Changing Cylinders ................1 Description of the Front and Back Panels .......... 1 Description of the Graphical Interface of the APC 300 ...... 1 Connection and Actuation Configurations for ERBE Electrosurgical Equipment in Conjunction with the APC 300 ..1 ICC 200 1.
Troubleshooting ..................Cleaning, Disinfecting and Sterilizing ..........Maintenance ..................Service and Warranty ................Technical Data, Standard Parameters Programmed by ERBE ..Information on Electromagnetic Compatibility (EMC) ....1 Addendums: Notes on using electrosurgical devices of other manufacturers in combination with the APC 300...
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Purge user programs user Flow adjustments Priority cylinder number Sound level adjustment General cylinder information Change cyl. data Screen brightness Instrument purging parameters...
How to use the APC 300 Operating Instructions. Intended Purpose of the APC 300 • 1 CHAPTER 1 How to Use these Operating Instructions. Intended Purpose of the APC 300 Do I have to read all of the These operating instructions are very extensive. There are several reasons Operating Instructions? for this: the APC 300 can be used in many medical fields.
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1 • How to use the APC 300 Operating Instructions. Intended Purpose of the APC 300...
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APC 300 and ERBE electrosurgical equipment meet all relevant generally recognized rules of technology as well as the applicable work safety and accident-avoidance regulations. The combination of the APC 300 and one of the electrosurgical units listed below together with an ERBE APC applicator is a well-thought-out system of interrelated elements.
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Training The APC 300 may only be used by persons who have been given training in the correct use of the APC 300 or the combination of appliances (APC 300 - electrosurgical equipment, instrumentation) which has taken these operating instructions into consideration.
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+10° C, or especially below 0°, the equipment will require about 3 hours to acclimatize to room temperature. ATTENTION: The APC 300 must be set up in a way that permits air to freely Ventilation circulate around the case. The unit must not be set up in narrow niches or shelves.
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Take note of visual and audible error indications. Do not set the volume of the actuation signals for COAG, CUT and PURGE too low. Do not use laser safety goggles It is possible that the APC 300 display may no longer be visible with laser safety goggles.
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Notes on Safety • 2 Dangers associated with argon plasma coagulation Argon Plasma Coagulation is a monopolar high frequency surgical method i.e., high frequency current flows through the patient's body to the neutral electrode, as is generally the case in monopolar electrosurgery. Burns, damage to tissue WARNING! All safety regulations concerning monopolar high frequency surgery are applicable.
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WARNING! When applying APC in body cavities, it is imperative to ensure that the endoluminal gas pressure does not rise excessively. Maintenance The APC 300 should be safety-checked at least once a year. Alterations and repairs may only be performed by ERBE or by persons expressly authorized by ERBE.
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Defective or inadequate insulation can cause patient burns. Training The APC 300 may only be used by persons who have been given training in the correct use of the equipment or the combination of appliances (APC 300- electrosurgical equipment) which has taken these operating instructions into consideration.
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4. Select power limitation Power should be set as low as possible: The recommended dosages as noted above apply for ERBE electrosurgical units ICC 200, 300, 350. Of course the physician takes the final responsibility in each case.
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Notes on Safety in the Medical Specialties • 3 • Never activate the APC probe while it is in contact with tissue. • Never press the distal tip of the APC probe against an organ wall before or during activation. During APC, distention of the organ being treated can cause discomfort to 6.
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3 • Notes on Safety in the Medical Specialties The 10 Commandments of APC in Flexible Endoscopy You shall not confuse Argon Plasma Coagulation with Argon Laser. The two are completely different. You shall always test Argon Plasma ignition and the electric arc outside the endoscope before inserting the APC probe into the working chan- nel.
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Notes on Safety in the Medical Specialties • 3 You shall take care that the APC probe does not touch the organ wall during activation; however, your application shall be near enough to ensure Argon Plasma ignition. for ignition closer when ignited distance 3 to 10 mm You shall never press the activated probe into tissue or against the organ...
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3 • Notes on Safety in the Medical Specialties You shall set the power limit of the electrosurgical unit and the activation duration adequately according to wall thickness in the affected organ (e.g. an upper limit of max. 40 W in the right colon, but higher power for a large tumor, see Recommended Dosages).
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Notes on Safety in the Medical Specialties • 3 APC in bronchoscopy Emphysemas WARNING! Argon plasma coagulation in a non contact procedure. Do not hold the distal end of the activated applicator against or insert it into tissue. Emphysemas can result. Intraluminal gaspressure WARNING! When using argon plasma coagulation, argon flows into the lumen of the organ.
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3 • Notes on Safety in the Medical Specialties...
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For this reason the units must be installed on the APC 300 in such a way that their cases are not in electrical conducting contact with the APC 300 casing: i.e. the aforementioned electrosurgical units must be electrically insulated and installed on the surface provided on the APC 300.
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If these tolerances are exceeded in either ways, the unit may break down. Ventilation The APC 300 must be set up in a way that permits air to freely circulate around the case. The unit must not be set up in narrow niches or shelves. Protection from moisture The APC 300 is protected against penetration by liquids according to EN 60- 601-2-2 .
Always use the safety belt on the mobile equipment trolley. Input pressure The input pressure at cylinder connections 1 and 2 of the APC 300 may not exceed 4.5 bar (65.25 psi). If the unit is connected to a central argon supply, the input pressure may not exceed 2.5 bar (36.25 psi).
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300 must be modified by a technician if a central argon supply is used. Connecting argon cylinders The input pressure at cylinder connections 1 and 2 of the APC 300 may not exceed 4.5 bar (65.25 psi). ERBE advises working with two argon cylinders with a volume of 5 liters and a pressure of 200 bar (2900 psi).
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2. Remove the pressure hose of the argon cylinder at the rear of the APC 300. 3. Place the hose opening on the drainage pin at the rear of the APC 300 and press. The hose contains a residue of argon which escapes with a loud hissing noise.
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5 • Changing Cylinders The system will now automatically be rinsed with argon by the APC 300. If the presure hose and pressure reducer are fitted tightly, no further hissing noises should be audible! Changing cylinder data 1. Call up the menu point Changing cylinder data.
DOWN menus. All the APC 300's menus have the same structure. There is a cursor in the second line. If you press the up or down keys, the cursor runs up and down the menu items.
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The unit of flow [L/min] is not shown. Despite this error, the COAG flow and CUT flow can still be set and the unit utilized. If a self check error occurs, the APC 300 should only be used in an emergency WARNING! when no reserve unit is available as an argon overdose could occur.
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Actuation configurations à to discover which socket and which lead is used for which configuration. Mains connection Only connect the APC 300 using the mains lead supplied by ERBE, or one of equal quality, to a faultlessly installed ground contact socket. The mains lead WARNING! must bear the national mark of conformity.
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Potential equalization To avoid high-frequency disturbance and to protect the patient connect the connections potential equalization pin of the APC 300 to the equipment trolley via potential equalization conductors. Loudspeaker Over the loudspeaker of the APC 300, actuation and warning signals are emitted.
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The shell allows the unit to be operated in an intuitive manner. However, Operating in an intuitive manner please bear in mind that the APC 300 operates in a range of several thousand volts. It is not a word processor with which you can experiment all you want.
The unit of flow [l/min] is not shown. Despite the error the COAG flow and CUT flow can still be set and the unit utilized. If a self check error occurs the APC 300 should only be used in an emergency WARNING! when no reserve unit is available, as an argon overdose could occur.
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After the system test has been completed the standard display of the APC 300 appears. If you leave the standard display of the APC 300 using the enter key the unit WARNING! cannot be activated. In order to do this, it is necessary first to return to the standard display.
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If the cylinder is completely filled, the APC 300 flow is as specified by the setting. If the cylinder is only partially filled, delivery is too low. This condition is also indicated by an...
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COAG flow / CUT flow values are stored under this number. After the APC 300 is switched on, the last program to be active when the unit was last switched off is called up. The instrument which is connected is identified and its Instrument number called, e.g.
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Quit menu End of the menu All the APC 300's menus have the same structure. There is a cursor in the second line. If you press the up or down keys, the cursor runs up and down the menu items.
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1 to 3 and cylinder 1, operator B with programs 4 to 7 and cylinder 2. On delivery of the APC 300, cylinder 1 is the preferred cylinder in all programs. 1. Select the program you require.
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7 • Description of the graphical interface of the APC 300 Alter the volume of To alter the volume of the audible signal for COAG, CUT and PURGE: audible signals 1. Select the program you require. 2. Mark menu item Sound level adjustment. Press the key.
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Change cylinder data In this menu you can program the pressure [bar / psi] and volume [l] of the cylinders connected. The APC 300 requires this data to calculate the cylinder contents. Refer to the chapter Changing cylinders to see how cylinder data can be changed.
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Display long-term NTER operating data is shown. The totals shown here are not reset when the unit is switched on, and they cannot be cleared by the APC 300 user. Menu items display error list, system diagnosis programs Displaying long-term operating These are for the use of the service technician.
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• HF cable no. 20192-082 or 20192-126. Actuation Configuration 1 for ICC 200 APC probe for flexible endoscopes 1. Connect two-pedal foot switch to the APC 300's foot switch socket 1. Connect foot switch, 2. Plug connection cable 20189-022 into the APC 300's actuation connection cable with two 4-pin signal output and into the ICC's foot switch socket.
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3. Connect neutral electrode to the ICC. of equipment trolley. 4. Plug in mains plug ICC and APC 300. 5. Switch on 1. Open the cylinder valves on the argon gas cylinders in a clockwise 6. Open cylinder valves direction until they stop.
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Actuation Configurations for ICC 200 • 8 2. Check fill level of the argon cylinders (fill level of the argon cylinders is in the information line of the standard display). Always keep a full replacement cylinder ready. 1. Set AUTO COAG field to FORCED. 7.
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8 • Actuation Configurations for ICC 200...
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4-pin plugs 2. Plug the connection cable 20189-022 into the actuation signals output of the APC 300 and into the ICC's foot switch socket. 2. Connect HF cable Plug the HF cable 20192-082 or 20192-126 into the APC 300's HF input and into the ICC's CUT / COAG socket.
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3. Connect neutral electrode to the ICC. 4. Plug in mains plug of equipment trolley. ICC and APC 300. 5. Switch on 1. Open cylinder valves of the argon gas cylinders in a clockwise 6. Open cylinder valves direction until they stop.
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2. Screw the argon connection to the filter. 3. Plug in the cable's multiple plug to the APC 300's multiple socket. 10. Check flow Is the automatic setting of the COAG flow / CUT flow suitable for the application? 11.
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8 • Actuation Configurations for ICC 200...
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Actuation Configurations for ICC 300 • 8 Actuation Configuration 1 for ICC 300 APC probe for flexible endoscopes 1. Connect foot switch, 1. Connect two-pedal foot switch to the APC 300's foot switch socket connection cable with two 4-pin plugs 2. Plug connection cable 20189-022 into the APC 300's actuation signals output and into the ICC's 4-pin foot switch socket.
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ICC 300. 4. Plug in mains plug of equipment trolley. 5. Switch on ICC 300 and APC 300. 6. Open cylinder valves 1. Open the cylinder valves on the argon gas cylinders in a clockwise direction until they stop.
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Actuation Configurations for ICC 300 • 8 8. Connect APC probe APC probe for flexible endoscopes, consisting of: cable and probe 1. Screw the bacteriological filter to the argon socket . 2. Screw the cable's argon connection to the filter. 3.
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8 • Actuation Configurations for ICC 300...
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APC can be actuated with foot and finger switches. ARGON CUT can be actuated with foot and finger switches. 1. Connect foot switch, 1. Connect two-pedal foot switch to the APC 300's foot switch socket connection cable with two 4-pin plugs 2. Plug connection cable 20189-022 into the APC 300's actuation signals output and into the ICC's 4-pin foot switch socket.
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3. Connect bipolar instrument to BIPOLAR socket. 4. Plug in mains plug of the equipment trolley. ICC 300 and APC 300. 5. Switch on 1. Open the cylinder valves on the argon gas cylinders in a clockwise 6. Open cylinder valves direction until they stop.
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. 2. Screw the argon connection to the filter. 3. Plug the multiple plug into the multiple socket of the APC 300. 13. Check flow Is the automatic setting of the COAG flow / CUT flow suitable for the application? 14.
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8 • Actuation Configurations for ICC 300 16. Actuate ARGON CUT Press the yellow pedal or the yellow finger switch. AUTO START on contact or with the white single-pedal foot switch. 17. Actuate BIPOLAR COAG 18. Actuate CUT or COAG Yellow finger switch or blue finger switch.
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Actuation Configuration 1 for ICC 350 ICC Software V. 1.06 and V. 1.07 APC probe for flexible endoscopes 1. Connect foot switch, 1. Connect two-pedal foot switch to the APC 300's foot switch socket connection cable with two 4-pin plugs 2. Plug connection cable 20189-022 into the APC 300's actuation signals output and into the 4-pin foot switch socket of the ICC 350.
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ICC 350. 4. Plug in mains plug of equipment trolley. 5. Switch on ICC 350 and APC 300. 6. Open cylinder valves 1. Open the cylinder valves on the argon gas cylinders in a clockwise direction until they stop.
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Actuation Configurations for ICC 350 • 8 9. Connect APC probe APC probe for flexible endoscopes, consisting of: cable and probe 1. Screw the bacteriological filter to the argon socket. 2. Screw the cable's argon connection to the filter. 3. Plug the cable's multiple plug into the multiple socket.
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8 • Actuation Configurations for ICC 350...
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APC can be actuated with foot and finger switches. ARGON CUT can be actuated with foot and finger switches. 1. Connect two-pedal foot switch to the APC 300's foot switch socket 1. Connect foot switch, connection cable with 2. Plug connection cable 20189-022...
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BIPOLAR socket of the ICC 350. 4. Plug in mains plug of the equipment trolley. 5. Switch on ICC 350 and APC 300. 6. Open cylinder valves 1. Open the cylinder valves on the argon gas cylinders in a clockwise direction until they stop.
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2. Screw the argon connection to the filter. 3. Plug the multiple plug into the multiple socket of the APC 300. 13. Check flow Is the automatic setting of the COAG flow / CUT flow suitable for the application? 14.
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8 • Actuation Configurations for ICC 350...
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2. Plug connection cable 20132-063 into the APC 300's actuation signals output and into the ICC's 7-pin foot switch socket. 3. Connect single-pedal foot switch to the APC 300's foot switch socket 2. Connect HF cable Plug HF cable 20192-082 or 20192-126 into HF input of the APC 300 and into the CUT / COAG 1 socket of the ICC.
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BIPOLAR socket of the ICC 350. of the equipment trolley. 4. Plug in mains plug ICC 350 and APC 300. 5. Switch on 1. Open the cylinder valves on the argon gas cylinders in a clockwise 6. Open cylinder valves direction until they stop.
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2. Screw the argon connection to the filter. 3. Plug the multiple plug into the multiple socket of the APC 300. 13. Check flow Is the automatic setting of the COAG flow / CUT flow suitable for the application? 14.
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8 • Actuation Configurations for ICC 350...
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2. Plug connection cable 20132-063 into the APC 300's actuation signals output and into the ICC's 7-pin foot switch socket 3. Connect single-pedal foot switch to the APC 300's foot switch socket 2. Connect HF cable Plug HF cable 20192-082 or 20192-126 into HF input of the APC 300 and into the CUT / COAG 1 socket of the ICC.
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350. 4. Plug in mains plug of the equipment trolley. 5. Switch on ICC 350 and APC 300. 6. Open cylinder valves 1. Open the cylinder valves on the argon gas cylinders in a clockwise direction until they stop. 2. Check fill level of the argon cylinders (fill level of the argon cylinders in the information line of the standard display).
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. 2. Screw the argon connection to the filter. 3. Plug the multiple plug into the multiple socket of the APC 300. 13. Check flow Is the automatic setting of the COAG flow / CUT flow suitable for the application? 14.
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8 • Actuation Configurations for ICC 350...
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Actuation Configuration 1 for ACC 450 APC probe for flexible endoscopes 1. Connect foot switch, 1. Connect two-pedal foot switch to the APC 300's foot switch socket connection cable with 2. Plug connection cable 20189-022 into the APC 300's actuation signals two 4-pin plugs output and into the ACC's 4-pin foot switch socket.
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Position neutral electrode on the patient. Connect the neutral electrode to the ACC 450. of equipment trolley. 4. Plug in mains plug ACC 450 and APC 300. 5. Switch on 1. Open the cylinder valves on the argon gas cylinders in a clockwise direction 6. Open cylinder valves until they stop.
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Actuation Configurations for ACC 450 • 8 8. Connect APC probe APC probe for flexible endoscopes, consisting of: cable and probe 1. Screw the bacteriological filter to the argon socket. 2. Screw the cable's argon connection to the filter. 3. Plug the cable's multiple plug into the multiple socket .
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8 • Actuation Configurations for ACC 450...
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APC handle for APC and ARGON CUT, electrode handle for CUT and COAG with two buttons, instrument for BIPOLAR COAG 1. Connect foot switch, 1. Connect two-pedal foot switch to the APC 300's foot switch socket connection cable with two 4-pin plugs 2.
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3. Connect bipolar instrument to Bipolar socket. 4. Plug in mains plug of the equipment trolley. ACC 450 and APC 300. 5. Switch on 1. Open the cylinder valves on the argon gas cylinders in a clockwise direction 6. Open cylinder valves until they stop.
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. 2. Screw the argon connection to the filter. 3. Plug the multiple plug into the multiple socket of the APC 300. 13. Check flow Is the automatic setting of the Coag flow / Cut flow suitable for the application? 14.
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8 • Actuation Configurations for ACC 450...
Troubleshooting • 9 CHAPTER 9 Troubleshooting Error message Possible cause What to do ? I 10 Underdose 1. Blocked hose 1. Remove tissue from instrument 2. Cylinder empty 2. Change cylinder 3. System error 3. Technical service I 11 Overdose 1.
Do not use any flammable or explosive substances. If this cannot be avoided, WARNING! they must have evaporated completely before the APC 300 and the HF surgical unit are switched on. Foot switches Please read the respective instructions on their use.
Safety checks The APC 300 should be checked for safety at least once a year. It is recommended that safety checks of the APC 300 and of the electrosurgical unit be carried out together.
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11 • Maintenance • Instrument identification • Actuation identification • Supply voltage - 12V • Reference voltage + 10V • Proportional valve test • Relay and valve test Alterations and Repairs Alterations and/or repairs to the unit and/or accessories must not result in a loss of safety to the patient, the operator or the environment.
These checks should be performed exclusively by personnel whose knowledge, training and practical experience qualifies them to perform such checks. A maintenance contract with ERBE is thus advisable after the warranty period. Warranty...
Technical Data, Standard Parameters Programmed by ERBE • 13 CHAPTER 13 Technical Data, Standard Parameters Programmed by ERBE Technical Data APC 300 Typ No. 10132-010 Standard version 100-230 V Supply voltage 50 / 60 Hz Current input 0.3 A Mains fuse...
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13 • Technical Data, Standard Parameters Programmed by ERBE Standard Parameters programmed by ERBE APC 300 Standard Version Instrument COAG flow [l CUT flow [l Purge flow [l Purge Time / min] / min] / min] [sec] not yet in use...
When the APC 300 is in the nonactivated state with an electrosurgical unit connected, interference with other equipment in the immediate vicinity does not occur.
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14 • Information on Electromagnetic Compatibility (EMC) Guidance and manufacturer's declaration - electromagnetic emissions The equipment is intended for use in the electromagnetic environment specified below. The customer or the user of the equipment should ensure that it is used in such an environment. Emissions test Compliance Electromagnetic environment -...
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Information on Electromagnetic Compatibility (EMC) • 14 Guidance and manufacturer's declaration - electromagnetic immunity The equipment is intended for use in the electromagnetic environment specified below. The customer or the user of the equipment should ensure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level...
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14 • Information on Electromagnetic Compatibility (EMC) Guidance and manufacturer's declaration - electromagnetic immunity The equipment is intended for use in the electromagnetic environment specified below. The customer or the user of the equipment should ensure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level...
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Information on Electromagnetic Compatibility (EMC) • 14 Guidance and manufacturer's declaration - electromagnetic immunity Note 1: At 80 MHz equation 2) applies At 800 MHz equation 3) applies Note 2: These guidlines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
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14 • Information on Electromagnetic Compatibility (EMC)
Notes on Using Electrosurgical Devices of other Manufacturers in Combination with the APC 300 Notes on Using Electrosurgical Devices of other Manufacturers in Combination with the APC 300 Connect the APC 300 HF input with the monopolar HF output for footswitches (monopolar active receptacle for footswitch).
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Notes on Using Electrosurgical Devices of other Manufacturers in Combination with the APC 300...
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Connection cable with two 4-pin plugs no. 20189-022, connection cable with 4- and 7-pin plugs no. 20132-063 Connection cables for transmitting the actuation signals from the APC 300 to the ICC generator. Default settings for rinse duration and rinse flow Values set by ERBE at the Instrument Numbers.
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Instrument identification facility For assigning an instrument to a particular Instrument number by means of a coding. With the aid of the instrument identification facility, the APC 300 automatically sets the COAG flow, CUT flow, rinse flow and rinse duration for each instrument.
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Programm selection menu Main menu for selecting programs. The menu reached on leaving the standard display. Programs Aids used to modify the APC 300 to suit the user's individual needs and envi- ronmental conditions. Program structure Nesting of the APC 300's programs.
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Glossary System test Self check and functional test. Self check = Testing of pressure sensors. Functional test = Testing the keys on the front panel, foot switches, finger switches, gas supply. Self check error = an error was discovered during self check. Functional test error = an error was discovered during functional test.
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Literature Literature Brand E, Pearlman H: Electrosurgical debulking of ovarian cancer: a new technique using the argon beam coagulator. Gynecol Oncol 1990; 39: 115-118. Go PM Bruhn EW, Garry SL, Hunter JG: Patterns of small intestinal injury with the argon beam coagulator. Surg Gynecol Obstet 1990; 171: 341-342. Dowling RD, Ochoa J, Yousen SA, Peitznmnn A, Udekwo AO: Argon beam coagulation is superior to conventional techniques in repair of experimental splenic injury.
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Literature Sessler J, Becker HD, Flesch I, Grund KE: Therapeutic effekt of argon plasma coagulation on small malignant gastroinstestinal tumors. J Cancer Res Clin Oncol 1995; 121: 235-238. Ward PH, Catro DJ, Ward S: Asignificant new contribution of radical head and neck surgery.
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