lay anti-static towels between the patient and the bedding.
X
Ensure that the patient does not touch any wet towels or bedding.
X
Place anti-static towels between areas of heavy sweating and skinto-skin contact on the patient's trunk.
X
Ensure that you are using a suitable support surface in order to prevent pressure necrosis.
X
Drain urine via the catheter.
Correct connection of the HF device X
Always ground the HF device via the equipotential bonding.
X
Do not use any needle electrodes for monitoring.
X
Attach electrodes of physiological monitoring devices without protective resistors or HF regulators as far as possible from the HF electrodes.
X
Attach lines from monitoring devices so that they do not lie on the patient's skin.
X
Keep the lines to the HF electrodes as short as possible and position them so that they do not touch the patient or other lines.
X
Do not place any objects on the HF device.
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
2 Safety
2.3.4.
Correct use of the HF device Inadvertent activation in the non-visible area of the HF device can injure the patient. X
Activate the HF device only when the electrode is in your field of vision and you can quickly deactivate the HF device at all times.
X
After inadvertent activation of the HF device, switch off the device immediately using the on/off switch.
X
Pay particular attention whenever you use the foot switch or the manual switch.
Lack of preparation, errors in usage or faults in the HF device can cause damage to the HF device.
2.3.5.
X
Use the automatic monitoring functions to ensure that the HF device works properly without errors. For information on the automatic test functions, see Chapter Monitoring functions, Page 29.
X
Ensure that no conductive fluids (e.g. blood, amniotic fluid) have penetrated the foot switch or the manual switch.
X
Ensure that there are no short circuits in the foot and manual switches.
Adjusting the settings of the HF device and use of the accessories Setting the output power too high can injure the patient! Therefore, before you increase the power output, ensure that: •
the neutral electrode is correctly positioned,
•
the working electrodes are clean,
•
and the plug connections are all correct.
Setting the HF device correctly X
To prevent inadvertent (thermal) tissue damage during interventions on body parts with small cross-sections and in areas with high resistance (bones, joints), use the bipolar method in these areas.
X
Always set the power output of the HF device as low as possible.
X
Set the acoustic signal that sounds when the electrode is activated so that it is always clearly audible.
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ARC 300 / ARC 350 Operating manual
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2 Safety
Correct usage of the accessories X
Use only insulated accessories.
X
Check all electrodes for sharp edges and projecting parts before use.
X
Use only electrodes that are free of defects and in good working order.
X
Never place active electrodes on or near the patient.
X
Do not remove hot electrodes from the patient's bodydirectly after cutting or coagulation.
X
Ensure that there is sufficient distance between the patient cables and the cables of the HF device.
X
Do not run the patient cable across the patient.
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2.4.
Device-related safety instructions Devices manufactured by BOWA are developed in accordance with the current state of technology and generally accepted safety rules. Despite this, risks to the life and health of the user or third parties and/or damage to the device and other objects can occur. X
Use only of accessories approved by BOWA; see Chapter , Page .
X
Use the device only when it is in free of technical defects and in good working order and only for the intended purpose, always remaining aware of safety requirements and risks while complying with this operating manual.
X
Have malfunctions that can adversely affect safety (e.g. deviations from the permissible operating conditions) repaired without delay.
X
Wipe down the HF device only with cleaning agents and disinfectants that are nationally approved for surface cleaning. See Chapter Disinfection and cleaning ,Page 69.
X
Never immerse the device in water or cleaning agents.
X
Never boil the device and never disinfect it mechanically.
X
Immediately drain any fluid that might have penetrated the device.
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20
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
2 Safety
2.5.
Safe handling (general instructions) X
Before each use of the device, check to ensure that it is functioning properly and is in good working order.
X
Comply with the instructions for use as specified by the standard; see Chapter Risk levels in the warning instructions, Page 14.
X
Pay attention to and comply with the acoustic signals and error indicators of the HF device during use; see Chapter Error List, Page 64.
X
The device and accessories may be operated and used only by people who have the necessary training, knowledge and experience.
X
Inspect the accessories, particularly electrode cables and endoscopic accessories for damage to the insulation.
X
Do not place any instruments on the patients or on the devices.
X
Ensure that no instruments are being cleaned when AUTOSTART is activated.
X
Wear suitable gloves during operations.
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ARC 300 / ARC 350 Operating manual
21
2 Safety
2.5.1.
Surgical environment: prevention of explosions/combustion Sparks fly during proper use of the HF device!
22
X
Do not use the HF device in areas where there is a risk of explosion.
X
Do not use any flammable or explosive liquids.
X
If display components fail, do not use the HF device any longer!
X
Avoid using ignitable anesthetics and gases which support combustion (e.g. nitrous oxide, oxygen) during operations (e.g. in the head and thoracic regions).
X
Wear suitable gloves during operations.
X
Use exclusively non-flammable cleaning agents, disinfectants and solvents (for adhesives). If you use flammable cleaning agents, disinfectants and solvents, ensure that these substances have evaporated before using the HF surgery device.
X
Ensure that no flammable liquids collect beneath the patient or in bodily cavities (e.g. the vagina). Suction and/or flush bodily cavities before activating the device.
X
Wipe off all liquids before using the HF device.
X
Ensure that no endogenous gases are pesent that could ignite.
X
Ensure that all materials saturated with oxygen (e.g. cotton, gauze) are removed far enough from the HF environment that they cannot ignite.
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
2 Safety
2.5.2.
Application of the neutral electrode In the monopolar HF method, the neutral electrode feeds the current introduced into the patient's body at the surgical site back to the HF device. X
X
To prevent a rise in temperature at the current emergence point, the following conditions must be ensured: •
sufficiently large contact surface between the neutral electrode and the patient's body
•
high electrical conductivity between the neutral electrode and the patient's body
To prevent the patient being burned by the neutral electrode, you must comply with the following conditions: •
Select the application point for the neutral electrode so that the current paths between the active and neutral electrodes are as short as possible and run longitudinally or diagonally to the patient's body (because muscles are more conductive in the direction of the fibrils).
•
During surgery in the thoracic region, not run the current path transversely across the patient's body and ensure that the patient's heart is never in the path of the current.
•
Depending on the surgical site, apply the neutral electrode at the nearest upper arm or thigh if at all possible.
•
In the case of self-adhesive disposable electrodes, comply with any further manufacturer specifications regarding the point of application.
•
Ensure that the application point is free of scar tissue and bony prominences.
•
Ensure that there are no implants (e.g. bone nails, bone plates, endoprostheses) in the current path.
•
Ensure that no short circuits can occur at the neutral electrode connection.
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2 Safety
Before applying the neutral electrode X
Shave the area where the neutral electrode will be applied.
X
Clean the application site, but do not use any alcohol, as it dries out the skin and increases the transition resistance.
X
If the patient has poor circulation, massage or brush the application site.
X
Apply the neutral electrode using the entire contact surface. Secure reusable neutral electrodes with rubber bands or elastic ties so that they do not loosen or fall off when the patient moves. Ensure that the patient's circulation is not impaired (risk of necrosis).
X
Never use wet towels or electropastes.
X
Ensure that no liquids (e.g. cleaning fluids, disinfectants, blood, urine) get between the patient and the neutral electrode.
X
Do not place the neutral electrode under the patient's buttocks or back.
X
Ensure that there are no EKG electrodes in the current path of the HF device.
Use of a solid neutral electrode X
When applying the solid neutral electrode, ensure that the HF current flows back to the longest edge so that no excessive current density develops on the short edge.
X
Check the solid neutral electrode during the surgery.
Use of a split neutral electrode X
Apply the split neutral electrode correctly and without any additional objects, as the HF device does not recognize the bridging of the section surfaces by other objects.
X
Ensure that when you apply the split neutral electrode, the HF current flows evenly back to both surfaces, so that no excessive increase in the current density develops beneath a surface or an edge.
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3 Functionality
3.
Functionality The HF device is controlled by a microprocessor and converts the mains voltage into a high-frequency alternating current for monopolar or bipolar applications. The arc control technology reduces the power output depending on the tissue and its resistance to the necessary minimum. Pos: 15 /679-BOWA/ARC 300/350/4 Funktionsweise/4.1 Monopolare Modi @ 4\mod_1261040443506_6.doc @ 34634 @ 233333
3.1.
Monopolar modes In monopolar operation, the HF device has the following operating modes: •
"Cut" for cutting in low-resistance tissue
•
"Moderate Coag" for contact coagulation and "Forced Coag" for coagulation with semi-contact
•
"Spray Coagulation" for contactless surface coagulation
Two monopolar outputs facilitate the independent configuration of two instruments. Instruments can be connected to the monopolar outputs 1 and/or 2 (socket 36 and/or 40). The desired output is activated by pressing the key/display 35 or 39 (for “monopolar output 1 or 2“).
3.1.1.
"Cut" mode In this mode, a high-performance HF current of up to 300 W with a low crest factor is used for cuts in biological tissue. The ARC CONTROL quickly adjusts the power output to the variations in tissue and changes in the cutting surface or speed to the relevant required minimum. When setting the blend function between Level 0 and 9, it is possible to set a variably adjustable degree of surface scabbing.
3.1.2.
"Moderate Coag" mode If you wish to change the settings of the "Moderate Coag" mode, see Chapter Menu program 3 "Moderate Coag Mode", page 59.
This mode is used in contact coagulation for stopping hemorrhagic oozing, hemostasis of larger tissue areas, and coagulation over smaller surfaces. The coagulation effect of the "Moderate Coag" current is adjusted in this mode.
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3 Functionality
The following modes are available:
Mode
Characteristics
Application
"Standard" mode (factory setting)
Moderate coagulation
Deep coagulation
"Dessication I" mode
Moderate to high coagulation
Fast, deep coagulation
"Dessication II" mode
Moderate/Minor coagulation
Deep, slow coagulation
"Dessication III" mode
Minor to moderate coagulation
Slow coagulation
"Dessication IV" mode
High coagulation
High coagulation
3.1.3.
"Forced Coag" mode If you wish to change the settings of the "Forced Coag" mode, see Chapter Menu program 5 "Forced Coag Mode", page 60.
This mode is used for contact coagulation extending only over a small area of the tissue, preferably with small surfaces and fine electrodes. There are likewise three modes available in the "Forced Coag" mode:
Mode
Characteristics
Application
"Non-cutting" mode
High coagulation rate Minimal cutting tendency
Requirements for good coagulation without cutting tissue
"Mixed" mode
High coagulation rate Moderate cutting effect
All standard applications(factory setting)
"Cutting" mode
Good hemostasis Outstanding cutting effect
Preparatory cutting with the blue key
3.1.4.
"Spray coagulation" mode This mode is used for contactless surface coagulation via arcing. This mode is used for hemostasis in parenchymal tissue or in poorly accessible crevices and in conjunction with argon coagulation.
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3 Functionality
3.1.5.
"GastroCUT" mode If you wish to change the settings of the "GastroCUT" mode, see Chapter Menu program 5a “GastroCut Mode”, page 60.
This mode consists of a pulse sequence of cutting current and coagulation phase. This mode is used for the removal of polyps or for making incisions in papillae. The following applies: •
Blend 0 = low coagulation rate
•
Blend 9 = high coagulation rate
There are likewise three modes available in the "GastroCUT" mode:
Mode
Characteristics
Application
"Slow" mode
Cutting characteristics: Slower pulse sequence
Recommended for particularly intricate tasks
"Medium" mode
Cutting characteristics: Dynamic
Recommended for skilled users (default setting)
"Fast" mode
Cutting characteristics: Dynamic and fast pulse sequence
Recommended for experienced users in this specialist area
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3 Functionality
3.2.
Bipolar modes Optimal results can be achieved using the bipolar method (particularly in minimally invasive surgery) only with special special instruments!
Advantages of the bipolar method: •
The required high-frequency output is only one-fourth of the output required for the monopolar method.
•
It is not necessary to attach a neutral electrode to the patient, so that the corresponding risks for the patient are eliminated.
Two bipolar outputs on the ARC 350 facilitate the independent configuration of two instruments. Instruments can be connected to the bipolar outputs 3 and/or 4 (socket 43 and/or 47). The desired output is activated by pressing the key/display 44 and/or 48 (for "Bipolar output 3 and/or 4"). The AUTOSTART function can be activated only for bipolar coagulation. In the AUTOSTART function, the coagulation current is automatically added after low-resistance tissue contact of the connected bipolar instruments. Thus activation using the foot switch is not necessary. If an output operated in AUTOSTART mode is activated using the foot switch, the AUTOSTART function is deactivated and the foot switch signal is used.
To prevent any activation problemsin AUTOSTART mode, we recommend bipolar cable with a maximum length of 4.5 meters.
3.2.1.
"Soft COAG" mode If you wish to change the settings of the "Soft COAG" mode, see Chapter Menu program 4 "Bip Coag Mode", Page 59.
The "Soft COAG" mode is used for precision work with the bipolar tweezers. The AUTOSTART function is not available in this mode. Pos: 17 /679-BOWA/ARC 300/350/4 Funktionsweise/4.3 Aktivierungs- und Alarmsignale im monopolaren und bipolaren Modus @ 4\mod_1261040456147_6.doc @ 34672 @ 2
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3 Functionality
3.3.
Activation and alarm signals in monopolar and bipolar mode The activation and alarm signals are emitted at volume level 19. The mnimum volume is level 16. If required, the volume of the activation signals can be adjusted for a louder environment. The alarm sound cannot be changed.
Mode
Indicator in menu program
Frequency (Hz) Signal type
Monopolar Cut
SOUND 1
700
Continuous sound
Monopolar Coag
SOUND 2
500
Continuous sound
Bipolar Cut
SOUND 3
550
Continuous sound
Bipolar Coag
SOUND 4
340
Continuous sound
Sim Coag Forced Cut
SOUND 5
800
Continuous sound
Ligation End
–
–
Pulsating alternating sound
Alarm
–
1000
Intermittent
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3.4.
Emergency shutoff The HF device can always be switched off in an emergency using the on/off switch 33. Pos: 19 /679-BOWA/ARC 300/350/4 Funktionsweise/4.5 Überwachungsfunktionen @ 4\mod_1261040472366_6.doc @ 34710 @ 233
3.5. 3.5.1.
Monitoring functions Self-test When the HF device is switched on, it runs a self-test that checks the operating elements, acoustic signal, microprocessor and hardware function.
3.5.2.
Cyclical test during operation During operation, safety-relevant functions and signals will be tested cyclically. If errors are detected, the HF generator will shut itself off. An error message appears on the display. For further information, see Detecting and correcting errors, Page 64. Pos: 20 /679-BOWA/ARC 300/350/4 Funktionsweise/4.6 ARC Control-Technologie @ 4\mod_1261040479928_6.doc @ 34729 @ 2
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3 Functionality
3.6.
ARC control technology Arc control technology takes into account varying cutting surfaces and cutting speeds, detects differences in tissue and the resulting changes in resistance and adjusts the power output to the relevant required minimum. Pos: 21 /679-BOWA/ARC 300/350/4 Funktionsweise/4.8 Neutralelektroden-Überwachung @ 4\mod_1261040495131_6.doc @ 34767 @ 233
3.7.
Neutral electrode monitoring When the neutral electrode is attached, the largest possible neutral electrode must be attached!
3.7.1.
General information The monitoring of the neutral electrode minimizes the risk of burns at the site where the neutral electrode is attached. Two types of neutral electrodes are monitored: •
Solid neutral electrodes
•
Split neutral electrodes.
The split neutral electrodes are shown on display 20, and the solid neutral electrodes are shown on display 19.
3.7.2.
EASY neutral electrode monitoring (EASY monitoring) Children's electrodes cannot be monitored by the EASY system, because their resistance is too high due to their small surfaces.
The EASY monitoring system measures changes in resistance between the patient and the high-frequency surgery device both before and during HF activation. If required, it requests personnel to intervene via an optical and acoustic alarm. For this purpose, a split neutral electrode with corresponding contact surfaces and suitable transition resistances which is attached to the patient according to the manufacturer's instructions is required. For the "TUR" and “Resection” programs and the "Moderate Coagulation" mode, the minimum surface of the electrode must be at least 110 cm². Pos: 22 /679-BOWA/ARC 300/350/4 Funktionsweise/4.7 Fußschalter @ 4\mod_1261040488428_6.doc @ 34748 @ 2
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3 Functionality
3.8.
Foot switch In addition to the manual switch, the foot switch can be used to activate various operating modes. The foot switches can be connected either to connection socket 50 or 52. The HF device automatically detects whether a foot switch is connected or not. The following foot switch systems can be connected to the HF device:
Article No.
Designation
901-011
Single-pedal foot switch (SP) Single-pedal foot switch with pushbutton (SP+)
901-021
Double-pedal foot switch (DP)
901-031
Double-pedal foot switch with sensor (DP+)
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3.9.
Memory functions For generators from the ARC series, the parameter settings of all programs can be stored. To do this, set parameters such as output, blend factor, coagulation mode and foot switch assignment and then store them by pressing the AUTOSTART 32 key and keeping it pressed. This storage procedure only stores the current program. By pressing a key you can call up the individual device settings and the entered empirical values; see Chapter "Basic Settings", Page 41. The saved values will be stored even when the device is switched off. Pos: 24 /679-BOWA/ARC 300/350/5 Beschreibung/5 Beschreibung @ 4\mod_1261040517772_6.doc @ 34805 @ 1
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4 Description
4.
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4.1.
Icons on the device Icon
Designation Solid neutral electrode Split neutral electrode Foot switch Comply with operating instruction Neutral electrode at HF insulated from ground CF-type device with defibrillation protection Equipotential bonding Fuse Alternating current On/off switch Labeling of electrical and electronic devices in accordance with Directive 2002/96/EC (WEEE), see "Disposal" An electrode handle with finger switch can be used at this socket AUTOSTART Identification of (active) HF output; Careful: Dangerous electrical voltage. Manufacturer
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4 Description
4.1.1.
Rating label
Figure 4-1: Rating label ARC 350 (here: ARC 350; for ARC 300, REF and SN are different, e.g. REF 900-300, SN 30001620) Pos: 27 /679-BOWA/ARC 300/350/5 Beschreibung/5.2 Lieferumfang @ 4\mod_1261040537944_6.doc @ 34881 @ 2
4.2.
Scope of delivery You'll find detailed information on the scope of delivery in the current catalogs. Pos: 28 /679-BOWA/ARC 300/350/5 Beschreibung/5.3 Zum Betrieb erforderliche Komponenten @ 4\mod_1261040541522_6.doc @ 34900 @ 2
4.3.
Components required for operation •
Power cable
•
Foot switch
•
Neutral electrode
•
Electrode handle for monopolar applications wtih finger keys or activation via foot switch
•
Working electrode
•
Connection cable
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5 Preparation
5.
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5.1.
Setting up the HF device NOTE When the HF device is used as intended, electromagnetic fields are generated! This can affect other devices. X
Ensure that no electronic devices are set up in the vicinity of the HF device.
HF devices may be used only in rooms used for medical purposes that meet the requirements of DIN VDE 0100-710.
If the HF device was previously stored or transported at temperatures below +10 °C, it will take approximately three hours to adjust to room temperature.
1.
Place the HF device on one of the following platforms: •
a table,
•
an equipment trolley,
•
a console suspended from a ceiling support or wallmounted brackets.
2.
Set up the HF device with sufficient clearance to other electronic devices.
3.
Position the HF device with the front of the device facing the patient/surgeon.
4.
Except for the additional device ARC PLUS, do not place any other devices on the HF device.
5.
Do not place any other objects on / above the HF device.
6.
Do not set up the HF device on other devices.
7.
Connect the power cable.
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5 Preparation
5.2.
Switching on the HF device The HF device must not be used if indicator elements are not working! For more information about troubleshooting, see Chapter Detecting and correcting errors, Page 64.
1.
Switch the HF device on using the on/off switch 33.
ª The HF device carries out a self-test: all indicator elements light up and flash alternately with the display.
ª All the modes that can be set in the menu programs are displayed alternately. For more information about the setting options, see Chapter Menu programs, page 57.
2.
Check whether all the indicators and LEDs on the front plate light up and flash alternately with the display.
3.
Press any key to end the self-test.
ª The HF device is ready for operation. ª The parameters of the most recently selected program appear on
the display. A self-test is carried out if the device is switched off for longer than 15 to 20 seconds after being used. The default parameters of the most recently selected program subsequently appear.
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5.3.
Connecting instruments X
Before connecting instruments, ensure that the following conditions are met: •
Accessory combinations not mentioned in the operating manual may be used only if they are explicitly specified for the intended use. Performance features as well as safety requirements must always be taken into account.
•
The insulation of the accessories (e.g. HF cables, instruments) must be sufficient for the maximum output peak voltage (see IEC 60601-2-2 and IEC 60601-2-18).
•
Accessories with defective insulation may not be used.
In order to arrange and protect all cables to the HF device, use the pullout cable laying guide on the left underside of the device.
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5 Preparation
5.3.1.
5.3.2.
Instruments for monopolar applications 1.
Plug the neutral electrode cable into the socket for the neutral electrode 34.
2.
Check the EASY monitoring for solid neutral electrodes 19 or the EASY monitoring for split neutral electrodes 20 to ensure that it corresponds to the type of neutral electrode connected.
3.
Connect the electrode handle to the active connection socket 36 or 40. –or– For accessories without finger sensors: Connect the foot switch to the connection socket 52. Connect the monopolar connector cable using a Bovie connector. –or– Connect the monopolar cable for the endoscopy to the connection socket for monopolar instruments 40 (left).
Instruments for bipolar applications 1.
Connect the bipolar cable with the instrument, e.g. the tweezers.
2.
Connect the bipolar cable to the active connection socket.
•
At the connection socket for bipolar instruments 43, the coagulation instrument set can be connected on the ARC 300, while coagulation, TUR coagulation, cutting, and TUR cutting instruments can be connected on the ARC 350, and ligation instruments can be connected on the ARC 350L in the ligation programs.
•
AUTOSTART works only in "bipolar standard mode"; see Chapter Menu program 4 "Bip Coag Mode", Page 59.
4.
For bipolar applications without AUTOSTART, connect the foot switch to the connection sockets 50/52. – or – For bipolar applications with AUTOSTART, press the AUTOSTART switch 32.
ª Once the contact is closed, the application starts after the configured reaction time.
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5.3.3.
Connecting the foot switch X
Connect the desired foot switch to the foot switch connection socket 50 or 52.
ª The HF device automatically detects the connected foot switch and reports this via the display on the front, showing the connection socket being used.
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5 Preparation
5.3.4.
Assigning a foot switch output 1.
Press the key/display for “Monopolar output 2” 39 for 1.5 seconds –or– the key/display for “Bipolar output 3” 44 –or– the key/display for “Bipolar output 4” 48 –or– press the additional key on the double pedal foot switch (e.g. for the “Bipolar output 3 or 4”).
ª The message "SEt PEd." appears on the "Monopolar Cut" display 2 and the "Monopolar Coag" display 9 and an alternating signal sounds that confirms the switching process acoustically.
2.
Press the key/display for AUTOSTART 32 for longer than 5 seconds.
ª The configured HF parameters will be saved and the symbol -> appears on the display/main display 15.
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5 Preparation
Possible foot switch combinations Foot switch (type)
Connection Active output socket (front)
Mode
Operation
3 or 4
Bipolar Coag
X
Change foot switch output: Press key/display 44/48 for 1.5 sec. or with foot pedal sensor (EP+)
2
Monopolar Coag
X
Change foot switch output: Press key/display 39 for 1.5 sec. or with foot pedal sensor (EP+)
3
Bipolar Coag
X
Change foot switch output: Press key/display 44 for 1.5 sec. or with foot pedal sensor (EP+)
50 Double pedal with/without sensor (DP/DP+)
3 or 4
1) Bipolar Cut /Coag
X
Change foot switch output: Press key/display 44/48 for 1.5 sec. or with foot pedal sensor (DP+)
52
2 or 3
Monopolar Cut/Coag Bipolar Cut1)/Coag
X
Change foot switch output: Press key/display 39/44 for 1.5 sec. or with foot pedal sensor (DP+)
50 Single pedal with/without sensor (EP/EP+) 52
1)
Only for ARC 350
The shift sensor on the foot switch is locked in programs 18, 19, and 20 for safety reasons. Socket changeover must occur directly at the device.
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5 Preparation
5.4. 5.4.1.
Function test Automatic test functions The HF device automatically carries out a self-test after being switched on and a cyclical test during operation. If errors occur, see Chapter Detecting and correcting errors, Page 64.
5.4.2.
EASY neutral electrode monitoring (EASY monitoring) NOTE Incorrect application of the neutral electrode! X
Ensure that the specifications for the correct application of the neutral electrode with regard to size, adhesive properties and fullsurface contact of the complete electrode have been met.
The following functions can be tested for the split and solid neutral electrodes: Actual status
Output
Measure X Plug in the cable for the
Cable for solid/split neutral electrode not connected
Indicators for EASY monitoring of split neutral electrode 20 or EASY monitoring of solid neutral electrode 19 do not light up
Only the cable for solid/split neutral electrode is connected
Indicators for EASY monitoring of split neutral electrode 20 or EASY monitoring of solid neutral electrode 19 light up
X
Check the cable for a short circuit.
Cable with split neutral electrode plugged in and not attached to patient.
Indicators for EASY monitoring of split neutral electrode 20 or EASY monitoring of solid neutral electrode 19 light up
X
Check whether the electrode is correctly attached to the cable connection.
The cable for the split or solid neutral The indicators for EASY monitoring electrode is plugged in and attached of the split neutral electrode 20 or to the patient. EASY monitoring of the solid neutral electrode 19 light up green, but the type of neutral electrode is not correctly detected.
X
Based on the assessment of benefit and harm, decide whether you should activate the HF device.
solid/split neutral electrode.
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6 Operation
6.
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6.1.
Program overview An overview of the programs that can be executed with the HF device is displayed below.
Program number
Program name
0
ARC 350L
ARC 350
ARC 300G
ARC 300
Standard
X
X
X
X
1
EndoLAP Bipolar Cut
X
X
–
–
1
EndoLAP
–
–
X
X
2
EndoLAP II Ligation
X
–
–
–
2
EndoLAP II
–
X
X
X
3
Abdominal Ligation
X
–
–
–
3
Abdominal
–
X
X
X
4
ArgonLigation
X
–
–
–
4
Argon
–
X
X
X
5
Argon Open
X
X
X
X
6
Macro Plastic
X
X
X
X
7
Micro Plastic
X
X
X
X
8
Local Anesthesia
X
X
X
X
9
HNO
X
X
X
X
10
Micro Pediatric
X
X
X
X
11
Micro Neuro
X
X
X
X
12
DryCut
X
X
X
X
13
SimCOAG
X
X
X
X
14
Thorax
X
X
X
X
15
Mammaria
X
X
X
X
16
Gynaecology
–
X
X
X
16
Gynaecology Ligation
X
–
–
–
17
Gynaecology Hystero
X
X
X
X
18
TUR-P Bipolar TUR
X
X
–
–
18
TUR-P
–
–
X
X
19
TUR-BT Bipolar TUR
X
X
–
–
19
TUR-BT
–
–
X
X
20
Resection Bipolar
X
X
–
–
20
Resection
–
–
X
X
21
GastroCUT POL
X
X
X
–
22
GastroCUT PAP
X
X
X
–
23
Argon Flex
X
X
X
–
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6 Operation
The data about settings, points of application, application duration, and the application of instruments are based on clinical practice. However, these are only basic guidelines which must be tested and approved for suitability by the operator. Depending on the individual conditions, it may be necessary to deviate from the specified data. Medicine is continuously evolving and growing due to R&D and clinical practice. These developments may also make deviations from the specified data necessary.
All programs have basic settings, e.g. operating language, sound or display and memory options, which can be changed for individual applications; see Chapter Menu programs, Page 57.
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6.2. 6.2.1.
Basic program settings Calling up a program Call up each of the selectable programs with the following procedure:
6.2.2.
1.
Press the program key 16/17 repeatedly until the corresponding program is shown on the display.
2.
Connect the instruments; see Chapter Connecting instruments, Page 35.
Changing the program The preconfigured programs can be selected from "0-23". The parameters of the preconfigured programs can be changed, and the new parameters can be saved. Only the special types of current cannot be changed. To do this, set parameters such as output, blend factor, coagulation mode and foot switch assignment and then store them by pressing the AUTOSTART 32 key and keeping it pressed. The programs from "24-99" can be freely configured. These programs output standard types of current.
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6 Operation
You can change the following factory settings: Select Cutting settings 1.
Press the key/display for „Monopolar Output 1“ 35 or „Monopolar Output 2“ 39 and select connection socket 1 or 2.
2.
Press the power limitation key for monopolar cutting 3 or 4.
–Or– 1.
Press the key/indicator for "Bipolar Output 3" 44 or "Bipolar Output 4" 48.
2.
Press the power limitation key for bipolar cutting 23 or 24.
Set blend factor 1.
Press the key for the monopolar degree of scabbing 5/6. –or– Press the key for the bipolar degree of scabbing 25/26.
2.
Set the blend factor between "1-9" or to "0" for coagulation-free cutting.
Select current type for coagulation current 1.
Press the key/indicator for "Moderate Coagulation" current 12 – or – Press the key/indicator for "Forced Coagulation" current 13 – or – Press the key/indicator for "Spray Coagulation" current 14.
2.
Set the power limit for the monopolar coagulation current using the keys for power limitation for monopolar coagulation 10/11.
–Or– 1.
Set the power limit for the bipolar coagulation current using the keys for power limitation for bipolar coagulation 30/31.
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6.3.
Program descriptions The following recommended settings for standard programs are based on empirical values and must be verified in each individual case by the surgeon.
6.3.1.
Program 0 "Standard" This program is used for monopolar/bipolar cutting and coagulation in standard applications.
6.3.2.
Program 1 “EndoLAP Bipolar Cut” (Bipolar Cut only for ARC 350 and ARC 350L) This program is used for bipolar cutting with preconfigured settings.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 4” 48 are preconfigured.
X
Connect the instrument(s) to the HF device.
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6.3.3.
Program 2 “EndoLAP II Ligation” (ligation only for ARC 350L) •
Only connection socket 3 supplies ligation current.
•
If the software option “Ligation” is unavailable, this program provides the function “Standard Bipolar”.
This program is used for ligation in laparoscopic applications in which 2 monopolar instruments and 2 bipolar instruments can be connected. In this program, one instrument of the BOWA NightKNIFE®, LIGATOR®, and TissueSeal® series and a further optional bipolar instrument can be connected.
The performance output is preconfigured and is automatically adjusted. The sealing effect can be altered via the key for scabbing level 25 or 26. The set effect is displayed from 1 to 4 in the 7-segment display “Bipolar Coag” 29: • Effect 1: For a bipolar coagulation of thin structures with the aid of a BOWA ligation instrument. •
Effect 2: The sealing of thin blood vessels and structures with the aid of a BOWA ligation instrument.
•
Effect 3: The sealing of medium-sized blood vessels and structures with the aid of a BOWA ligation instrument.
•
Effect 4: The sealing of thick blood vessels and structures of up to 7 mm with the aid of a BOWA ligation instrument.
DANGER Blood loss due to incomplete blood vessel sealing! X
Deactivate the ligation instrument after completed sealing of blood vessels.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 3” 44 are preconfigured.
1.
Connect the ligation instrument to the HF device.
ª After completion of coagulation, a pulsating acoustic signal sounds. ª At this point only very low output can be used in the tissue. 2.
44
Terminate activation of the ligation instrument.
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6 Operation
6.3.4.
Program 3 “Abdominal Ligation” (ligation only for ARC 350L) •
Conventional instruments (such as handles) must not be used in the ligation mode. Ligation in Program 3 is only possible with “Bipolar output 3” 43.
•
If the software option “Ligation” is unavailable, this program provides the function “Standard Bipolar”.
This program is used in a wide range of surgical applications, e.g. gynecology and laparoscopy. It facilitates permanent blood vessel sealing with the manual instruments of the BOWA NightKNIFE®, LIGATOR®, and TissueSeal® series for large veins, arteries or tissue bundles. Intended for: •
large-lumen veins, arteries or tissue bundles
•
use in combination with instruments of the BOWA NightKNIFE®, LIGATOR®, and TissueSeal® series
Not intended for: •
tubal sterilization or sterilization by means of tubal coagulation
•
dirty or defective electrode tips
The performance output is preconfigured and is automatically adjusted. The sealing effect can be altered via the key for scabbing level 25 or 26. The set effect is displayed from 1 to 4 in the 7-segment display “Bipolar Coag” 29: • Effect 1: For a bipolar coagulation of thin structures with the aid of a BOWA ligation instrument. •
Effect 2: The sealing of thin blood vessels and structures with the aid of a BOWA ligation instrument.
•
Effect 3: The sealing of medium-sized blood vessels and structures with the aid of a BOWA ligation instrument.
•
Effect 4: The sealing of thick blood vessels and structures of up to 7 mm with the aid of a BOWA ligation instrument.
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6 Operation
DANGER Blood loss due to incomplete blood vessel sealing!
6.3.5.
X
Deactivate the ligation instrument after completed sealing of blood vessels.
;
The key/display for "Monopolar output 1" 35 and "Bipolar output 3" 44 are preconfigured.
X
Connect the ligation instrument to "Bipolar output 3" 43 of the HF device.
Program 4 “Argon Ligation” (ligation only for ARC 350L) If the software option “Ligation” is unavailable, this program provides the function “Standard Bipolar”.
In this program, open surgical interventions are carried out with the additional device ARC PLUS for argon electrocoagulation. When suitable instruments are connected, argon coagulation can be carried out with rigid electrodes and argon cutting. This program is used in a wide range of surgical applications, e.g. gynecology and laparoscopy. It facilitates permanent blood vessel sealing with the manual instruments of the BOWA NightKNIFE®, LIGATOR®, and TissueSeal® series for large veins, arteries or tissue bundles. Intended for: •
large-lumen veins, arteries or tissue bundles
•
use in combination with instruments of the BOWA NightKNIFE®, LIGATOR®, and TissueSeal® series
Not intended for:
46
•
tubal sterilization or sterilization by means of tubal coagulation
•
dirty or defective electrode tips
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6 Operation
The performance output is preconfigured and is automatically adjusted. The sealing effect can be altered via the key for scabbing level 25 or 26. The set effect is displayed from 1 to 4 in the 7-segment display “Bipolar Coag” 29: • Effect 1: For a bipolar coagulation of thin structures with the aid of a BOWA ligation instrument. •
Effect 2: The sealing of thin blood vessels and structures with the aid of a BOWA ligation instrument.
•
Effect 3: The sealing of medium-sized blood vessels and structures with the aid of a BOWA ligation instrument.
•
Effect 4: The sealing of thick blood vessels and structures of up to 7 mm with the aid of a BOWA ligation instrument.
DANGER Blood loss due to incomplete blood vessel sealing!
6.3.6.
X
Deactivate the ligation instrument after completed sealing of blood vessels.
;
The key/display for "Monopolar output 1" 35 and "Bipolar output 3" 44 are preconfigured.
1.
Connect the additional device ARC PLUS.
2.
Connect the argon handpiece to “Monopolar output 1” 36 of the HF device. –or (only ARC 350L)– Connect the ligation instrument to “Bipolar output 3” 43 of the HF device.
Program 5 "Argon Open" In this program, open surgical interventions are carried out with the additional device ARC PLUS for argon electrocoagulation. When suitable instruments are connected, argon coagulation can be carried out with rigid electrodes and argon cutting.
6.3.7.
1.
Connect the additional device ARC PLUS.
2.
Connect the argon handpiece with the rigid probes to the ARC PLUS.
3.
Connect the surgical handpiece to the HF device.
Program 6 "Macro Plastic" This program is used in plastic surgery of the hand and maxillofacial region.
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6.3.8.
Program 7 "Micro Plastic" This program is used in the lower output range with fine electrodes for microscopic tissue structures.
6.3.9.
Program 8 "Local Anaesthesia" This program is used for applications in which the patients are not anesthetized or given only local anesthetics and in which extremely lowenergy coagulation current is used. In this program, the coagulation current is set with extremely low energy using keys 13 or 14. X
6.3.10.
Select the key/display for "Forced Coagulation" 13 or "Spray Coagulation" 14.
Program 9 "ENT" This program is used for applications in the ENT field. In this program, Dessicate IV is available as standard as moderate coagulation.
6.3.11.
Program 10 "Micro Pediatric" This program is used in pediatric surgery with fine electrodes.
6.3.12.
Program 11 "Micro Neuro" This program is used for microsurgical work in neurosurgery in the lower output range. It facilitates extremely precise output control to 0.1 W and precise work for tightly restricted contact coagulation in bipolar coagulation. The program is used for monopolar and bipolar application with fine needle electrodes or tweezers.
In program 11, the maximum output transfer is unlimited to ensure maximum settings. X
48
Please refer to the respective diagrams Mono CUT 300 W, Mono COAG 120 W, Bipolar CUT 150 W, and Bipolar COAG 120 W.
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CAUTION Risk of injuring patients due to excessive output transfer! X
6.3.13.
Always check settings prior to activation.
Program 12 "DryCUT" This program is a technology used to generate a so-called dry cut. It is used in cardiac surgery, particularly in hemostasis of receding blood vessels in the area of the sternum. In this program, a larger controlled arc can be generated via which significantly deeper coagulation can be achieved.
6.3.14.
Program 13 "SimCOAG" The configured output applies to both output sockets and is distributed according to the tissue structure.
The program is used in the field of cardiac surgery for simultaneous preparation. In this program, two monopolar connection sockets can be activated simultaneously to facilitate the simultaneous use of two manually switched instruments.
;
The key/display for “Monopolar output 1” 35 and “Monopolar output 2” 39 as well as the key/display for "Forced Coagulation" current 13 light up.
X
Connect the handpieces with finger switches to the output sockets 36/40.
ª Both handpieces with finger switches can be switched on or off independently of each other.
It is not possible to work in cutting mode and key/display 12 is deactivated.
6.3.15.
Program 14 "Chest" This program is used in thoracic surgery. In this program, a cutting current and forced coagulation are used. Maximum output is limited to 90 W.
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6.3.16.
Program 15 "Mammaria" This program is used in breast and heart surgery. In this program, a cutting current and forced coagulation are used. Maximum output is limited to 90 W.
6.3.17.
Program 16 “Gynaecology Ligation” (ligation only for ARC 350L) This program is used for surgery in gynecology.
If the software option “Ligation” is unavailable, this program provides the function “Standard Bipolar”.
This program is used in a wide range of surgical applications, e.g. gynecology and laparoscopy. It facilitates permanent blood vessel sealing with the manual instruments of the BOWA NightKNIFE®, LIGATOR®, and TissueSeal® series for large veins, arteries or tissue bundles. Intended for: •
large-lumen veins, arteries or tissue bundles
•
use in combination with instruments of the BOWA NightKNIFE®, LIGATOR®, and TissueSeal® series
Not intended for: •
tubal sterilization or sterilization by means of tubal coagulation
•
dirty or defective electrode tips
The performance output is preconfigured and is automatically adjusted. The sealing effect can be altered via the key for scabbing level 25 or 26. The set effect is displayed from 1 to 4 in the 7-segment display “Bipolar Coag” 29: • Effect 1: For a bipolar coagulation of thin structures with the aid of a BOWA ligation instrument.
50
•
Effect 2: The sealing of thin blood vessels and structures with the aid of a BOWA ligation instrument.
•
Effect 3: The sealing of medium-sized blood vessels and structures with the aid of a BOWA ligation instrument.
•
Effect 4: The sealing of thick blood vessels and structures of up to 7 mm with the aid of a BOWA ligation instrument.
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6 Operation
DANGER Blood loss due to incomplete blood vessel sealing!
6.3.18.
X
Deactivate the ligation instrument after completed sealing of blood vessels.
;
The key/display for “Monopolar output 1” 35 and “Bipolar output 3” 44 are preconfigured.
1.
Connect the additional device ARC PLUS.
2.
Connect the argon handpiece to “Monopolar output 1” 36 of the HF device. –or (only ARC 350L)– Connect the ligation instrument to “Bipolar output 3” 43 of the HF device.
Program 17 "Gynecology Hystero" This program is used in gynecology for hysterectomies.
6.3.19.
Program 18 "TUR-P Bipolar TUR" (Bipolar TUR only for ARC 350 and ARC 350L) •
Both cutting and coagulation are possible in the bipolar application.
•
Use the connection socket for monopolar instruments 40 for monopolar TUR.
•
Use the connection socket for bipolar instruments 43 for bipolar TUR.
•
In the bipolar application, the output is adjusted via the socalled “effect”. The higher the effect number (0 to 9), the higher the degree of coagulation.
•
Only coagulation current is available at “Bipolar output 4” 47.
•
The standard bipolar functions are available for ARC 300 and ARC 300G.
The shift sensor on the foot switch is locked in this program for safety reasons.
This program is used for underwater cutting in the transurethral resection of the prostate.
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6 Operation
In this program, the resection snare is used for cutting and coagulation. Arc control technology generates the cutting effect with simultaneously minimized power output. ARC control facilitates immediate cutting and prevents adhesion of the electrodes.
6.3.20.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 3” 44 are preconfigured.
X
Connect the bipolar resectoscope to “Bipolar output 3” 43.
X
Connect the monopolar resectoscope to “Monopolar output 2” 40.
Program 19 "TUR-BT Bipolar TUR" (Bipolar TUR only for ARC 350 and ARC 350L) •
Both cutting and coagulation are possible in the bipolar application.
•
Use the connection socket for monopolar instruments 40 for monopolar TUR.
•
Use the connection socket for bipolar instruments 43 for bipolar TUR.
•
In the bipolar application, the output is adjusted via the socalled "effect". The higher the effect number (0 to 9), the higher the degree of coagulation.
•
Only coagulation current is available at “Bipolar output 4” 47.
•
The standard bipolar functions are available for ARC 300 and ARC 300G.
The shift sensor on the foot switch is locked in this program for safety reasons.
This program is used in hemostasis with the underwater cut in transurethral resection and in the surgical treatment of bladder tumors. In this program, the resection snare is used for cutting and coagulation. Arc control technology generates the cutting effect with simultaneously minimized power output. ARC control facilitates immediate cutting and prevents adhesion of the electrodes.
52
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 3” 44 are preconfigured.
X
Connect the bipolar resectoscope to "Bipolar output 3" 43.
X
Connect the monopolar resectoscope to "Monopolar output 2" 40.
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6.3.21.
Program 20 “Resection Bipolar“ (bipolar resection only for ARC 350 and ARC 350L) •
Both cutting and coagulation are possible in the bipolar application.
•
Use the connection socket for monopolar instruments 40 for monopolar TUR.
•
Use the connection socket for bipolar instruments 43 for bipolar TUR.
•
In the bipolar application, the output is adjusted via the socalled "effect". The higher the effect number (0 to 9), the higher the degree of coagulation.
•
Only coagulation current is available at “Bipolar output 4” 47.
•
The standard bipolar functions are available for ARC 300 and ARC 300G.
The shift sensor on the foot switch is locked in this program for safety reasons.
This program is used in hemostasis with the underwater cut in transurethral resection with immediate vaporization of the prostate tissue. In this program, the resection snare is used for cutting and coagulation. Arc control technology generates the cutting effect with simultaneously minimized power output. The “rollerblade electrode” is used to vaporize the prostate tissue. ARC control facilitates immediate cutting and prevents adhesion of the electrodes.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 3” 44 are preconfigured.
X
Connect the bipolar resectoscope to “Bipolar output 3” 43.
X
Connect the monopolar resectoscope to “Monopolar output 2” 40.
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6.3.22.
Program 21 "GastroCUT Pol" (optional for ARC 300) This program is used in gastroenterology for the removal of polyps with polypectomy snares via flexible endoscopes. In this program, polypectomy snares are used for cutting and coagulation. Arc control technology generates the cutting effect with simultaneously minimized power output. ARC control facilitates immediate cutting and prevents adhesion of the electrodes.
The degree of coagulation increases with an increasing blend factor.
Three modes are available in this program: fast, medium, and slow. For further information on the “GastroCut” mode, see Chapter "GastroCUT" mode, Page 27.
54
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 4” 48 are preconfigured.
1.
Connect the polypectomy snares to the socket for “Monopolar output 2” 40 (use an adapter if necessary).
2.
Connect the foot switch to the HF device.
3.
Activate the HF current via the yellow key of the foot switch for cutting. –or– Activate the HF current via the blue key of the foot switch for coagulation.
4.
Set the coagulation level using the keys for scabbing level 5/6.
5.
In the case of hemorrhages: Press the key/display for “Forced Coagulation” current 13 or use a clip.
6.
If necessary, remove the polypectomy snares and connect the argon probe with the argon unit ARC PLUS.
7.
Press the key/display for “Spray Coagulation” current 14.
8.
Press the blue key of the foot switch for coagulation.
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6 Operation
6.3.23.
Program 22: "GastroCUT Pap" (optional for ARC 300) This program is used for making incisions in papillae with a papillotome via flexible endoscopes. In this program, the papillotome is used for cutting and coagulation. Arc control technology generates the cutting effect with simultaneously minimized power output. ARC control facilitates immediate cutting and prevents adhesion of the electrodes.
The arc is reduced as the blend factor is increased.
Three modes are available in this program: fast, medium, and slow. For further information on the “GastroCut” mode, see Chapter "GastroCUT" mode, Page 27.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 4” 48 are preconfigured.
1.
Connect the papillotome to the socket for “Monopolar output 2” 40 (use an adapter if necessary).
2.
Connect the foot switch to the HF device.
3.
Activate the HF current via the yellow key of the foot switch for cutting. –or– Activate the HF current via the blue key of the foot switch for coagulation.
4.
Set the coagulation level using the keys for scabbing level 5/6.
5.
In the case of hemorrhages: Press the key/display for “Forced Coagulation” current 13 or use a clip.
6.
If required, remove the papillotome and connect the argon probe with the argon unit ARC PLUS.
7.
Press the key/display for “Spray Coagulation” current” 14.
8.
Press the blue key of the foot switch for coagulation.
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6.3.24.
Program 23 “Argon Flex” (optional for ARC 300) This program is used in argon electrosurgery with ARC PLUS. In this program, surgical interventions are carried out with endoscopic use of flexible probes with the additional device ARC PLUS for argon electrocoagulation.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 4” 48 are preconfigured.
1.
Connect the additional device ARC PLUS.
2.
Connect the flexible probes to the HF device at “Monopolar output 2” 43.
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6.4.
Menu programs The menu programs are standard programs which define basic parameters, such as the operating language, sound, display and memory options, for the main programs.
6.4.1.
Overview The following menu programs are available: •
Menu program 1 "Set Language"
•
Menu program 2 "Sound Level"
•
Menu program 3 "Moderate Coag Mode"
•
Menu program 4 "BipCoag Mode"
•
Menu program 5 "Forced Coag Mode"
•
Menu program 5a "GastroCut Mode"
•
Menu program 6 "Show Prev Inf-No"
•
Menu program 7 "Hide Fix Prog"
•
Menu program 8 "Autostart Delay"
•
Menu program 9 "Edit Prog Names"
•
Menu program 10 "Restore Programs"
•
Menu program 11 "Panel Check"
Selecting a menu program 1.
Simultaneously press the on/off switch 33 and the program selection switch 17 to access the overview of the menu programs.
ª The current software version is displayed on the display/main display 15.
2.
Press the menu selection switch 16 to select the menu program.
Exiting a menu program X
Press the power limitation key for monopolar cutting 3 to return to the overview of the menu programs.
When the HF device is switched off, the new settings will be saved automatically.
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6.4.2.
Menu program 1 "Set Language" The language of the menu programs is English and cannot be changed.
In the menu program "Set Language", set the appropriate national language for the standard programs: (G: German; E: English; F: French; I: Italian; P: Polish, S: Spanish, T: Turkish). 1.
Press the power limitation key for monopolar cutting 4.
2.
Press the key for scabbing level 5/6 to select the appropriate language.
3.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
After the front plate test when the device is switched on, the selected language is shown with a code letter on the "Bipolar Coag" display 29.
6.4.3.
Menu program 2 "Sound Level" Set the volume of the individual activation signals in the menu program "Sound Level".
58
1.
Press the power limitation key for monopolar cutting 4.
2.
Press the key for scabbing level 5/6 to change the volume.
3.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
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6.4.4.
Menu program 3 "Moderate Coag Mode" For further information on the “Moderate Coag” mode, see Chapter "Moderate Coag" mode, Page 25.
In the “Moderate Coag Mode” menu, it is possible to change the mode for moderate coagulation. The following modes are available in menu program 3: • Standard mode •
Dessication 1, 2, and 3
1.
Press the power limitation key for monopolar cutting 4.
2.
Press the key for scabbing level 5/6 to select the desired mode.
ª The selected mode is saved and displayed for 3 seconds on the bipolar coag display 29 after switching on the device.
3.
6.4.5.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
Menu program 4 "Bip Coag Mode" In the "Bipolar Coag Mode" menu you can change the mode of forced coagulation. The following modes are available in menu program 4: • Standard COAG Mode •
Soft COAG Mode
•
AUTOSTART is not available in "Soft COAG" mode.
•
For further information on the “Soft COAG Mode”, see Chapter "Soft COAG" mode, Page 28.
1.
Press the power limitation key for monopolar cutting 4.
2.
Press the key for scabbing level 5/6 to select the desired mode.
ª The selected mode is saved and displayed for 3 seconds on the bipolar coag display 29 after switching on the device.
3.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
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6.4.6.
Menu program 5 "Forced Coag Mode" In "Forced Coag Mode", set the cutting/coagulation specifications for the "Forced Coag" current.
For further information on the “Forced Coag Mode”, see Chapter "Forced Coag" mode, Page 26.
6.4.7.
1.
Press the power limitation key for monopolar cutting 4.
2.
Press the key for scabbing level 5/6 to change the forced coagulation mode.
3.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
Menu program 5a “GastroCut Mode” For further information on the “GastroCut Mode”, see Chapter "GastroCUT" mode, Page 27.
6.4.8.
1.
Press the power limitation key for monopolar cutting 4.
2.
Press the key for scabbing level 5/6 to toggle between slow "GastroCUT" (slow, non-accelerated), dynamic "GastroCUT" (default, medium) and fast dynamic "GastroCUT" (accelerated, fast).
3.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
Menu program 6 "Show Prev Inf-No" The errors saved in the HF device are called up in the menu program "Show Prev Inf-No". 1.
Press the power limitation key for monopolar cutting 4.
2.
Press the key for scabbing level 5 to call up the individual error.
ª The error number will appear on the main display 15. 3.
Press the key/display for AUTOSTART 32 to call up the last 10 errors.
ª The error number will appear on the main display 15. 4.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
The service manual contains further information on menu program 6.
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6.4.9.
Menu program 7 "Hide Fix Prog" Standard programs that are not required are hidden in the menu program "Hide Fix Prog". 1.
Press the power limitation key for monopolar cutting 4.
2.
Press the power limitation key for bipolar coagulation 31 to display all standard programs.
ª “All fixpgm active” appears on the main display 15. 3.
Press the power limitation key for bipolar coagulation 30 to hide all standard programs.
ª “No fixpgm active” appears on the main display 15.
–or– Press the key/display for AUTOSTART 32 to show/hide individual standard programs.
6.4.10.
4.
Press program key 16/17 to browse the standard programs.
5.
Press the power limitation key for monopolar coagulation 10 to hide the standard program. –or– Press the power limitation key for monopolar coagulation 11 to show the standard program.
6.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
Menu program 8 "Autostart Delay" In the menu program “Autostart Delay”, the start-up delay period and post-run time are changed in the AUTOSTART mode. 1.
Press the power limitation key for monopolar cutting 4.
2.
Press the power limitation key for monopolar coagulation 10/11 to adjust the start-up delay in 50 ms increments (from 50-2500 ms).
3.
Press the power limitation key for bipolar coagulation 30/31 to adjust the post-run time in 100 ms increments (from 0-2500 ms).
4.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
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6.4.11.
Menu program 9 "Edit Prog Names" In the menu program “Edit Prog Names”, freely available programs are edited with an individual text in the display/main display. X
Press the power limitation key for monopolar cutting 4.
Editing text in the display/main display 1.
Press the program key 16/17 to select the program to be edited.
2.
Press the key/display 12 for moderate coagulation.
3.
Press the key for scabbing level 25 or 26 to select a letter or character.
4.
Press the power limitation key for monopolar coagulation 10/11 to toggle between upper and lower case.
5.
Press the power limitation key for monopolar cutting 4 to select the next letter or character.
6.
Press the power limitation key for monopolar cutting 3 to delete the last letter or character.
7.
Press the key/display for AUTOSTART 32 to save entered names.
8.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
Deleting the text in the display/main display All HF parameters of the deleted programs will likewise be deleted.
62
1.
Press the power limitation key for bipolar coagulation 30 and the key/display for AUTOSTART 32 to delete the entire text entry for the selected program.
2.
Press the power limitation key for bipolar coagulation 31 and the key/display for AUTOSTART 32 to delete all entries in the freely selectable HF programs (24-99).
3.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
6 Operation
6.4.12.
Menu program 10 "Restore Programs" In the menu program “Restore Programs”, all standard program parameters which have been changed in the HF device will be reset to the factory settings. 1.
Press the power limitation key for monopolar cutting 4 to reset the standard programs (0-23).
2.
Press the key/display for AUTOSTART 32 to confirm the reset.
ª After the restoration procedure has been completed, the program automatically returns to the menu programs.
6.4.13.
Menu program 11 "Panel Check" In the menu program “Panel Check”, all lighting components on the operating panel are activated. 1.
Press the power limitation key for monopolar cutting 4 to activate all lighting components.
2.
Press the power limitation key for monopolar cutting 3 to return to the menu programs.
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63
7 Detecting and correcting errors
7.
Detecting and correcting errors Two types of errors can occur: •
system errors
•
errors in the EASY monitoring
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7.1.
System- errors When a system error occurs, the error indicator 18 lights up red. “INF” appears on the display “Monopolar Cut” 2 and a one to three digit error code on the display “Monopolar Coag” 9.
7.1.1.
Error list Optical and acoustic signals indicating errors The error messages are accompanied by optical and acoustic signals. Furthermore, the generator cancels activation if certain errors occur and the system is reset. Optical and acoustic signals: Signals
Designation “Output error” indicator lights up red Display and storage of the message number Acoustic warning signal sounds
System events: System events
Designation System reset Generator cancels activation
64
ARC 300 / ARC 350 Operating manual
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7 Detecting and correcting errors
Error no. (INF) 1
2
11
40
Signals/System events
Cause
Corrective measures
Defective cable or output set too low
X
Check/Replace the cable.
X
Set the output higher.
X
Check/Replace the cable.
X
Set the output higher.
Defective cable or output set too low
Constant power is output at a constant X resistance over a longer period.
Additional device ARC PLUS not connected / not switched on / offline
Check the connection and the accessories.
X
Switch the additional device ARC PLUS on.
X
Check the connection to the interface.
43
Key on front plate pressed when switching on the unit
X
Switch on the device using the on/off switch 33 and do not actuate any other operating elements at the same time.
44
Finger or foot switch activation is pending when the device is switched on
X
Switch on the device using the on/off switch 33 and do not actuate any other operating elements at the same time.
45
Both keys of the handpiece have been X actuated at the same time
Press only one key of the handpiece at a time.
46
Both pedals of the double-pedal foot switch have been activated simultaneously
X
Activate only one pedal of the doublepedal foot switch.
47
No power set for the activated output
X
Set the power for the activated output.
49
Connection socket activated via finger and foot switches At the end of activation a different activation signal is pending for the same socket
X
Activate the output via the finger or foot switch one after the other.
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
65
7 Detecting and correcting errors
Error no. (INF) 61
80
Signals/System events
Cause
Corrective measures
Tissue contact is already pending upon activation of the AUTOSTART mode
X
Ligation instrument is heavily soiled or X tissue is too dry X
Remove the instrument from the tissue and re-activate AUTOSTART.
Clean the ligation instrument. Check the cable and the instrument.
X
Select a new ligation site.
Ligation instrument is defective or has short circuited.
X
Replace the ligation instrument.
X
Select a new ligation site.
90
Papillotome or snare is not applied
X
Apply the papillotome or the snare.
91
Instrument for GastroCut application defective or has short circuited
X
Replace the Gastro instrument.
X
Select a new point of application.
92
Excessive low-resistance activation (e.g. in saline)
X
Ensure that the instrument has sufficient contact with the tissue for coagulation/cutting prior to activating the device.
100-104
EASY neutral electrode error
X
Check the neutral electrode and the neutral electrode cable; see Chapter EASY neutral electrode monitoring (EASY monitoring), Page 30.
144
HF device goes into a protective state due to an insufficient power supply of the arc sensor
X
Switch the HF device on using the on/off switch 33.
X
In the case of continuing error messages, contact the BOWA Service Dept., see Chapter Technical service, Page 72.
System voltage too low
X
Ensure constant system voltage.
X
If necessary, connect a UPS.
81
148
66
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
7 Detecting and correcting errors
Error no. (INF) 149
Signals/System events
Cause
•
Corrective measures
3-pin plug of the handpiece has been inserted incorrectly
•
Handpiece possibly defective
•
Monopolar 4 mm connection cable has been connected to output 2 40 in the right-hand 4 mm connection socket
X
X
Check the handpiece.
X
Replace the handpiece.
X
Connect the 4 mm connection cable to output 2 40 in the left-hand 4 mm connection socket.
Contact the service department if an error cannot be corrected with the measures listed; see Chapter Technical service, Page 72.
Errors not listed X
Contact the service department regarding errors that are not shown in the error list; see Chapter Technical service, Page 72.
X
If the expected change in the tissue does not occur and no error message appears, check the parameters and the accessory connections.
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
67
7 Detecting and correcting errors
7.2.
Errors in the EASY monitoring When working with a split neutral electrode, the following errors may occur:
EASY monitoring 20
Cause
Indicator
Corrective measures
Flashes green
Significant increase in resistance
–
Application must not be terminated.
Switches from green to When the monopolar current continuous red is activated, a significant problem occurs
Loosening electrode
X An acoustic signal sounds. A corresponding “INF” - "xxx" message appears on the 7segment indicator “Monopolar Cut” 2 and the 7segment indicator “Monopolar Coag” 9.
An acoustic signal sounds. The corresponding “INF” – “xxx” message appears. The device's electronics system switches off the monopolar outputs of the connection sockets 36 and 40.
Check the neutral electrode and the neutral electrode cable; see Chapter EASY neutral electrode monitoring (EASY monitoring), Page 30.
X
Check the neutral electrode cable for proper contact and external damage.
X
Correct the position of the neutral electrode. In the case of continuing error messages, replace the neutral electrode.
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8 Preparation
8.
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8.1.
8.2.
Preparation of the accessories X
Prepare the accessories (e.g. surgical handles, instruments, active electrodes, neutral electrodes and cables) as described in the corresponding operating manuals.
X
Check the accessories before and after use for damage and to ensure that they are working properly.
Disinfection and cleaning NOTE Incorrect handling of the HF device can cause damage to the unit! X
Never sterilize the HF devices ARC 300/350. Clean or disinfect them instead.
WARNING Risk of electric shock and fire! X
Unplug the power connection before cleaning the device.
X
For cleaning surfaces, use the approved cleaning agents/disinfectants only as specified by the manufacturer.
X
Ensure that no liquid penetrates the device.
X
Ensure that the AUTOSTART function is deactivated.
1.
Apply the cleaning agent and disinfectant.
2.
Wipe the agent off with a sponge moistened with clean water or with a cloth.
3.
Dry the device using a clean, lint-free cloth.
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69
9 Maintenance/Repair
9.
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9.1.
9.1.1.
Maintenance X
Check the device, the device trolley and the accessories (e.g. foot switch, cable) after each use for damage or defects. In particular, make sure that the insulation is intact on all cables.
X
Do not use any damaged device, damaged device trolley or damaged accessories.
X
Replace defective accessories immediately.
X
Have the safety inspection for the device performed once a year.
Safety inspection Safety inspections must be performed once a year. X
The device and accessories may be inspected only by persons who have the required training, knowledge or experience and who can perform the inspection independently.
X
With regard to the safety inspection, you must comply with the country-specific rules and regulations.
The inspector documents the inspection results and measured values corresponding to the printed inspection protocol. In the case of severe deviations from the values of the attached final acceptance report, or if the specified maximum values were exceeded: X
70
Send the HF device to the service center; see Chapter Technical service, Page 72.
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
9 Maintenance/Repair
9.2.
Repairs NOTE You can damage the HF device by doing your own repairs and modifications of medical equipment! X
If a repair is necessary, have it done only by the service center specified below.
X
Never carry out any repairs yourself.
BOWA is liable for safety, reliability and performance of the HF device under the following conditions: •
full compliance with all instructions regarding the installation and proper use for the intended purpose contained in this operating manual was maintained.
•
changes, repairs, new settings and similar procedures were carried out only by persons authorized to do this work by BOWA.
•
the electrical installations in the relevant room meet the local requirements and statutory provisions.
The following information is required for returning the device: Fast and satisfactory repairs can only be guaranteed when all required data have been supplied in full.
•
complete address
•
model number
•
serial number
•
software version
X
Describe the problem, the appropriate application and the accessories used.
–Or– X
Describe the repairs to be made.
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ARC 300 / ARC 350 Operating manual
71
9 Maintenance/Repair
9.3.
Technical service Contact the following service center for maintenance and repair work: BOWA-electronic GmbH & Co. KG Heinrich-Hertz-Strasse 4–10 72810 Gomaringen, Germany Phone +49 (0) 7072-6002-0 Fax +49 (0) 7072-6002-33 or visit our Web site: www.bowa-medical.com Pos: 47 /679-BOWA/ARC 300/350/11 Lagerung/11 Lagerung @ 4\mod_1261040711366_6.doc @ 35261 @ 1
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10 Positioning
10.
Positioning Pos: 48 /679-BOWA/ARC 300/350/11 Lagerung/11.1 Lagerung @ 4\mod_1261040715569_6.doc @ 35280 @
X
If you store the HF device longer than one year, pay particular attention to the indicators of the automatic function tests; see Chapter Monitoring functions, Page 29.
X
Clean the HF device thoroughly before you put it into storage.
X
Store the HF device in a clean, dry place in accordance with the storage conditions.
Storage conditions: •
Temperature:
-20 °C to +50 °C
•
Relative humidity
0 to 75%, no condensation
•
Atmospheric pressure:
500 to 1600 mbar
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73
11 Technical specifications
11.
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11.1.
Technical specifications for the HF devices ARC 300 and ARC 350 Insulation type / Classification EMC
IEC 60601-1-2
Level of protection provided by the housing
IP 21
Protection class according to EN 60601-1
I
Type of application component as specified in EN 60601-1
CF
Compliance with standards
IEC 60601-1: 1988, IEC 60601-1-A1: 1991, IEC 60601-1-A2: 1995, IEC 60529:1989+A1:1999, IEC 60601-1-1: 2000 (in combination with ARC PLUS) IEC 60601-1-2: 2001, IEC 60601-1-4: 2000, IEC 60601-2-2: 1998, IEC 61000-3-2: 2001, ISO 14971: 2000
Classification as per EC Directive 93/42/EEC
IIb
Power connection Power consumption in standby mode
25 VA
Line frequency
50/60 Hz
Max. power consumption with an HF power output 500 VA of 300 W Connection for potential equalization line
Yes
Voltage range: 230 V Input voltage range
198 V to 260 V
Current consumption in standby mode
110 mA
Current consumption at max. HF output
3.2 A
Mains fuses
2 x 4 A slow-blow
Voltage range: 100 V Input voltage range
90 V to 110 V
Current consumption in standby mode
220 mA
Current consumption at max. HF output
6.4 A
Mains fuses
2 x 8 A slow-blow
Voltage range: 115 V
74
Input voltage range
100 V to 130 V
Current consumption in standby mode
220 mA
Current consumption at max. HF output
6.4 A
Mains fuses
2 x 8 A slow-blow
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Dimensions and weight External dimensions: width x height x depth (mm)
430 x 180 x 400
Weight
Approx. 14 kg
Programs Number of programs in the device
100
Standard programs, factory set
√
Individually programmable
√
Program number and information shown on the display
√
Monitoring of the neutral electrode EASY: Electrode Application System
√
Indicator for solid or split electrode on the front panel
√
Indication of the transition resistance between the section surfaces of the split
√
neutral electrode on the display
√
Indication of the line resistance when using a solid √ neutral electrode on the display Max. resistance between the section surfaces of split electrodes
250 Ω
Warning signal in the case of risk under the neutral electrode
Visual, acoustic
Warning indicator as a text on the display:
√
Safety features ISSys: Integrated safety system
√
Continuous monitoring of the HF leakage current with error messages
√
Monitoring of the dosage, error message on the display
√
Continuous self-test
√
Continuous status indication on the display
√
Display of operating errors on the display
√
Display of system errors on the display
√
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ARC 300 / ARC 350 Operating manual
75
11 Technical specifications
Documentation Recording and storage of data in the device
√
Error statuses
√
Operating errors
√
Retrieval of these data via the display
√
Communication External interface for communication with the ARC PLUS
√
External PC interface using BOWA software
√
Service support using BOWA software
√
Service support Service support integrated in the device via service programs
√
Service support via ISSys
√
Cooling Convection
√
Temperature-controlled fan
√
Operating mode Operating mode
76
ARC 300 / ARC 350 Operating manual
10 / 30 sec
900-350_IFU_V2.6_10296-S13-20100111-EN
900-350_IFU_V2.6_10296-S13-20100111-EN
yes
Monopolar cutting "GastroCUT" Mode: Fast 1 MHz
330 kHz
pulse
sinusoidal
Monopolar coagulation "SimCOAG"
Monopolar "Moderate Contact Coagulation"
ARC 300 / ARC 350 Operating manual 140 Vp for "Micro Moderate Coag"
500 Vp for "Desiccate 3" 1 540 Vp for "Desiccate 4"
2 300 Vp for "Desiccate 1" 340 Vp for "Desiccate 2"
170 Vp for "Standard"
3 200 Vp
1000 Vp
330 kHz
yes
sinusoidal, modulated
1 000 V p
330 kHz
1 000 Vp
2 500 Vp
1 550 Vp
600 Vp for "MicroCUT/MacroCUT"
940 Vp for "Monopolar Cut"
1 MHz
330 kHz
330 kHz
330 kHz
sinusoidal, modulated
yes
Monopolar cutting "GastroCUT" Mode: Medium yes
sinusoidal, modulated
yes
yes
sinusoidal, modulated
Monopolar cutting "GastroCUT" Mode: Slow
yes
Monopolar cutting "DryCut"
sinusoidal
pulse
yes
yes
Se t ting
Monopolar cutting "CardiacCUT"
yes
CCS
volt ag e For mo f HF
cy freq uen Nom inal
olta ge ak v . pe Max
Dis pla 7-se y of o u gm ent tput, disp la y
30 W for "Micro Moderate Contact Coagulation"
120 W
3 places
2 places
120 W
90 W
200 W
75 W for "MacroCUT"
30 W for "MicroCUT"
300 W
3 places
10 levels
10 levels
10 levels
2 places
3 places
3 places
out put . po w er Max
n mit atio
1 to 120 W, adjustable in 1 W steps 1 to 30 W, adjustable in 1 W steps
5 to 120 W, adjustable in 1 W steps
1 to 120 W, adjustable in 1 W steps
1 to 120 W, adjustable in 1 W steps
1 to 90 W, adjustable in 1 W steps
1 to 200 W, adjustable in 1 W steps
1 to 300 W, adjustable in 1 W steps 1 to 30 W, adjustable in 1 W steps 1 to 75 W, adjustable in 1 W steps
HF pow er li
1 digit or –15 %
1 digit or –15 %
1 digit or –15 %
1 digit or –15 %
yes
yes
yes
10 levels
10 levels
Acc ura cy pow of HF limi er tati on
1 digit or –15 % Activation with finger switch, both outputs
2, type 3 pin + Bovie (socket 2)
Out put s
Activation with foot switch, one output
Activation with finger switch, both outputs
Activation with foot switch, one output 2, type 3 pin + Bovie (socket 2)
Activation with finger switch, both outputs
2, type 3 pin + Bovie (socket 2)
Activation with foot switch
2, type 3 pin, 4 mm + Bovie
Activation with foot switch
2, type 3 pin, 4 mm + Bovie
Activation with foot switch
Activation with foot switch, one output 2, type 3 pin, 4 mm + Bovie
Activation with finger switch, both outputs
Activation with foot switch, one output 2, type 3 pin + Bovie (socket 2)
Activation with finger switch, both outputs
2, type 3 pin + Bovie (socket 2)
Activation with foot switch, one output
ttin g t se /Eff ec Ble nd
urre nt . ou tpu tc
2.0 A
Max
con trol ARC
Monopolar cutting
11 Technical specifications
77
Se t ting
ARC 300 / ARC 350 Operating manual
Monopolar coagulation "CardiacCOAG"
pulse
sinusoidal, modulated
pulse, modulated
Monopolar "Argon Plasma Coagulation"
Monopolar coagulation "Local Anaesthesia" "Local Anaesthesia Spray"
pulse, modulated
CCS
Monopolar "Spray Coagulation"
pulse, modulated
con trol
ARC
volt ag e For mo f HF
enc y freq u
5 200 Vp for program Argon flex "Spay COAG I"
3 000 Vp for "Micro Spray Coagulation"
5 700 Vp for "Spay COAG"
2 700 Vp for "Micro Mixed Mode" 3 940 Vp for "Micro Non Cutting Mode" 3 700 Vp for "GastroCUT Forced COAG"
3 200 Vp for "Mixed Coag Mode" 4 880 Vp for "Non Cutting Mode" 1 100 Vp for "Micro Cutting Mode"
2 230 Vp for "Cutting Mode"
1 MHz
2 500 Vp
2 700 Vp for "Local Anaesthesia Spray"
4 020 Vp for Program Argon Open and ArgonLigation "Spray COAG II" 330 kHz 2 145 Vp for "Local Anaesthesia"
1 MHz
1 MHz
1 MHz
Nom inal
volt age Max . pe ak
Dis play 7 o s e gm f outpu ent disp t, la y 2 places
2 places
3 places
3 places
2 places
3 places
out put 90 W
30 W
40 W
120 W
30 W
120 W
50 W
30 W
120 W
Max . po w er
n mit atio 1 to 90 W, adjustable in 1 W steps
1 to 30 W, adjustable in 1 W steps
1 to 40 W, adjustable in 1 W steps
1 to 120 W, adjustable in 1 W steps
1 to 50 W, adjustable in 1 W steps 1 to 120 W, adjustable in 1 W steps 1 to 30 W, adjustable in 1 W steps
1 to 30 W, adjustable in 1 W steps
1 to 120 W, adjustable in 1 W steps
HF pow er li
Acc ura cy pow of HF limi er tati on 1 digit or –15 %
1 digit or –15 %
1 digit or –15 %
1 digit or –15 %
1 digit or –15 % Activation with finger switch, both outputs
2, type 3 pin + Bovie (socket 2)
Out put s Activation with foot switch, one output
Activation with finger switch, both outputs
2, type 3 pin + Bovie (socket 2)
Activation with foot switch, one output
Activation with finger switch, both outputs
2, type 3 pin + Bovie (socket 2)
Activation with finger switch on socket 1
1, type 3 pin + Bovie (socket 2)
Activation with foot switch, one output
Activation with finger switch, both outputs
2, type 3 pin + Bovie (socket 2)
Activation with foot switch, one output
Activation with foot switch, one output
ttin g t se Ble nd/E ffec
urre nt Max . ou tpu tc
78
Monopolar "Forced Coagulation"
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN
900-350_IFU_V2.6_10296-S13-20100111-EN
Se t ting
ARC 300 / ARC 350 Operating manual
Bipolar "TUR COAG" (only ARC 350)
Bipolar Contact High Current "Ligation" (only ARC 350) Bipolar "TUR CUT" (only ARC 350)
Bipolar "Contact Coagulation"
Bipolar cutting (only ARC 350)
CCS
yes
yes
y es
volt ag e
330 kHz
330 kHz
sinusoidal
330 kHz
330 kHz
330 kHz
sinusoidal
sinusoidal
sinusoidal
sinusoidal
For mo f HF
age volt
180 Vp
910 Vp
200 Vp for "Ligation programs"
175 Vp for "Micro Neuro Bipolar Coag"
170 Vp for "Standard COAG", "Soft COAG" 160 Vp for "Micro Bipolar Coag"
530 Vp
Max . pe ak
120 W
2 places
380 W
200 W
10 levels
10 levels
3 places
245 W at 25
50 W
2 places
3 places
30 W for "Micro Bipolar Cutting" 120 W
2 places
Di s p lay 7-s of e g men output , t dis play
150 W
M a x . po w er out put
3 places
n mit atio
10 W to 50 W 1W Grading 20 to 200 W, adjustable in 5 W steps
5 W to 10 W 0.5 W Grading
1 W to 5 W 0.2 W Grading
1 to 150 W, adjustable in 1 W steps 1 to 30 W, adjustable in 1 W steps 1 to 120 W, adjustable in 1 W steps 1 to 50 W, adjustable in 1 W steps 0.1 W to 1 W 0.1 W Grading
HF pow er li
1 digit or –15 %
1 digit or –15 %
yes
yes
10 levels
Acc ura cy pow of HF limi er tati on
1 digit or –15 %
ing
2, type 3 pin
Out puts
Activation with foot switch on socket 3
Activation with foot switch on socket 3 1, type 3 pin
Activation with foot switch on 1, type 3 pin
1, type 3 pin
Activation with AUTO START, both outputs (not with Soft COAG, Micro Neuro and TUR programs)
Activation with foot switch, both outputs
2, type 2 pin
Activation with foot switch, both outputs
sett Ble nd/E ffec t
urre nt
4.0 A
2.0 A
Max . ou tpu tc
cy freq uen Nom inal
trol
con
ARC
yes
11 Technical specifications
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79
11 Technical specifications
11.2.
Output, voltage and current diagrams
Setting
Program
Monopolar Cut
0-5, 16-20, 11 (31 W and above), 23 (only socket 1), 24-99 (socket 1+2)
P [W] 350
P [W] Blend 4-9
350
Blend 8, 9
Blend 3
300
Blend 2
Blend 6, 7 300
Blend 3, 4, 5 Blend 2
250
Blend 0, 1
200
250
Blend 0, 1
200
150
150
100
100
50
50
0
0 10
100
1000
ARC350MCTUR_SE_080124_1
10000
10
R [Ω]
1000
10000
R[ ]
Measurement of resistances with prior arcing
Measurement of resistances without arcing
•
100
ARC350MCTUR_SE_080124_2
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Monopolar Cut” = 300 W/150 W
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Monopolar Cut” = 300 W/150 W U [Vp]
P [W]
1000
300
Blend 8, 9 900 Blend 6, 7
250
800 Blend 3, 4 5 700
Blend 2
200 600
Blend 0, 1
500
150
400
100
300 200
50 100 0
0 0
0
ARC350MCTUR_SE_080125_3
•
80
100
150 displayed value
200
250
Diagram of power output P [W] as a function of the "Monopolar Cut" setting. Measured load resistance = 500 Ω
0
300
50
ARC350MCTUR_SE_080125_4
•
ARC 300 / ARC 350 Operating manual
100
150 displayed value
200
250
300
Diagram of HF output voltage U [Vp] as a function of the "Monopolar Cut" setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
MicroCUT
7, 10, 11 (up to 30 W)
MacroCUT
6, 8, 9
P [W]
P [W]
35
80
Blend 9
Blend 9
Blend 8
Blend 8
70
30
Blend 7
Blend 7
Blend 6 25
Blend 6
60
Blend 5
Blend 5 50
Blend 4 20
Blend 4
Blend 3
Blend 3 40
Blend 2
Blend 2
15 Blend 1
Blend 1
30
Blend 0
Blend 0 10 20 5
10
0
0 10 ARC350MPC_SE_080124_1
100
1000
10000
10 ARC350MPC_SE_080124_2
100
1000
Measurement of resistances
Measurement of resistances
•
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “MicroCUT” = 30 W/15 W
10000
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “MacroCUT” = 75 W/38 W U [Vp]
P [W]
700
80
Blend 9
Pmax Macro, Local Anestesia, HNO
Blend 8
70
600
Blend 7 Blend 6
60
500
Blend 5 Blend 4
50 400
Blend 3
40
Blend 2 300
Pmax Micro Programme
Blend 1
30
Pmax MicroCUT
Blend 0
200 20 100
10
0
0 0
10
ARC350MPC_SE_080124_3
•
20
30
40 displayed value
50
60
Diagram of power output P [W] as a function of the "MacroCUT" setting. Measured load resistance = 500 Ω
900-350_IFU_V2.6_10296-S13-20100111-EN
70
0
80
10
20
ARC350MPC_SE_080124_4
•
30
40
50
60
70
displayed value
Diagram of HF output voltage U [Vp] as a function of the "Blend" setting (idle mode)
ARC 300 / ARC 350 Operating manual
81
11 Technical specifications
Setting
Program
DryCUT
12
P [W] P [W]
250
200
DryCut 200W Blend 0-9
200
DryCut 100W Blend 0-9
180 160
150
140
100
100
120
80
50
60 40
0 10
100
1000
10000
20
ARC350DC_SE_080124_1 0 0
Measurement of resistances
•
20
40
ARC350DC_SE_080125_2
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “DryCUT” = 200 W/100 W U [Vp]
•
60
80
100 120 displayed value
140
160
180
200
Diagram of power output P [W] as a function of the "DryCUT" setting. Measured load resistance = 500 Ω
Blend 0-9
1800 1600 1400 1200 1000 800 600 400 200 0 0
20
40
ARC350DC_SE_080124_3
•
82
60
80
100 displayed value
120
140
160
180
200
Diagram of HF output voltage U [Vp] as a function of the "DryCUT" setting (idle mode)
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
GastroCUT Pol
21
P [W] 600
500
Blend 1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
400
300
Cut Phase Coag Phase Blend 9 Coag Phase Blend 5-8
200 Coag Phase Blend 4 Coag Phase Blend 3 Coag Phase Blend 2
100
Coag Phase Blend 1 Coag Phase Blend 0
R [Ohm]
ARC350GCPol_SE_100111_1
10000
1000
10
100
0
Measurement of resistances
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “GastroCUT Pol” “Blend 0-9”
•
Diagram of HF output voltage U [Vp] as a function of the “GastroCUT Pol” “Blend 0-9” (idle mode)
P [W]
300
250
200
150 Coag Phase Cut Phase = 520 W 100
50
0 0 1 2 ARC350GCPol_SE_100111_2
•
3
4
5
6
7
8
9
Blend
Diagram of power output P [W] as a function of the “Blend” setting for “GastroCUT Pol”
The short-term peak power exceeds 400 W. However, this is still permissible since the mean value from 1 second is below 400 W.
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
83
11 Technical specifications
Setting
Program
GastroCUT Pap
22
P [W] 70
P [W] 600
60 500 50 400 40 Coag Phase Blend 9 Coag Phase Blend 8 Coag Phase Blend 7 Coag Phase Blend 6 Coag Phase Blend 5 Coag Phase Blend 4 Coag Phase Blend 2,3 Coag Phase Blend 0,1
30
20
300
200
ARC350GCPap_SE_100111_3
R [Ohm]
Measurement of resistances
Measurement of resistances
•
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “GastroCUT Pap” “Blend 0-9” during the Coag phase
10000
10
100
R [Ohm]
0
10000
1000
ARC350GCPap_SE_10011_1
100
10
0
1000
100
10
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “GastroCUT Pap” during the Cut phase
P [W] 70
60
Blend 50
1000 1000 1000 1000 1000 1000 1000 1000 1000 1000
40
30
Coag Phase Cut Phase = 520 W 20
10
0 0
1
2
ARC350GCPap_SE_100111_2
•
3
4
5
6
7
8
9
Blend
Diagram of power output P [W] as a function of the “Blend” setting for “GastroCUT Pap” •
Diagram of HF output voltage U [Vp] as a function of the “GastroCUT Pap” “Blend 0-9” (idle mode)
The short-term peak power exceeds 400 W. However, this is still permissible since the mean value from 1 second is below 400 W.
84
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
CardiacCUT
14, 15 P [W]
P [W] 100
90
CardiacCut 90W CardiacCut 45W
90
80
80
70 70 60
60
50
50
40
40 30
30 20
20
10 0
10 10
100
1000
10000
ARC350CCUT_SE_080124_1
0 0
•
10
20
ARC350CCUT_SE_080124_2
Measurement of resistances
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “CardiacCUT” = 90 W/45 W
30
40 50 displayed value
60
70
80
90
Diagram of power output P [W] as a function of the “CardiacCUT” setting. Measured load resistance = 500 Ω
U [Vp] 3000
2500
2000
1500
1000
500
0 0
10
20
ARC350CCUT_SE_080124_3
•
30
40
50
60
70
80
90
displayed value
Diagram of HF output voltage U [Vp] as a function of the "CardiacCUT" setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
85
11 Technical specifications
Setting
Program
SimCOAG
13
P [W]
P [W]
140
SimCOAG P=120W
120
SimCOAG P=60W
120
100 100 80 80 60 60 40 40 20 20 0 0
0 10 ARC350SCOAG_SE_080125_1
100
1000
10000
Measurement of resistances
•
20
ARC350SCOAG_SE_080125_2
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “SimCOAG” = 120 W/60 W
40
60 displayed value
80
100
120
Diagram of power output P [W] as a function of the “SimCOAG” setting. Measured load resistance = 500 Ω
U [Vp] 3500
3000
2500
2000
1500
1000
500
0 0
20
ARC350SCOAG_SE_080125_3
•
86
40
60 displayed value
80
100
120
Diagram of HF output voltage U [Vp] as a function of the “SimCOAG” setting (idle mode)
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
Moderate COAG Standard
0-6, 9, 12, 14-16, 17, 11 (31 W and above), 23 (only socket 1) 24-99 (socket 1+2)
P[W]
P [W]
140
P=120W
120
P=60W 120
100 100
80 80
60
60
40
40
20
20 0 10
100
1000
10000
0
ARC350MBCOAG_SE_080124_1
0
20
ARC350MBCOAG_SE_080124_2
40
60 displayed value
80
100
120
Measurement of resistances
•
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Moderate COAG Standard” = 120 W/60 W
Diagram of power output P [W] as a function of the “Moderate COAG Standard” setting. Measured load resistance = 75 Ω
U [Vp] 200 180 160 140 120 100 80 60 40 20 0 0
20
ARC350MBCOAG_SE_080124_3
•
40
60 displayed value
80
100
120
Diagram of HF output voltage U [Vp] as a function of the “Moderate COAG Standard” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
87
11 Technical specifications
Setting
Program
Moderate COAG Dessication 1
0-6, 9, 12, 14-16, 17, 24-99 (socket 1+2), 23 (only socket 1)
P [W]
P [W]
140
120
Desiccate 1 120W Desiccate 1 60W
120
100
100 80
80
60
60
40 40
20 20
0 10 ARC350MCD1_SE_080124_1
100
1000
10000 0 0
Measurement of resistances after prior arcing
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Moderate COAG Dessication 1” = 120 W/60 W
•
Diagram of HF output voltage U [Vp] as a function of the “Moderate COAG Dessication 1” setting (idle mode)
88
20
ARC350MCD1_SE_080124_2
•
ARC 300 / ARC 350 Operating manual
40
60 displayed value
80
100
120
Diagram of power output P [W] as a function of the “Moderate COAG Dessication 1” setting. Measured load resistance = 500 Ω
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
Moderate COAG Dessication 2
0-6, 9, 12, 14-16, 17, 24-99 (socket 1+2), 23 (only socket 1)
P [W]
P [W]
140
120
Desiccate 2 120W Desiccate 2 60W
120
100
100 80
80
60
60
40 40
20 20
0 10
100
1000
10000
ARC350MCD2_SE_080124_1
0 0
•
20
ARC350MCD2_SE_080124_2
Measurement of resistances
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Moderate COAG Dessication 2” = 120 W/60 W
•
40
60 displayed value
80
100
120
Diagram of power output P [W] as a function of the “Moderate COAG Dessication 2” setting. Measured load resistance = 200 Ω
U [Vp] 400
300
200
100
0 0
20
ARC350MCD2_SE_080125_3
•
40
60 displayed value
80
100
120
Diagram of HF output voltage U [Vp] as a function of the “Moderate COAG Dessication 2” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
89
11 Technical specifications
Setting
Program
Moderate COAG Dessication 3
0-6, 9, 12, 14-16, 17, 24-99 (socket 1+2), 23 (only socket 1)
P [W]
P [W]
140
Dessicate 3 120W Dessicate 3 60W
120
120
100
100 80
80 60
60
40 40
20 20
0 10
100
1000
10000
R[ ]
ARC350MCD3_SE_080124_2
0 0
20
ARC350MCD3_SE_080124_2
40
60 displayed value
80
100
120
Measurement of resistances
•
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Moderate COAG Dessication 3” = 120 W/60 W
Diagram of power output P [W] as a function of the “Moderate COAG Dessication 3” setting. Measured load resistance = 500 Ω
U [Vp] 600
500
400
300
200
100
0 0 20 ARC350MCD3_SE_080125_3
•
90
40
60 displayed value
80
100
120
Diagram of HF output voltage U [Vp] as a function of the “Moderate COAG Dessication 3” setting (idle mode)
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
Moderate COAG Dessication 4
0-6, 9, 12, 14-16, 17, 24-99 (socket 1+2), 23 (only socket 1)
P [W]
P [W]
140 P = 120 W
120
P = 60 W
120
100 100
80
80
60
60 40
40 20
0
20 10
100
1000
10000
R [Ω]
ARC350MCD4_SE_091217_1
0 0
Measurement of resistances
•
20
ARC350MCD1_SE_080124_2
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Moderate COAG Dessication 4” = 120 W/60 W
•
40
60 displayed value
80
100
120
Diagram of power output P [W] as a function of the “Moderate COAG Dessication 4” setting. Measured load resistance = 500 Ω
U [Vp]
1800 1600 1400 1200 1000 800 600 400 200 0 0
20
ARC350MCD4_SE_091217_3
•
40
60
80
100
120
displayed value
Diagram of HF output voltage U [Vp] as a function of the “Moderate COAG Dessication 4” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
91
11 Technical specifications
Setting
Program
Micro Moderate COAG
7, 8, 10, 11 (up to 30 W)
P [W]
P [W]
35
Micro Moderate COAG 30W
30
30
Micro Moderate COAG 15W
25 25
20
20
15
15 10
10 5
5
0 10
100
1000
10000
ARC350MMCOAG_SE_080124_1
0 0
Measurement of resistances
•
5
ARC350MMCOAG_SE_080124_2
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Micro Moderate COAG” = 30 W/15 W
•
10
15 displayed value
20
25
30
Diagram of power output P [W] as a function of the "Micro Moderate COAG" setting. Measured load resistance = 125 Ω
U [Vp] 200 180 160 140 120 100 80 60 40 20 0 0
5
ARC350MMCOAG_SE_080125_3
•
92
10
15 displayed value
20
25
30
Diagram of HF output voltage U [Vp] as a function of the “Micro Moderate COAG” setting (idle mode)
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
Forced COAG Non-cutting, Cutting, Mixed
0-6, 9, 12, 16, 20, 11 (31 W and above), 23 (only socket 1), 24-99 (socket 1+2)
P [W]
P [W]
140
Forced Coag P=120W
120
Forced Coag P=60W
120
100
100 80
80
60
60
40
40
20 20
0 10
100
1000
10000
0
ARC350FCOAG_SE_080124_1
0
20
40
ARC350FCOAG_SE_080124_2
60 displayed value
80
100
120
Measurement of resistances
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Forced COAG Mixed, Noncutting, Cutting” = 120 W/60 W
•
Diagram of power output P [W] as a function of the "Forced COAG Mixed, Non-cutting, Cutting" setting. Measured load resistance = 500 Ω U [Vp]
U [Vp]
2500
5000 4500 2000
4000 3500 1500
3000 2500 1000
2000 1500 500
1000 500 0
0 0
20
40
ARC350FCNC_SE_080125
•
60 displayed value
80
100
0
120
20
ARC350FCC_SE_080125
Diagram of HF output voltage U [Vp] as a function of the “Non-cutting Forced COAG” setting (idle mode)
•
40
60 displayed value
80
100
120
Diagram of HF output voltage U [Vp] as a function of the “Cutting Forced COAG” setting (idle mode)
U [Vp] 3500
3000
2500
2000
1500
1000
500
0 0
20
ARC350FCOAG_SE_080313_3
•
40
60 displayed value
80
100
120
Diagram of HF output voltage U [Vp] as a function of the “Mixed Forced COAG” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
93
11 Technical specifications
Setting
Program
Forced COAG Micro Mixed, Micro Non-cutting, Micro Cutting
7, 10, 11 (up to 30 W)
P [W]
P [W]
35
Micro Forced Coag P=30W
30
Micro Forced Coag P=15W
30
25 25
20
20
15
15 10
10 5
5
0 10 ARC350MFCOAG_SE_080124_1
100
1000
10000
0 0
Measurement of resistances
•
5
10
ARC350MFCOAG_SE_080124_2
Diagram of power output P [W] as a function of the load resistance R [Ω] for “Forced COAG Micro Mixed, Forced COAG Micro Non-cutting, Forced COAG Micro Cutting” = 30 W/15 W
•
15 displayed value
20
25
30
Diagram of power output P [W] as a function of the setting “Forced COAG Micro Mixed, Forced COAG Micro Noncutting, Forced COAG Micro Cutting”. Measured load resistance = 500 Ω U [Vp]
U [Vp]
4000
3000 3500
2500 3000
2500
2000
2000
1500 1500
1000 1000
500
500
0 0 5 ARC350MFCOAG_SE_080124_5
0 0
5
10
ARC350MFCOAG_SE_080124_3
•
15 displayed value
20
25
30
•
Diagram of HF output voltage U [Vp] as a function of the “Forced COAG Micro Mixed” setting (idle mode)
10
15 displayed value
20
25
30
Diagram of HF output voltage U [Vp] as a function of the “Forced COAG Micro Non-cutting” setting (idle mode)
U [Vp] 1200
1000
800
600
400
200
0 0 5 ARC350MFCOAG_SE_080124_4
•
94
10
15 displayed value
20
25
30
Diagram of HF output voltage U [Vp] as a function of the “Forced COAG Micro Cutting” setting (idle mode)
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
GastroCUT ForcedCOAG
21, 22 (only Socket 2)
P [W]
P [W]
60 P=50W
50
P=25W 50
45 40
40
35 30
30
25 20
20 15
10
10 0 10
100
1000
5
10000
ARC350GCFC_SE_080125_1
0 0
Measurement of resistances
•
5
10
ARC350GCFC_SE_080125_3
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “GastroCUT ForcedCOAG” = 50 W/25 W
15
20
25 30 displayed value
35
40
45
50
Diagram of power output P [W] as a function of the “GastroCUT ForcedCOAG” setting. Measured load resistance = 500 Ω
U [Vp] 4000
3500
3000
2500
2000
1500
1000
500
0 0
5
10
ARC350GCFC_SE_080125_2
•
15
20
25 30 displayed value
35
40
45
50
Diagram of HF output voltage U [Vp] as a function of the “GastroCUT ForcedCOAG” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
95
11 Technical specifications
Setting
Program
Micro Spray COAG
7, 10, 11 (up to 30 W)
P [W]
P [W]
35
Micro Spray Coag P=30W
30
Micro Spray Coag P=15W
30
25 25
20
20
15
15
10
10 5
5
0 10
100
1000
10000
ARC350MSCOAG_SE_080125_1
0 0
Measurement of resistances
•
5
ARC350MSCOAG_SE_080125_2
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Micro Spray COAG” = 30 W/15 W
•
10
15 displayed value
20
25
30
Diagram of power output P [W] as a function of the "Micro Spray COAG" setting. Measured load resistance = 500 Ω
U [Vp] 3500
3000
2500
2000
1500
1000
500
0 0
5
ARC350MSCOAG_SE_080125_3
•
96
10
15 displayed value
20
25
30
Diagram of HF output voltage U [Vp] as a function of the “Micro Spray COAG” setting (idle mode)
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
Spray COAG
0-3, 6, 9, 12-20, 4, 5 (only socket 2) 11 (31 W and above), 23 (only socket 1), 24-99 (socket 1+2)
Argon Flex Spray COAG I
21-23 (only socket 2)
Argon OPEN Spray COAG II
4, 5 (only socket 1)
P [W] 140
P [W]
Argon / Spray Coag P=120W
120
Argon / Spray Coag P=60W
120
100
100 80
80
60
60
40
40
20 20
0 10
100
1000
10000 0
ARC350ASCOAG_SE_080125_1
0
20
40
ARC350ASCOAG_SE_080125_2
60
80
100
120
displayed value
Measurement of resistances
•
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Spray COAG, Argon-Flex Spray COAG I, Argon-OPEN Spray COAG II und Argon Ligation” = 120 W/60 W
Diagram of power output P [W] as a function of the setting “Spray COAG, Argon-Flex Spray COAG I, ArgonOPEN Spray COAG II”. Measured load resistance = 500 Ω
U [Vp] 6000
U [Vp] 6000
5500
5500
5000
5000
4500
4500
4000
4000
3500
3500
3000
3000
2500
2500
2000
2000
1500
1500
1000
1000
500
500
0 0
20
ARC350ASCOAG_SE_080125_3
40
60 displayed value
80
100
120
0 0
20
ARC350ASCOAG_SE_080125_5
•
Diagram of the HF output voltage U [Vp] as a function of "Spray COAG“ (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
40
60 displayed value
80
100
•
“Argon Flex Spray COAG I” program, connection socket 2
•
Diagram of HF output voltage U [Vp] as a function of the “Argon Flex Spray COAG” setting (idle mode)
ARC 300 / ARC 350 Operating manual
120
97
11 Technical specifications
Setting
Program
Spray COAG
0-3, 6, 9, 12-20, 4, 5 (only socket 2) 11 (31 W and above), 23 (only socket 1), 24-99 (socket 1+2)
Argon Flex Spray COAG I
21-23 (only socket 2)
Argon OPEN Spray COAG II
4, 5 (only socket 1)
U [Vp] 4500 4000 3500 3000 2500 2000 1500 1000 500 0 0
20
ARC350ASCOAG_SE_080125_6
40
60 displayed value
80
100
•
“Argon OPEN Spray COAG II” program, connection socket 1
•
Diagram of HF output voltage U [Vp] as a function of the “Argon OPEN Spray COAG II” setting
98
120
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
Local Anesthesia COAG
8
P [W]
P [W]
50
Local Anesthesia P=40W
45
40
35
40 Local Anesthesia P=20W
35
30
30
25 25
20
20 15
15
10
10 5
5
0 10
100
1000
10000
ARC350SCFC_SE_080124_1
0 0
Measurement of resistances
•
5
ARC350SCFC_SE_080124_2
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting "Local Anesthesia COAG" = 40 W/20 W
10
15
20 displayed value
25
30
35
40
Diagram of power output P [W] as a function of the “Local Anesthesia COAG” setting. Measured load resistance = 500 Ω
U [Vp] 2500
2000
1500
1000
500
0 0
10
ARC350SCFC_SE_080124_3
•
20 displayed value
30
40
Diagram of HF output voltage U [Vp] as a function of the “Local Anesthesia COAG” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
99
11 Technical specifications
Setting
Program
Local Anesthesia Spray COAG
8 P [W] 30
25
20
15
10
5
0 0
Measurement of resistances
•
5
ARC350SCSC_SE_080125_2
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Local Anesthesia Spray COAG” = 30 W/15 W
•
10
15 displayed value
20
25
30
Diagram of power output P [W] as a function of the “Local Anesthesia Spray COAG”. Measured load resistance = 500 Ω
U [Vp] 3000
2500
2000
1500
1000
500
0 0
5
ARC350SCSC_SE_080125_3
•
100
10
15 displayed value
20
25
30
Diagram of HF output voltage U [Vp] as a function of the “Local Anesthesia Spray COAG” setting (idle mode)
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
CardiacCOAG
14, 15
P [W] 100
P [W]
CardiacCoag 90W CardiacCoag 45W
90
90
80
80
70
70
60
60 50
50 40 30
40
20
30
10
20 0 10
100
1000
10000
10
ARC350CCOAG_SE_080124_1
0 0
Measurement of resistances
•
10
20
ARC350CCOAG_SE_080124_2
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “CardiacForcedCOAG” = 90 W/45 W
•
30
40 50 displayed value
60
70
80
90
Diagram of power output P [W] as a function of the “CardiacForcedCOAG” setting. Measured load resistance = 500 Ω
U [Vp] 3000
2500
2000
1500
1000
500
0 0
10
20
ARC350CCOAG_SE_080124_3
•
30
40
50 displayed value
60
70
80
90
Diagram of HF output voltage U [Vp] as a function of the “CardiacForcedCOAG” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
101
11 Technical specifications
Setting
Program
Bipolar CUT
0, 1, 5, 6, 9, 12-15, 17, 2 (only socket 4 for ligation), 16 (only socket 4), 11 (31 W and above), 21-99 (socket 3+4)
Bipolar Micro CUT
7, 8, 10, 11 (up to 30 W)
P [W]
P [W]
160
35
Blend 4-9
P=30W Blend 2-9
Blend 2, 3
140
P=30W Blend 2, 3
30
Blend 0, 1
P=15W Blend 0, 1
120 25
100 20
80 15
60 10
40
5
20
0 10
100
1000
0
10000
10
R [Ω]
ARC350MBC_SE_080125_1
100
1000
Measurement of resistances
Measurement of resistances
•
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Bipolar CUT” = 150 W/75 W
10000
R [Ω]
ARC350MBC_SE_080125_2
Diagram of power output P [W] as a function of the load resistance R [Ω] for the “Bipolar Micro CUT” setting = 30 W/15 W U [Vp]
P [W]
600
160 Pmax Bipolar Cut
Blend 4-9 500
140
Blend 2, 3 120
400
Blend 0, 1 Pmax Micro Bipolar Cut
100
300 80
200
60
40
Pmax Micro Bipolar Cut
100
20
0 0
0 0
20
ARC350MBC_SE_080125_3
•
102
40
60
80 displayed value
100
120
Diagram of power output P [W] as a function of the “Bipolar CUT” setting. Measured load resistance = 500 Ω
140
160
20
40
ARC350MBC_SE_080125_4
•
ARC 300 / ARC 350 Operating manual
60
80 displayed value
100
120
140
Diagram of HF output voltage U [Vp] as a function of the “Bipolar Micro CUT” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
Bipolar Standard COAG
0, 1, 5, 6, 9, 11 (51 W and above), 12-17, 21-99 (socket 3+4), 2, 3, 4, 16, 18-20 (only socket 4)
P[W]
P [W]
140
P=120W
120
P=60W 120
100 100
80 80
60
60
40
40
20
20 0 10
100
1000
10000
0
ARC350MBCOAG_SE_080124_1
0
Measurement of resistances •
20
ARC350MBCOAG_SE_080124_2
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Bipolar Standard COAG” = 120 W/60 W
40
60 displayed value
80
100
120
Diagram of power output P [W] as a function of the “Bipolar Standard COAG” setting. Measured load resistance = 75 Ω
U [Vp] 200 180 160 140 120 100 80 60 40 20 0 0
20
ARC350MBCOAG_SE_080124_3
•
40
60 displayed value
80
100
120
Diagram of HF output voltage U [Vp] as a function of the “Bipolar Standard COAG” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
103
11 Technical specifications
Setting
Program
Bipolar Soft COAG
0, 1, 5, 6, 9, 12-17, 21-99 (socket 3+4), 2, 3, 4, 16, 18-20 (only socket 4)
P [W]
P [W]
140
Bipolar Soft COAG 120W
120
Bipolar Soft COAG 60W
120
100 100
80
80
60
60
40
40 20
20
0 10
100
1000
10000
ARC350BSCOAG_SE_080125_1
0 0
Measurement of resistances
•
20
ARC350BSCOAG_SE_080125_3
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Bipolar Soft COAG” = 120 W/60 W
40
60 displayed value
80
100
120
Diagram of power output P [W] as a function of the “Bipolar Soft COAG” setting. Measured load resistance = 75 Ω
U [Vp] 200 180 160 140 120 100 80 60 40 20 0 0
20
ARC350BSCOAG_SE_080125_2
•
104
40
60 displayed value
80
100
120
Diagram of HF output voltage U [Vp] as a function of the “Bipolar Soft COAG” setting (idle mode)
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
Micro Bipolar COAG
7, 8, 10
P [W]
P [W]
60
50
Bipolar Micro COAG 50W Bipolar Micro COAG 25W
50
40 40
30 30
20
20
10
10 0 10
100
1000
10000
ARC350BMCOAG_SE_080125_1
0 0
•
10
ARC350BMCOAG_SE_080125_3
Measurement of resistances
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Micro Bipolar COAG” = 50 W/25 W
20
30
40
50
displayed value
Diagram of power output P [W] as a function of the “Micro Bipolar COAG” setting. Measured load resistance = 75 Ω
U [Vp] 200 180 160 140 120 100 80 60 40 20 0 0
10
ARC350BMCOAG_SE_080125_2
•
20
30
40
50
displayed value
Diagram of HF output voltage U [Vp] as a function of the “Micro Bipolar COAG” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
105
11 Technical specifications
Setting
Program
Micro bipolar Neuro COAG
11 (up to 50 W)
Measurement of resistances
•
•
Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Micro bipolar Neuro COAG” = 50 W/25 W
Diagram of power output P [W] as a function of the “Micro bipolar Neuro COAG” setting. Measured load resistance = 125 Ω
U [Vp] 200 180 160 140 120 100 80 60 40 20 0 0
10
ARC350BNCOAG_SE_080125_2
•
106
20
30
40
50
displayed value
Diagram of HF output voltage U [Vp] as a function of the “Micro bipolar Neuro COAG” setting (idle mode)
ARC 300 / ARC 350 Operating manual
900-350_IFU_V2.6_10296-S13-20100111-EN
11 Technical specifications
Setting
Program
Bipolar LIGATION
2, 3, 4, 16 (only socket 3)
P [W]
P [W]
300
300
250
250
200
200
150
150
100
100
50
50
ARC350BipLIG_SE_100111_1
0
1000
100
10
0 1
R [Ohm]
Measurement of resistances
•
Diagram of the power output P [W] as a function of the load resistance R [Ω] for the setting “Bipolar LIGATION” “Effect 1-4”
•
Diagram of HF output voltage U [Vp] as a function of the “Bipolar LIGATION” setting (idle mode)
900-350_IFU_V2.6_10296-S13-20100111-EN
•
3
2
ARC350BipLIG_SE_100111_2
4
Effekte
Diagram of power output P [W] as a function of the "Bipolar LIGATION" setting. Measured load resistance = 25 Ω
ARC 300 / ARC 350 Operating manual
107
11 Technical specifications
Setting
Program
Bipolar TUR CUT
18-20 (only Socket 3)
P [W] 450
Effekt 9 Effekt 8
400
Effekt 7 350
Effekt 6
300
Effekt 5 Effekt 4
250
Effekt 3
200
Effekt 2 Effekt 1
150
Effekt 0
100 50 0 10
100
1000
10000
ARC350BTUR_SE_080125_1
Measurement of resistances
•
•
Diagram of the power output P [W] as a function of the load resistance R [Ω] for the “Bipolar TUR CUT” “Effect 0-9”
HF output voltage U [Vp] as a function of the “Bipolar TUR CUT” "Effect 0-9” setting (idle mode)
Setting
Program
Bipolar TUR COAG
18-20 (only Socket 3)
P [W] 250
Effekt 7-9 Effekt 6 Effekt 5
200
Effekt 4 Effekt 3 Effekt 2
150
Effekt 1 Effekt 0 100
50
0 10
100
1000
10000
ARC350BTURC_SE_080125_1
Measurement of resistances
•
Diagram of the power output P [W] as a function of the load resistance R [Ω] for the “Bipolar TUR COAG” “Effect 0-9”
•
HF output voltage U [Vp] as a function of the “Bipolar TUR COAG” “Effect” setting (idle mode)
Pos: 52 /679-BOWA/ARC 300/350/13 Zubehör/Ersatzteile/13 Zubehör/Ersatzteile @ 4\mod_1261040777053_6.doc @ 35356 @ 1
108
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12 Accessories/Replacement parts
12.
Accessories/Replacement parts Pos: 53 /679-BOWA/ARC 300/350/13 Zubehör/Ersatzteile/13.1 Zubehör/Ersatzteile @ 4\mod_1261040779928_6.doc @ 35375 @
The original BOWA accessories are suitable for operation with the devices ARC 350, ARC 300, ARC 300e, ARC 200 und ARC PLUS. When using accessories made by other manufacturers, the user must ensure that they are designed for and compatible with the maximum HF peak voltage of the HF device. For the use and correct preparation of the autoclavable devices, compliance with the relevant instruction manuals accompanying said devices is required. Detailed information on accessories and replacement parts is available in the current accessories catalog. Pos: 54 /679-BOWA/ARC 300/350/14 EMV/14 EMV @ 4\mod_1261040816397_6.doc @ 35394 @ 1
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ARC 300 / ARC 350 Operating manual
109
13 EMC
13.
EMC Pos: 55 /679-BOWA/ARC 300/350/14 EMV/14.1 EMV @ 4\mod_1261040820553_6.doc @ 35413 @ 2
13.1.
Guidelines and manufacturer's declaration in accordance with DIN EN 60601-1-2, Section 6.8.3.201
Electromagnetic interference (DIN EN 60601-1-2, Table 201) The ARC 300 and ARC 350 are intended for operation in an electromagnetic environment as described below. The customer or user of the ARC 300 and/or ARC 350 should ensure that these devices are operated in such an environment. Interference measurements
Conformity
Electromagnetic environment guideline
HF emissions as per CISPR 11
Group 2
The ARC 300 and ARC 350 must emit electromagnetic energy in order to carry out their intended functions. Adjacent electronic devices can be affected.
HF emissions as per CISPR 11
Class A
Emission of harmonics as per IEC 61000-3-2
Classes A + D
Emission from voltage fluctuations/flicker as per IEC 61000-3-3
Conforms
The ARC 300 and ARC 350 are suitable for use in facilities other than living areas and those connected directly to the public power supply network, which also supplies buildings used for residential purposes.
110
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13 EMC
Electromagnetic resistance to interference (DIN EN 60601-1-2, Table 202) The ARC 300 and ARC 350 are intended for operation in the electromagnetic environment described below. The customer or user of the ARC 300 and/or ARC 350 should ensure that these devices are operated in such an environment. Tests for resistance to interference
IEC 60601 test level
Conformity level
Electromagnetic environment guidelines
Electrostatic discharge (ESD) according to IEC 61000-4-2
± 6 KV contact discharge
± 6 KV contact discharge
± 8 KV air discharge
± 8 KV air discharge
Floors should be made of wood or cement or covered with ceramic tiles. If the floor is covered with synthetic material, the relative humidity must be at least 30%.
Fast transient electrical interference (bursts as per IEC 61000-4-4
± 2 kV for power supply lines
± 2 kV for power supply lines
±1 kV for input and output lines
±1 kV for input and output lines
Surges as per IEC 61000-4-5
± 1 kV voltage outer conductor-outer conductor
± 1 kV voltage outer conductor-outer conductor
± 2 kV voltage outer conductor-ground
± 2 kV voltage outer conductor-ground
< 5 % UT for ½ period
< 5 % UT for ½ period
(> 95% collapse)
(> 95% collapse)
40 % UT for 5 periods
40 % UT for 5 periods
(60 % collapse)
(60 % collapse)
70 % UT for 25 periods
70 % UT for 25 periods
(30% collapse)
(30% collapse)
< 5 % UT for 5 s
< 5 % UT for 5 s
(> 95% collapse)
(> 95% collapse)
Voltage collapses, brief interruptions and fluctuations in the power supply as per IEC 61000-4-11
The quality of the power supply should correspond to that of a typical business or hospital environment. The quality of the power supply should correspond to that of a typical business or hospital environment. The quality of the power supply should correspond to that of a typical business or hospital environment. If the user of the ARC 300 or ARC 350 requires it to continue functioning following interruptions of the power supply, it is recommended to have the ARC 300 or ARC 350 powered by an uninterruptible power supply or a battery.
Note: UT is the AC power supply prior to the application of the test level.
900-350_IFU_V2.6_10296-S13-20100111-EN
ARC 300 / ARC 350 Operating manual
111
13 EMC
Electromagnetic resistance to interference (DIN EN 60601-1-2, Table 204) The ARC 300 and ARC 350 are intended for operation in the electromagnetic environment described below. The customer or user of the ARC 300 and/or ARC 350 should ensure that these devices are operated in such an environment. Tests for resistance to interference
IEC 60601 test level
Conformity level
Electromagnetic environment guidelines
Conducted HF interference as per IEC 61000-4-6
3 V rms value
10 V
Radiated HF interference as per IEC 61000-4-3
3V/m
Portable and mobile wireless devices should not be used within the recommended protective working clearance from the ARC 300 and ARC 350 and their cables, which is calculated based on the equation suitable for the relevant transmission frequency.
150 kHz to 80 MHz 10 V/m
80 MHz to 2.5 GHz
Recommended protective working clearance: d = 0.35 × √P d = 0.35 × √passengers/h for 80 MHz to 800 MHz d = 0.7 × √passengers/h for 800 MHz up to 2.5 GHz where P is the nominal transmitter output in watts (W) specified by the transmitter manufacturer and d is the recommended protective working clearance in meters (m). The field strength of stationary transmitters should be lower for all frequencies as verified by an on-site studya than the compliance levelb Interference is possible in the vicinity of devices that bear the following symbol.
Note 1
The higher frequency range applies to 80 MHz and 800 MHz.
Note 2
These guidelines may not be applicable in all cases. The propagation of electromagnetic waves is influenced by their absorption and reflection by buildings, objects and people.
a
Field strengths from stationary transmitters such as base stations for wireless telephones and land mobile radios, amateur radio, AM and FM radio broadcasting and TV broadcasting cannot be predicted theoretically with accuracy. A study of the electromagnetic phenomena of the location should be done to determine the electromagnetic environment resulting from stationary transmitters. If the measured field strength at the location where the ARC 300 and/or ARC 350 are being used exceeds the aforementioned compliance level, the ARC 300 and ARC 350 should be monitored to verify that they are functioning properly. If unusual performance characteristics are observed, additional measures may be necessary, such as repositioning or relocation of the ARC 300 and AC 350.
b
Field strength should be lower than 10 V/m over the frequency range of 150 kHz to 80 MHz.
112
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13 EMC
Recommended protective working clearances between portable and mobile HF telecommunications devices and the ARC 300 and/or ARC 350 (DIN EN 60601-1-2, Table 206) The ARC 300 and ARC 350 are designed for operation in an electromagnetic environment in which HF interference is monitored. The customer or user of the ARC 300 and ARC 350 can help to prevent electromagnetic interference by complying with the minimum clearance between portable and mobile HF telecommunication devices (transmitters) and the ARC 300 and ARC 350. These clearances may vary depending on the output power of the relevant communication device as specified below.
Nominal transmitter output (W)
Protective working clearance depending on the transmission frequency (m) 150 kHz to 80 MHz
80 MHz to 800 MHz
800 MHz to 2.5 GHz
d = 0.35 × √P
d = 0.35 × √P
d = 0.7 × √P
0.01
0.035
0.035
0.07
0.1
0.11
0.11
0.22
1
0.35
0.35
0.70
10
1.1
1.1
2.2
100
3.5
3.5
7.0
For transmitters whose maximum nominal output is not specified in the table above, the recommended protective working clearance d in meters (m) can be determined using the equation in the corresponding column, where P is the maximum nominal output of the transmitter in watts (W) specified by the transmitter manufacturer. Note 1
The higher frequency range applies to 80 MHz and 800 MHz.
Note 2
These guidelines may not be applicable in all cases. The propagation of electromagnetic waves is influenced by their absorption and reflection by buildings, objects and people. Pos: 56 /679-BOWA/ARC 300/350/15 Entsorgung/15 Entsorgung @ 4\mod_1261040825225_6.doc @ 35432 @ 1
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14 Disposal
14.
Disposal Pos: 57 /679-BOWA/ARC 300/350/15 Entsorgung/15.1 Entsorgung @ 4\mod_1261040829522_6.doc @ 35451 @
You must comply with the national regulations of the relevant country when you are disposing of or recycling the device or its components.
Symbol
Designation A device marked with this symbol must be put into the separate waste collection for electrical and electronic devices. Disposal is carried out free of charge by the manufacturer within the European Union.
X
If you have questions regarding the disposal of the device, contact your national BOWA representative; see Chapter Technical service, Page 72.
=== Ende der Liste für Textmarke Inhalt ===
114
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Index
Index Arc control technology .....................................30 ARC control technology...................................30 Assigning a foot switch output .........................37 AUTOSTART ...................................................28 Children's electrodes .......................................30 Coagulation......................................................59 Connecting the foot switch ..............................36 Cut mode .........................................................25 Disinfection and cleaning.................................69 Easy alarm error indicators..............................68 Electrode handle..............................................36 Error list ...........................................................64 Foot switch.......................................................36 Foot switch design...........................................31 General safety instructions ..............................17 Key...................................................................58 Maintenance ....................................................70 Menu programs....................................35, 41, 57 Monopolar modes............................................25
900-350_IFU_V2.6_10296-S13-20100111-EN
National language ........................................... 58 Neutral electrode............................................. 23 Neutral electrode cable................................... 36 Neutral electrode monitoring........................... 30 Output, voltage and current diagrams ............ 80 Personal safety instructions............................ 18 Positioning ...................................................... 18 Possible foot switch combinations .................. 38 Power limitation............................................... 62 Preparation of the accessories ....................... 69 Program overview ........................................... 40 Repairs............................................................ 71 Safety inspection (STK) .................................. 70 System error indicators ................................... 64 Technical specifications for the HF devices ARC 300 and ARC 350.............................. 74 Volume............................................................ 58
ARC 300 / ARC 350 Operating manual
115
Subject to technical and design changes
Copyright by BOWA-electronic, Gomaringen │ Germany Phone: +49 (0) 7072-6002-0 Fax: +49 (0) 7072-6002-33
[email protected] │ www.bowa-medical.com
CE marked according to Medical Device 93/42/EWG
900-350_IFU_V2.6_10296-S13-20100111-EN
BOWA-electronic GmbH & Co. KG Heinrich-Hertz Strasse 4–10 D-72810 Gomaringen │ Germany
Printed in Germany
0123
