Erbe VIO 200 D User Manual
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Erbe VIO 200 D User Manual

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USER MANUAL
VIO
200 D
®
V 2.3.x
ELECTROSURGERY
80113-341
2018-12

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  • Page 1 USER MANUAL 200 D ® V 2.3.x ELECTROSURGERY 80113-341 2018-12...
  • Page 3 USER MANUAL 200 D ®...
  • Page 4 Manual may be reproduced in any form (by photocopying, microfilming or other methods) or processed, duplicated or dissemi- nated by the use of electronic systems without the written consent of Erbe Elektromedizin GmbH. The information contained in this User Manual can be changed or expanded without prior notice and without obligation on the part of Erbe Elektromedizin GmbH.

  • Page 5: Table Of Contents

    VIO 200 D example accessories........
  • Page 6 Table of Contents The basic concept of the electrosurgical unit: focusing attention on the functions of a receptacle (Focus View) ........48 Changing settings of the Basic Program .
  • Page 7 Install electrosurgical unit on overhead support ......132 Installing the unit on an Erbe equipment cart ......133 Cleaning and Disinfection .
  • Page 8 Table of Contents / 152...

  • Page 9: Safety Instructions

    Chapter 1 Safety Instructions Intended use The VIO 200 D is an electrosurgical unit for cutting and coagulation. Thanks to its per- formance features it offers universal applications. Combination with other equipment You can combine this unit with matching Erbe equipment: e.g. APC 2, EIP 2. You will then have a well-conceived, coordinated system.

  • Page 10: Who Must Read This User Manual

    1 • Safety Instructions Who must read this User Manual? Knowledge of the User Manual is absolutely essential for correct operation of the unit. The User Manual must therefore be read by everyone who works with the equipment. Anyone who prepares, sets, disassembles, cleans and disinfects the unit must also read the User Manual.

  • Page 11: Risks Due To The Environment

     In the event of uncertainties or if you have any questions, please contact Erbe Elektromedizin. You will find the addresses in the ad- dress list at the end of this User Manual.

  • Page 12: Electric Shock

     Only connect the unit to a power supply network with proper grounding.  Only use the Erbe power cord or an equivalent power cord for this purpose. The power cord must bear the applicable national test symbol.

  • Page 13: Fire / Explosion

    1 • Safety Instructions WARNING Connection of unit / equipment cart and power supply during cleaning and disinfection Risk of electric shock to the medical personnel!  Switch off the device. Unplug the power cord of the device/equip- ment cart. Fire / explosion In electrosurgery electric sparks and arcs occur at the instrument.

  • Page 14: Burns

    1 • Safety Instructions  Check the oxygen-carrying tubes and connections for leaks.  Check the endotracheal tubes and their cuffs for leaks.  Before using argon plasma coagulation (APC) in the tracheobron- chial system it is absolutely essential that you observe the specific safety information and instructions in the User Manual for the ar- gon plasma unit! WARNING...
  • Page 15  For your safety and that of the patient: Never attempt to perform repairs or make modifications yourself. Any modification will in- validate liability on the part of Erbe Elektromedizin GmbH. WARNING HF leakage current flows through metal parts The patient must not have contact with electrically conductive ob- jects.
  • Page 16 1 • Safety Instructions  Instruments that have been put down must not come into contact with the patient, not even indirectly. An instrument can come into contact with the patient indirectly through electrically conductive objects or wet drapes, for example. CAUTION Hot instruments Even non-active instruments that are still hot can burn the patient or...
  • Page 17 1 • Safety Instructions WARNING Power setting too high, ON time too long, effects too high The higher the power setting the longer the ON time of the unit and the higher the effect the higher the risk of accidental tissue damage. Risk of accidental tissue damage to the patient! ...

  • Page 18: Inadvertent Tissue Damage

    1 • Safety Instructions WARNING Activation signal not audible You do not hear the signal when the electrosurgical unit is activated. Risk of burns to the patient and medical personnel!  Adjust the activation signal so that it is clearly audible. WARNING Undesirable contact between the active instrument and metal objects in the patient's body...

  • Page 19: Risks Due To Incorrect Use Of The Return Electrode

    1 • Safety Instructions Risks due to incorrect use of the return electrode CAUTION Non-compatible or single surface return electrode When applying a non-compatible return electrode, it should be ex- pected that monitoring the contact between return electrode and skin is faulty.

  • Page 20: Defective Unit

    Chapter 2 of this Manual "Safety Fea- tures" for NESSY. Note: Erbe recommends the use of split return electrodes in combination with the NESSY setting set to “NE: dynamic” or “NE: dual surface”. With this combination the optimal use of the safety monitoring functions are given (see chapter 2 “NESSY Safety...

  • Page 21: Interference Caused By The Unit

    1 • Safety Instructions WARNING Failure of display elements If display elements fail, you can no longer operate the device safely. Risk of injury or death for patients and medical staff!  You must not use the unit. Interference caused by the unit WARNING Interference with cardiac pacemakers, internal defibrillators, or other active implants...

  • Page 22: Damage To The Unit And Accessories

    “Information on electromagnetic compatibil- ity (EMC).”  If you are using accessories from other manufacturers, check whether the Erbe device is interfering with other devices or being affected by interference itself. You cannot use the device if there is any interference.

  • Page 23: Notes

    1 • Safety Instructions  If you use a connecting cord with a monopolar 4 mm dia. connec- tor, you may only plug the connector into the receptacle with the blue ring. The correct receptacle is marked with an arrow on the illustration.
  • Page 24 1 • Safety Instructions Using a smoke evacuator Note: In order to evacuate the smoke that develops during electrosurgical procedures, Erbe recommends using a smoke evacuator. / 152...

  • Page 25: Safety Features

    2 • Safety Features Chapter 2 Safety Features NESSY What is NESSY? The unit is equipped with a Neutral Electrode Safety System (NESSY), which monitors the return electrode (neutral electrode), warns of critical situations, and thus prevents burns. How effective the monitoring is depends on whether you choose a single sur- face or dual surface return electrode and on the NESSY setting.

  • Page 26: How Do I Receive Information About The Safety Status Of The Return Electrode

    2 • Safety Features • Switch on the Unit. Set the NESSY setting to "NE: either way". Connect the cable to the return electrode receptacle. • If the connecting cord or the clip of a reusable cable do not have shorts the dis- play of the dual surface (1) and the display of the single surface (2) will light up red.
  • Page 27 Dual-surface neutral electrode To optimally utilize the unit's monitoring functions, Erbe recommends connecting a dual-surface electrode, and in particular the Erbe NESSY Omega electrode. Apart from connected. "Neutral electrode: many other advantages, this electrode virtually eliminates any possibility of excessive Dual surface"...
  • Page 28 2 • Safety Features vation, an audible warning signal is emitted. A red warning message appears on the display: When applying the neutral electrode, ensure that the line of symmetry points toward the operating field. Checking function of the NESSY window when a dual-surface electrode is connected with "Neutral electrode: Dual surface"...

  • Page 29: Automatic Monitoring Of Equipment Output Error

    2 • Safety Features If you press the Focus button on the neutral electrode socket, you change to the NESSY window. You will see a traffic-light symbol (1). According to the contact resistance between skin and electrode, this symbol shows the following: •...

  • Page 30: Automatic Monitoring Of The On Time

    2 • Safety Features Automatic monitoring of the ON time With proper use, a high-frequency generator is only briefly activated to carry out a cut or coagulation using a fingerswitch, pedal or AUTO START. This generally only takes a few seconds. A defect in the unit, in the accessories or in usage may cause the high- frequency generator to be switched on unintentionally.
  • Page 31 2 • Safety Features acoustically and by an error number and message after switch-on of the power switch. • If a contact of the footswitch has short-circuited due to an error, or a pedal is jammed or a pedal was pressed while the power switch was switched on, this error will be indicated acoustically and by an error number and message.
  • Page 32 2 • Safety Features / 152...

  • Page 33: Accessories

    Instructions are available in this chapter. The following offers an overview of example accessories for each accessory category. A complete overview is available in the Erbe accessories catalog and on the Erbe web- site. We recommend the use of Erbe accessories.

  • Page 34: Vio 200 D Example Accessories

    3 • Accessories VIO 200 D example accessories VIO 200 D Monopolar electrosurgical pencils, monopolar electrodes Patient plates Bipolar instruments, bipolar forceps Connecting cables for electrosurgery Adapters for electrosurgery / 152...
  • Page 35 3 • Accessories APC 2 (unit for argon-plasma coagulation) EIP 2 (irrigation pump) VEM 2 (module for socket extension) IES 2 (smoke evacuation) NT 2 (nerve stimulator) Accessories for ESU and modules / 152...

  • Page 36: Check Compatibility Of Instrument And Cut / Coag Mode With The Help Of The Upmax Display

    3 • Accessories Check compatibility of instrument and CUT / COAG mode with the help of the Upmax display CAUTION Electric load on instrument too high The instrument can be damaged. If the damaged area comes into contact with tissue, it can lead to unintentional coagulation.
  • Page 37 3 • Accessories Fig. 3-2 The AUTO CUT mode with Effect 8 would load the instrument with peak voltage of 740 Vp (1). Do not operate the instrument with Effect 8 of the AUTO CUT mode. The elec- trical capacity of the instrument (500 Vp) is less than the HF peak voltage (740 Vp) of the AUTO CUT mode with Effect 8.

  • Page 38: Check Compatibility Of The Return Electrode

    VIO used. Compatible footswitches You can connect only Erbe footswitches to the VIO. There are special footswitches for the VIO D / VIO S series and special footswitches for the VIO C series.

  • Page 39: Description Of The Controls

    4 • Description of the Controls Chapter 4 Description of the Controls Controls on the front panel Fig. 4-1 Power (1) Power switch Unit on / off. The unit is only fully disconnected from the power supply once the power cord is pulled out.
  • Page 40 4 • Description of the Controls (15) Focus button for patient plate receptacle Shows info about the patient plate on the display. Pilot lamps (16) Footswitch The footswitch symbol lights up when the respective footswitch is assigned to the scoket. (17) Auto Start When this lamp is lit up, Auto Start is active.

  • Page 41: Controls On The Back

    (1) or receptacle (2). The same applies to the single-pedal footswitch. (3) ECB sockets (ECB means Erbe Communication Bus) You can connect other units to the electrosurgical unit, e. g. an APC or a smoke evac- uator.
  • Page 42 (4) Potential equalization terminal Connect a potential equalization line and connect this to the potential equalization system of the operating room. If you are using the Erbe VIO-CART, connect the poten- tial equalization line to the potential equalization pin of the VIO-CART.

  • Page 43: Working With The Electrosurgical Unit: A Tutorial

    VIO-CART. The tutorial is based on a sample In this tutorial you will learn how to operate the VIO 200 D electrosurgical unit using a configuration sample configuration. Although the unit you have before you may be configured dif- ferently, the structure of the user environment and operation of the functions is nev- ertheless identical.
  • Page 44 5 • Working with the Electrosurgical Unit: a Tutorial 3. Getting an overview: assignment of the active program for the electrosurgical unit Fig. 5-1 Once the performance test has been completed, you will see the window Guide. Here you can see the number (1) and the name (2) of the active program. In this example it is the program 1 program xy.
  • Page 45 5 • Working with the Electrosurgical Unit: a Tutorial If your unit is equipped with a patient plate receptacle , the display of the receptacle will show a patient plate (4). If you have connected an APC 2, an IES 2 or another unit to the electrosurgical unit, you can also find out about the assignment of the other unit receptacles in the pro- gram.

  • Page 46: Adopt Program

    5 • Working with the Electrosurgical Unit: a Tutorial Adopt Program Adopt Program Fig. 5-3 If you want to accept the active Existing Program, press the selection button next to the menu item Adopt program. You will then move to the window Cut / Coag Settings. You will then see the settings of the receptacle last activated.
  • Page 47 5 • Working with the Electrosurgical Unit: a Tutorial 2. Select Program Fig. 5-5 You will then move to the window Select Program. You will then see a selection list of programs (1). 1. If you press the Up/Down buttons (2), and more than 4 programs are stored, the window scrolls in the program selection list.

  • Page 48: The Basic Concept Of The Electrosurgical Unit: Focusing Attention On The Functions Of A Receptacle (Focus View)

    5 • Working with the Electrosurgical Unit: a Tutorial The basic concept of the electrosurgical unit: focusing attention on the functions of a receptacle (Focus View) Fig. 5-7 The window Cut / Coag Settings The window Cut / Coag Settings focuses attention on the functions of a receptacle as you only ever see the CUT settings (1) and COAG settings (2) of one receptacle.

  • Page 49: Setting Cut Mode

    5 • Working with the Electrosurgical Unit: a Tutorial Meaning of the asterisk When you change a program, an asterisk next to the name of the program shows that you have made a change. When you save the program, the asterisk disappears. The changed Basic Program cannot be saved.

  • Page 50: Setting Cut Effect

    5 • Working with the Electrosurgical Unit: a Tutorial Call up information on CUT mode If you wish, you can display information about the active CUT mode after selection of the CUT mode. Press the selection button next to the menu item Mode again. Press the selection button next to the menu item Info.

  • Page 51: Selecting Cut Max. Wattage

    5 • Working with the Electrosurgical Unit: a Tutorial 2. Choose CUT Effect Fig. 5-12 You will then move to the window Select Cut Effect. You will see a numerical display for the effect (1) and a display in the form of a bar diagram (2).

  • Page 52: Select Coag Mode, Coag Effect And Coag Power Limitation

    5 • Working with the Electrosurgical Unit: a Tutorial 2. Select Cut power limitation Fig. 5-14 You will then move to the window Cut power limitation. Selection of a power limitation level is for the safety of the patient and protects the instrument from damage. You will see a numerical display for the power limitation (1) and a display in the form of a bar diagram (2).
  • Page 53 5 • Working with the Electrosurgical Unit: a Tutorial 1. Call up window Select activation type Fig. 5-15 1. First use a Focus button (1) to select a receptacle to which you want to allocate a footswitch. You will see the functions of the receptacle in the window Cut / Coag Settings.

  • Page 54: Activation Of Cut And Coag Modes With Fingerswitch, Auto Start, Auto Stop

    5 • Working with the Electrosurgical Unit: a Tutorial The active footswitch is marked in green. Use the selection button to select a footswitch, e. g. the yellow pedal of the dual-pedal footswitch (2). Orientation: Footswitch display in the window Cut / Coag Settings and on the receptacle Fig.
  • Page 55 50 watts. You cannot set the bipolar coagulation above 50 watts. AUTO START without power limitation The power limitation can be displayed in the Service Setup. Please contact an Erbe em- ployee. You can then select the power limitation under the respective bipolar coagu- lation mode.

  • Page 56: The Focus View And Activation Concept Of The Electrosurgical Unit. What Points Must I Observe

    5 • Working with the Electrosurgical Unit: a Tutorial The Focus View and activation concept of the electrosurgical unit. What points must I observe? Instrument at monopolar and bipolar receptacle Fig. 5-21 Please imagine the following situation: The yellow pedal CUT (1) is allocated to the monopolar receptacle.

  • Page 57: How Do I Receive Information About The Safety Status Of The Return Electrode

    Chapter 2 of this Manual "Safety Features" for NESSY. Note: Erbe recommends the use of split return electrodes in combination with the NESSY setting set to “NE: dynamic” or “NE: dual surface”. With this combination the optimal use of the safety monitoring functions are given (see chapter 2 “NESSY Safety...
  • Page 58 Dual-surface neutral electrode To optimally utilize the unit's monitoring functions, Erbe recommends connecting a dual-surface electrode, and in particular the Erbe NESSY Omega electrode. Apart from connected. "Neutral electrode: many other advantages, this electrode virtually eliminates any possibility of excessive Dual surface"...
  • Page 59 5 • Working with the Electrosurgical Unit: a Tutorial Fig. 5-23 NESSY compares the currents that flow through the two surfaces of the neutral elec- trode. If the currents differ slightly from each other, a green indicator window appears on the display. Monopolar mode can still be activated, but you should correct the po- sition of the neutral electrode as soon as possible.
  • Page 60 5 • Working with the Electrosurgical Unit: a Tutorial Dual surface neutral electrode The "Neutral electrode: Dynamic" setup offers extra safety for patients with low skin resistance, for example, patients with little subcutaneous fatty tissue, children and in- connected. "Neutral electrode: fants.

  • Page 61: Saving The Amended Basic Program Under A New Name

    5 • Working with the Electrosurgical Unit: a Tutorial Saving the amended Basic program under a new name Changes to the Basic program In the preceding stages of the tutorial you made changes to the settings of the Basic program. The settings will be lost if they are not saved. You cannot overwrite the Basic which have not been saved will be program with your settings.

  • Page 62: Overwriting A Program

    5 • Working with the Electrosurgical Unit: a Tutorial 5. Press the Selection button next to the menu item Name. The field Name is marked gray with a cursor. We want to call the program Test. Select the letter T with the Up/Down buttons.

  • Page 63: Creating All Settings For A Program From Scratch

    5 • Working with the Electrosurgical Unit: a Tutorial Creating all settings for a program from scratch You can create a program from an empty program template. Call up the menu item Guide. Select the menu item Select Program. From the program selection list select New program.
  • Page 64 5 • Working with the Electrosurgical Unit: a Tutorial Fig. 5-31 Examples of options for ReMode 1st option: You can switch between any two settings of a receptacle as required. function 2nd option: You can switch between the settings of two receptacles, for example, if you assign the footswitch in program a to a monopolar receptacle and in program b to a bipolar receptacle.
  • Page 65 5 • Working with the Electrosurgical Unit: a Tutorial Fig. 5-33 4. You will then move to the window Save as. Press the selection button next to the menu item Number. The field Number is marked gray with a cursor. Select a Num- ber with the Up / Down buttons.
  • Page 66 5 • Working with the Electrosurgical Unit: a Tutorial the program 3 ReMode according to the following specifications: AUTO CUT, Effect 5, 100 W, SWIFT COAG, Effect 4, 120 W. 7. Press the Enter button. Fig. 5-36 8. You will then move to the window Save. Press the selection button next to the menu item Level two of prog.

  • Page 67: Remode Change-Over With A 2-Button Handpiece

    5 • Working with the Electrosurgical Unit: a Tutorial footswitch only these settings can be activated as in both 3a ReMode and 3b ReMode the footswitch is allocated to the monopolar receptacle. Amend program 3b ReMode to 1. In the program 3b ReMode call up the bipolar receptacle. familarize yourself with the second 2.

  • Page 68: Calling Up Setup

    5 • Working with the Electrosurgical Unit: a Tutorial Calling up Setup In Setup you can for example adjust the unit to the light conditions in the room. Call up the window Guide. Call up the menu item Additional Functions. Call up the menu item Setup.
  • Page 69 5 • Working with the Electrosurgical Unit: a Tutorial Volume Selection of the volume level of the warning signals in 16 levels. The warning signals must be clearly audible! Volume button Selection of the button volume in 16 levels. Viewing angle Setting of the viewing angle on the display: from top, from bottom, from front.
  • Page 70 5 • Working with the Electrosurgical Unit: a Tutorial / 152...

  • Page 71: Description Of Receptacle Hardware

    A receptacle module consists of a front plate, receptacle insert and two holding clips. Installation in the electrosurgical unit is simple and can be carried out quickly by any technician authorized by Erbe. Receptacles for different modes and instrument connectors In this chapter the receptacles are described from the aspect of their usage and com- patibility with various instrument connectors.

  • Page 72: Bipolar Receptacle

    Instrument compatibility Receptacle module BI 8/4 Fig. 6-3 Erbe No. 20140-610 The receptacle module is suitable for the following connectors: Bipolar connector based on Erbe standard. Rear contact ring dia. 8 mm, front contact ring dia. 4 mm. / 152...

  • Page 73: Receptacle For Return Electrode

    The receptacle is used to connect a return electrode with monopolar modes. Connector compatibility Receptacle module NE 6 Fig. 6-6 Erbe No. 20140-640 The receptacle module is suitable for the following connectors: Erbe return electrode connector Ø 6.35 mm. Receptacle module NE 2-pin Fig. 6-7 Erbe No. 20140-641 The receptacle module is suitable for the following connectors: Return electrode con- nector with 2 pins.
  • Page 74 Fig. 6-8 Erbe No. 20140-642 You may connect ONE of the following plugs: Erbe return electrode plug with Ø 6.35 mm; return electrode plug with 2 pins. The receptacle is equipped with a slide switch that allows you to connect the plug with Ø 6.35 mm or the plug with 2 pins based on the position of the receptacle (see illustration above).

  • Page 75: Monopolar Standard Modes

    7 • Monopolar Standard Modes Chapter 7 Monopolar Standard Modes AUTO CUT Properties Reproducible, gentle cuts, extra kind to tissue, minimal to medium hemostasis. PPS (Power Peak System) The AUTO CUT mode is equipped with PPS. A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut before activation of the HF generator so that the cutting electrode has a relatively extensive and thus low-resistance contact with the...
  • Page 76 7 • Monopolar Standard Modes Diagrams AUTO CUT = 500 Ohm Effect5-8 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 7-1 AUTO CUT Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 max.Pa = 100W 1000 10000 Resistance (Ohm) Fig. 7-2 / 152...

  • Page 77: Soft Coag

    7 • Monopolar Standard Modes AUTO CUT Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 7-3 SOFT COAG Properties Carbonization of the tissue is prevented, adhesion of the electrode to the tissue is greatly reduced. Greater coagulation intensities than in other COAG modes. If you want to use the potentially high coagulation intensities of SOFT COAG to the full, select a low effect level and carry out coagulation for a longer period.
  • Page 78 7 • Monopolar Standard Modes Constancy of effects automatic control of HF peak voltage HF power limitation 5 watts to 120 watts in 1 watt steps Max. power output at rated load resis- 120 watts ± 20% Diagrams SOFT COAG = 50 Ohm Effect7-8 Effect6...

  • Page 79: Swift Coag

    7 • Monopolar Standard Modes SOFT COAG Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 7-6 SWIFT COAG Properties Fast effective coagulation which is very suitable for dissection with high hemostasis due to its limited tissue-cutting property. Applications Coagulation and dissection.
  • Page 80 7 • Monopolar Standard Modes Diagrams SWIFT COAG = 500 Ohm Effect5-8 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 7-7 SWIFT COAG Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 max.Pa = 60W 1000 10000 Resistance (Ohm) Fig. 7-8 / 152...

  • Page 81: Forced Coag

    7 • Monopolar Standard Modes SWIFT COAG 3000 2500 Effect8 Effect7 2000 Effect6 Effect5 1500 Effect4 Effect3 1000 Effect2 Effect1 Power HF max. (W) Fig. 7-9 FORCED COAG Properties Effective, fast "standard" coagulation. Areas of use Contact coagulation, clamp coagulation, e.g. with insulated monopolar forceps. Difference from SWIFT COAG The tissue cutting property is suppressed.
  • Page 82 7 • Monopolar Standard Modes Diagrams FORCED COAG = 500 Ohm Effect3-4 Effect2 Effect1 Power HF max. (W) Fig. 7-10 Fig. 7-11 / 152...
  • Page 83 7 • Monopolar Standard Modes FORCED COAG 2500 2000 1500 Effect4 Effect3 Effect2 1000 Effect1 Power HF max. (W) Fig. 7-12 / 152...
  • Page 84 7 • Monopolar Standard Modes / 152...

  • Page 85: Bipolar Standard Modes

    8 • Bipolar Standard Modes Chapter 8 Bipolar Standard Modes BIPOLAR CUT Properties Cutting current that only flows directly around the distal end of the applicator. You can use the effect levels to set the degree of hemostasis at the cut edge. PPS (Power Peak System) The BIPOLAR CUT mode is equipped with PPS.
  • Page 86 8 • Bipolar Standard Modes Diagrams BIPOLAR CUT = 500 Ohm Effect1-8 Power HF max. (W) Fig. 8-1 BIPOLAR CUT Effect6-8 Effect5 Effect4 Effect3 Effect2 Effect1 max.Pa = 50W 1000 10000 Resistance (Ohm) Fig. 8-2 / 152...

  • Page 87: Bipolar Soft Coag

    8 • Bipolar Standard Modes BIPOLAR CUT Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 8-3 BIPOLAR SOFT COAG Properties Lower voltages, carbonization of the tissue is prevented, adhesion of the electrode to the tissue is very much reduced. If you want to use the potentially high coagulation intensities of BIPOLAR SOFT COAG to the full, select a low effect level and carry out coagulation for a longer period.
  • Page 88 8 • Bipolar Standard Modes Max. HF peak voltage 200 Vp Number of effects Constancy of effects automatic control of HF peak voltage HF power limitation 1 watt to 120 watts in 1 watt steps Max. power output at rated load resis- 120 watts ±...

  • Page 89: Bipolar Forced Coag

    8 • Bipolar Standard Modes BIPOLAR SOFT COAG Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 8-6 BIPOLAR FORCED COAG Properties Fast bipolar coagulation. Areas of use All bipolar coagulation procedures in which you want to coagulate vessels fast and ef- fectively or want to replace monopolar forceps coagulation.
  • Page 90 8 • Bipolar Standard Modes Diagrams BIPOLAR FORCED COAG = 200 Ohm Effect1-2 Power HF max. (W) Fig. 8-7 BIPOLAR FORCED COAG Effect1-2 max.Pa =45W 1000 10000 Resistance (Ohm) Fig. 8-8 / 152...
  • Page 91 8 • Bipolar Standard Modes BIPOLAR FORCED COAG Effect2 Effect1 Power HF max. (W) Fig. 8-9 / 152...
  • Page 92 8 • Bipolar Standard Modes / 152...

  • Page 93: Monopolar Optional Modes

    9 • Monopolar Optional Modes Chapter 9 Monopolar Optional Modes PRECISE CUT Properties Very fine adjustment, minimum necroses at the cut edge, very fine power output in a range of 1 to 50 watts. Areas of use E.g. cuts in operations where strain on the tissue or patient must be kept to a mini- mum, e.g.
  • Page 94 9 • Monopolar Optional Modes Diagrams PRECISE CUT = 500 Ohm Effect3-8 Effect2 Effect1 Power HF max. (W) Fig. 9-1 PRECISE CUT Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 max.Pa = 25W 1000 10000 Resistance (Ohm) Fig. 9-2 / 152...

  • Page 95: Dry Cut

    9 • Monopolar Optional Modes PRECISE CUT Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 9-3 DRY CUT Properties Intense hemostasis with somewhat slower cutting speed. Areas of use E.g. cuts in "open surgery" and cuts in endoscopic operations that require very good primary hemostasis during the cut and tolerate a somewhat slower cutting speed.
  • Page 96 9 • Monopolar Optional Modes HF power limitation 10 watts to 200 watts in 1 watt incre- ments Max. output across the designed load 200 watts ± 20% resistor Diagrams DRY CUT = 500 Ohm Effect8 Effect7 Effect6 Effect5 Effect2-4 Effect1 Power HF max.

  • Page 97: Endo Cut Q

    9 • Monopolar Optional Modes DRY CUT 1600 1400 Effect8 1200 Effect7 Effect6 1000 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 9-6 ENDO CUT Q Properties The cut consists of alternating cutting and coagulating phases. The cut is easy to con- trol and is characterized by a reproducible, preselectable coagulation property while cutting.

  • Page 98: Endo Cut I

    9 • Monopolar Optional Modes move the lesion quickly. A long cutting interval makes it easier to remove the lesion slowly under control. Technical data HF voltage waveform unmodulated sinusoidal alternating voltage Rated frequency 350 kHz (at R = 500 ohms) ± 10% Crest factor 1.4 (at R = 500 ohms)
  • Page 99 9 • Monopolar Optional Modes Expert mode For a customized setting you can have Expert mode activated by a service technician. The Cut / Coag Settings window will then also show the parameters Cutting duration and Cutting interval . Cutting duration Depending on the size, type and location of lesions it may be advantageous to vary cutting duration.

  • Page 100: Precise Coag

    9 • Monopolar Optional Modes PRECISE COAG Properties Extremely fine adjustment, extremely fine precision power output in range from 1 to 50 watts. Applications Coagulation processes where stress for tissue or patient must be minimized, e.g. neu- rosurgery, ENT, dermatology. Difference from SOFT COAG In the lower output range the degree of coagulation can be set lower and more accu- rately.
  • Page 101 9 • Monopolar Optional Modes Diagrams PRECISE COAG = 50 Ohm Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 9-9 PRECISE COAG Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 max.Pa = 25W 1000 10000 Resistance (Ohm) Fig.
  • Page 102 9 • Monopolar Optional Modes PRECISE COAG Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 9-11 / 152...

  • Page 103: Bipolar Optional Modes

    10 • Bipolar Optional Modes Chapter 10 Bipolar Optional Modes BIPOLAR PRECISE CUT Properties Very fine adjustment, minimal necrosis at the cut edge, extremely precise power out- put in the 1 to 50 W range. Applications For example, incisions during procedures where stress for the tissue or patient must be minimised, e.g.
  • Page 104 10 • Bipolar Optional Modes Diagrams BIPOLAR PRECISE CUT = 500 Ohm Effect1-8 Power HF max. (W) Fig. 10-1 BIPOLAR PRECISE CUT Effect4-8 Effect3 Effect2 Effect1 max.Pa = 25W 1000 10000 Resistance (Ohm) Fig. 10-2 / 152...

  • Page 105: Bipolar Precise Coag

    10 • Bipolar Optional Modes BIPOLAR PRECISE CUT Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 10-3 BIPOLAR PRECISE COAG Properties Very fine adjustment, extremely precise power output in the 1 to 50 W range. AUTO START In the Select activation type window, you can select an AUTO START function for BI- POLAR PRECISE COAG .
  • Page 106 10 • Bipolar Optional Modes HF power limitation 1 watt to 50 watts in 1 watt steps Max. power output at rated load resis- 50 watts ± 20% Diagrams Fig. 10-4 Fig. 10-5 / 152...
  • Page 107 10 • Bipolar Optional Modes BIP. PRECISE COAG Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 10-6 / 152...
  • Page 108 10 • Bipolar Optional Modes / 152...

  • Page 109: Apc Receptacle (Only Available With The Apc Module)

    11 • APC receptacle (only available with the APC module) Chapter 11 APC receptacle (only available with the APC module) APC receptacle Cutting and coagulation modes Standard • Forced APC • Precise APC • Pulsed APC • Argon-assisted AUTO CUT Mode •...
  • Page 110 11 • APC receptacle (only available with the APC module) / 152...

  • Page 111: Apc Standard Modes (Only Available With An Apc Module)

    12 • APC Standard Modes (Only Available with an APC Module) Chapter 12 APC Standard Modes (Only Available with an APC Module) FORCED APC Properties Standard setting for the APC with ignition assistance for safe ignition of the plasma. Areas of use Hemostasis of small, diffuse areas of bleeding.
  • Page 112 12 • APC Standard Modes (Only Available with an APC Module) Diagrams FORCED APC = 500 Ohm Power HF max. (W) Fig. 12-1 FORCED APC Pmax(120) Pmax(60) 1000 10000 Resistance (Ohm) Fig. 12-2 / 152...

  • Page 113: Precise Apc

    12 • APC Standard Modes (Only Available with an APC Module) FORCED APC 5000 4500 4000 3500 3000 2500 2000 1500 1000 Power HF max. (W) Fig. 12-3 PRECISE APC Properties APC with well controllable change of effect at the tissue surface, largely independent of the distance between applicator and tissue.

  • Page 114: Pulsed Apc

    12 • APC Standard Modes (Only Available with an APC Module) Number of effects Constancy of effects automatic control of arc intensity Max. power output at rated load resis- 160 watts ± 20% Diagrams PRECISE APC spark control Eff8 spark control Eff1 current limit Eff1-8 max.
  • Page 115 12 • APC Standard Modes (Only Available with an APC Module) Max. HF peak voltage 4,700 Vp Number of effects Constancy of effects Restriction of HF peak voltage HF power limitation 1 W to 120 W in 1 W steps Max.

  • Page 116: Argon-Assisted Auto Cut Mode

    12 • APC Standard Modes (Only Available with an APC Module) Fig. 12-7 Argon-assisted AUTO CUT Mode Properties Reproducible, extremely tissue-sparing cuts, minimal to medium hemostasis. The ar- gon gas reduces the formation of smoke and the carbonization. Areas of use All cutting procedures in electrically conductive tissue: e.g.
  • Page 117 12 • APC Standard Modes (Only Available with an APC Module) Diagrams AUTO CUT = 500 Ohm Effect5-8 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 12-8 AUTO CUT Effect8 Effect7 Effect6 Effect5 Effect4 Effect3 Effect2 Effect1 max.Pa = 100W 1000 10000 Resistance (Ohm)

  • Page 118: Argon-Assisted Soft Coag Mode

    Contact electrodes, for this in particular electrodes with large contact surface, e.g. ball electrodes for deep coagulation. (Note: When using the Erbe VIO APC handpiece, a conventional 4 mm electrode can be used instead of the argon applicator. For this, the...
  • Page 119 12 • APC Standard Modes (Only Available with an APC Module) Crest factor 1.4 (at R = 500 ohms) Rated load resistor 50 ohms Max. HF peak voltage 190 Vp Number of effects Constancy of effects automatic control of HF peak voltage HF power limitation 5 watts to 120 watts in 1 watt steps Max.

  • Page 120: Argon-Assisted Swift Coag Mode

    Ball electrodes only for coagulation. Knife or blade electrodes for preparation and co- agulation. (Note: When using the Erbe VIO APC handpiece, a conventional 4 mm elec- trode can be used instead of the argon applicator. For this, the flow setting must be...
  • Page 121 12 • APC Standard Modes (Only Available with an APC Module) HF power limitation 5 watts to 120 watts in 1 watt steps Max. power output at rated load resis- 120 watts ± 20% Diagrams SWIFT COAG = 500 Ohm Effect5-8 Effect4 Effect3...

  • Page 122: Argon-Assisted Forced Coag Mode

    Ball electrodes for contact coagulation. Insulated monopolar forceps for clamp coag- ulation. (Note: When using the Erbe VIO APC handpiece, a conventional 4 mm electrode can be used instead of the argon applicator. For this, the flow setting must be set to 0)
  • Page 123 12 • APC Standard Modes (Only Available with an APC Module) HF power limitation 5 watts to 120 watts in 1 watt incre- ments Max. output across the designed load 120 watts ± 20% resistor Diagrams FORCED COAG = 500 Ohm Effect3-4 Effect2 Effect1...
  • Page 124 12 • APC Standard Modes (Only Available with an APC Module) FORCED COAG 2500 2000 1500 Effect4 Effect3 Effect2 1000 Effect1 Power HF max. (W) Fig. 12-19 / 152...

  • Page 125: Apc Optional Modes (Only Available With An Apc Module)

    13 • APC Optional Modes (Only Available with an APC Module) Chapter 13 APC Optional Modes (Only Available with an APC Module) Argon-assisted DRY CUT Mode Properties Intense hemostasis with somewhat slower cutting speed. The argon gas reduces the formation of smoke and the carbonization. Areas of use E.g.
  • Page 126 13 • APC Optional Modes (Only Available with an APC Module) Diagrams DRY CUT = 500 Ohm Effect8 Effect7 Effect6 Effect5 Effect2-4 Effect1 Power HF max. (W) Fig. 13-1 Fig. 13-2 / 152...
  • Page 127 13 • APC Optional Modes (Only Available with an APC Module) DRY CUT 1600 1400 Effect8 1200 Effect7 Effect6 1000 Effect5 Effect4 Effect3 Effect2 Effect1 Power HF max. (W) Fig. 13-3 / 152...
  • Page 128 13 • APC Optional Modes (Only Available with an APC Module) / 152...

  • Page 129: Installation

    14 • Installation Chapter 14 Installation Ambient conditions WARNING Ignition of anesthetics, skin cleansers, and disinfectants in poten- tially explosive atmospheres If you place the device in a potentially explosive atmosphere, anes- thetics, skin cleansers, and disinfectants can ignite. Risk of fire and explosion to the patient and medical personnel! Risk of damage to property.

  • Page 130: Electrical Installation

     Only connect the unit to a power supply network with proper grounding.  Only use the Erbe power cord or an equivalent power cord for this purpose. The power cord must bear the applicable national test symbol.
  • Page 131  For your safety and that of the patient: Never attempt to perform repairs or make modifications yourself. Any modification will in- validate liability on the part of Erbe Elektromedizin GmbH. Access to the power cord Note: Install the device such that the power cord could be easily disconnected from the power source.

  • Page 132: Install Electrosurgical Unit On Overhead Support

    14 • Installation Install electrosurgical unit on overhead support Fig. 14-1 For installation you require the VIO fastening set on console No. 20180-133. 1. Screw the bottom plate to the electrosurgical unit. 2. If the electrosurgical unit is installed on an overhead support, the caps* (1) must be fitted to the interconnections.

  • Page 133: Installing The Unit On An Erbe Equipment Cart

    Power connection (5) Power connection Connect the unit to a properly installed grounded outlet. Only use the Erbe power cord or an equivalent power cord for this purpose. The power cord must bear the national test symbol. Installing the unit on an Erbe equipment cart Please read the User Manual for the equipment cart concerned.
  • Page 134 14 • Installation / 152...

  • Page 135: Cleaning And Disinfection

    Chapter 15 Cleaning and Disinfection Wipe disinfection For cleaning and disinfecting the surfaces of the unit or of the equipment cart, Erbe recommends a wipe disinfection. Use only disinfectant which complies with the rele- vant national standards. Instructions for cleaning and disinfection Mix the disinfectant in the concentration specified by the manufacturer.
  • Page 136 15 • Cleaning and Disinfection Penetration of liquid into the device The housing is not absolutely watertight. If liquid penetrates, the de- vice can sustain damage and fail.  Make sure no liquid can penetrate the device.  Do not place vessels containing liquids on top of the device. Alcohol-based spray disinfectant for fast disinfection With membrane keyboards and paint surfaces there is the risk of cracks.

  • Page 137: Status Messages, Error Messages

    16 • Status Messages, Error Messages Chapter 16 Status Messages, Error Messages An error message consists of an error code and an error text. The display of the VIO system shows two different types of error messages. a) Error messages that prompt you to take action and remedy the error. You will find these error messages in the table.
  • Page 138 16 • Status Messages, Error Messages Error Messages B-10 Please end activation! Activation via finger or footswitch must be ended. After which reactivation is possible. B-12 Please end activation! Footswitch or fingerswitch activation detected during device start-up. B-16 Program memory full. Please delete programs no longer needed. B-17 Double activation.
  • Page 139 16 • Status Messages, Error Messages Error Messages B-B0 NESSY symmetry. When applying neutral electrode (patient plate), ensure that neutral electrode line of sym- metry runs towards the operating field. B-AC Contact detected. Attempt made to assign the AUTO START function to the instrument. This is not possible if the tips are touching each other.
  • Page 140 16 • Status Messages, Error Messages / 152...

  • Page 141: General Technical Data

    17 • General Technical Data Chapter 17 General Technical Data Power connection Rated supply voltage 100 V – 120 V ± 10 % 220 V – 240 V ± 10 % Rated supply frequency 50 / 60 Hz 50 / 60 Hz Line current Power input in standby mode 40 watts...
  • Page 142 17 • General Technical Data Acclimatizing If the unit has been stored or transported at temperatures below +10 °C or above +40 °C, the unit will require approx. 3 hours to acclimatize at room temperature. Standards Classification according to EC Directive 93/42/EEC II b Protection class as per EN 60 601-1 Type as per EN 60 601-1...

  • Page 143: Information On Electromagnetic Compatibility (Emc)

    “Information on electromagnetic compatibil- ity (EMC).”  If you are using accessories from other manufacturers, check whether the Erbe device is interfering with other devices or being affected by interference itself. You cannot use the device if there is any interference.
  • Page 144 18 • Information on electromagnetic compatibility (EMC) ble between the devices. Check whether the devices are affecting each other: Are the devices behaving unusually? Are faults occur- ring? Interference with the unit from portable and mobile HF telecom- munications equipment (e.g. mobile phones, WLAN equipment) Electromagnetic waves emitted by portable and mobile HF telecom- munications equipment may affect the unit.
  • Page 145 18 • 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 60601-1-2 test level Compliance level...
  • Page 146 18 • 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 user of the equipment should ensure that it is used in such an environment. Immunity test IEC 60601-1-2 test Compliance level...
  • Page 147 EMC-relevant accessories refers to the cable specified. The cable can affect the device’s electromagnetic interference or the electromagnetic immunity of the device. b) When connecting Erbe instruments and return electrodes, the overall cord length increases by max. 0.5 m. Operating environment For the intended use, the unit may only be operated in premises used for medical pur- poses.
  • Page 148 18 • Information on electromagnetic compatibility (EMC) / 152...

  • Page 149: Maintenance, Customer Service, Warranty, Disposal

    Modifications and repairs may only be undertaken by Erbe or by persons expressly au- thorized by Erbe. Erbe accepts no liability if modifications and repairs to the unit or accessories are made by unauthorized persons. This will also invalidate the warranty.

  • Page 150: Warranty

    EU Directive 2002/96/EC of January 27, 2003, WEEE. In non-EU countries the local regulations must be observed. If you have any questions about disposal of the product, please contact Erbe Elektro- medizin or your local distributor. / 152...

  • Page 151: Symbols

    Date of manufacture Keep away from sunlight Keep dry Temperature limit Humidity limitation Atmospheric pressure limitation Quantity (x) Follow instructions for use Foot switch Erbe Communication Bus Used to exchange data between Erbe units. Equipotentiality Refers to the grounding terminal. / 152...
  • Page 152 20 • Symbols Symbol Explanation Off, On Defibrillation-proof type CF applied part The applied parts of the unit (e.g. instrument sockets) are pro- tected against the effects of defibrillator discharge. HF isolated patient circuit The danger of leakage currents and therefore the danger of burns is substantially reduced for the patient.

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