Erbe APC 2 User Manual
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Erbe APC 2 User Manual

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USER MANUAL
APC 2
V 1.4.x
PLASMASURGERY
80110-201_V24169
2022-01

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Summary of Contents for Erbe APC 2

  • Page 1 USER MANUAL APC 2 V 1.4.x PLASMASURGERY 80110-201_V24169 2022-01...
  • Page 3 USER MANUAL APC 2...
  • 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

    Setup parameters on the APC 2 ........
  • Page 6 Installing the unit on an Erbe cart ........

  • Page 7: Safety Instructions

    1 • Safety Instructions Chapter 1 Safety Instructions Intended use APC 2 is an argon plasma coagulator for argon plasma coagulation (APC) with VIO electrosurgical units. Combination with other equipment You can combine this unit with matching Erbe equipment: e.g. VIO electrosurgical units, IES 2, EIP 2.

  • Page 8: Who Must Read This User Manual

    The safety instructions in this chapter must be read, understood and applied by every- one who is working with the unit. Structure of safety instructions APC can only be performed with an APC 2 and a VIO electrosurgical unit. All the safety instructions for monopolar electrosurgery and additional safety instructions for APC apply.

  • Page 9: Operating Errors And Incorrect Installation By Persons Without Training

     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 10: 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.  Check the power cord for damage. You must not use a damaged power cord.

  • Page 11: Fire / Explosion

     When a fuse has been changed, the function of the unit must be verified. If the unit does not function properly or if there are any concerns, please contact Erbe Elektromedizin. You will find the addresses in the address list at the end of this User Manual.
  • Page 12 1 • Safety Instructions DANGER Combustion-supporting gases, e.g. oxygen, nitrous oxide The gases can accumulate in materials like cotton wool or gauze. The materials become highly flammable. Risk of fire to the patient and medical personnel! Risk of damage to property.

  • Page 13: Burns

     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 14 1 • Safety Instructions WARNING Unintentional activation of the instrument Risk of burns to the patient and medical personnel!  Put instruments down in a safe place: sterile, dry, non-conductive, and easy to see. Instruments that have been put down must not come into contact with the patient, medical personnel, or com- bustible materials.
  • Page 15 1 • Safety Instructions  Put instruments down in a safe place: sterile, dry, non-conductive, and easy to see.  Instruments that have been put down must not come into contact with the patient, medical personnel, or combustible materials.  Instruments that have been put down must not come into contact with the patient, not even indirectly.

  • Page 16: Inadvertent Tissue Damage

    1 • Safety Instructions WARNING Tissue structures / vessels with a cross-section that is small or becoming smaller If monopolar HF current flows through parts of the body with a rela- tively small cross-section, there is a risk of unintentional coagulation for the patient! ...

  • Page 17: Risks Due To Incorrect Use Of The Neutral Electrode

    1 • Safety Instructions  Position the neutral electrode so that the implant is not located between the active electrode (monopolar instrument) and the neutral electrode. Risks due to incorrect use of the neutral electrode Please read the safety instructions in the User Manual for the VIO electrosurgical unit. Defective unit WARNING Undesirable rise in output level due to failure of electrosurgical...
  • Page 18 1 • Safety Instructions Interference with electronic units due to the electrosurgical unit The activated electrosurgical unit can affect the performance of elec- tronic units by causing interference. The units may fail or not perform properly.  Position the electrosurgical unit, the cords of the instruments, and the cord of the neutral electrode as far away as possible from electronic units.

  • Page 19: Damage To The Unit And Accessories

    1 • Safety Instructions  If you are using accessories from other manufacturers, check whether the Erbe unit is interfering with other units or being af- fected by interference itself. You cannot use the unit if there is any interference.

  • Page 20: Notes

    1 • Safety Instructions Compare the electrical capacity of the instrument with the maxi- mum HF peak voltage of the required mode.  Instructions are available in the "Accessories" chapter of the VIO User Manuals. Notes Grounding Note: If necessary, connect the grounding pin of the unit or the cart to the grounding system of the operating room using a grounding cable.

  • Page 21: Additional Safety Instructions For Apc

    2 • Additional safety instructions for APC Chapter 2 Additional safety instructions for APC The safety instructions are structured according to the following risks: • Fire / explosion • Burns • Risks due to gas embolisms or excessive intraluminal gas pressure •...

  • Page 22: Burns

     Set argon flow as low as possible.  Do not press the activated APC applicator into tissue or against the organ wall.  Observe the Erbe recommended settings for the APC (power, mode). WARNING The argon introduced can not escape from body cavities...

  • Page 23: Risk Of Infection

    If you connect up the wrong pressure regulator or wrong pressure lines, the unit can be damaged.  Only connect argon gas bottles to the unit using the pressure reg- ulator and pressure lines specified by Erbe. DANGER Wrong gas The unit may only be operated with argon.
  • Page 24  Make sure the connections of the pressure lines to the APC 2 are gastight. The same applies to the connection of the pressure reg- ulator to the gas bottle.

  • Page 25: Description Of The Controls

    Description of the Controls Controls The APC 2 itself represents a separate socket module within the VIO system as a whole. It must therefore only be used in connection with a VIO electrosurgical system, as the central controls are found there, including those for the APC 2. For operation of the APC 2 the following controls and options are thus basically available: •...

  • Page 26: Controls On The Back

    Installation. (2) Argon connection see chapter Installatio. (3) High-pressure sensor see chapter Installation. (4) ECB sockets The ECB (Erbe Communication Bus) enables communication between the electrosur- gical unit and connected units. (5) Potential equalization see chapter Installation. / 62...

  • Page 27: Working With The Apc

    4 • Working with the APC 2 (in combination with a VIO from the D series) Chapter 4 Working with the APC 2 (in combination with a VIO from the D series) Preparations for start-up 1. Make power connection, switch...

  • Page 28: Setup Parameters On The Apc 2

    4 • Working with the APC 2 (in combination with a VIO from the D series) Setup parameters on the APC 2 When working with the APC 2 you can select and set up various parameters. To do this you use the display and the controls of the VIO electrosurgical unit, which is al- ready known to you.

  • Page 29: Working With The Apc

    (automatically) on startup of the electrosurgical unit (see also relevant section). test 2. Getting an overview: Assignment When you press the focus button of the APC 2, the APC 2 settings of the active pro- of the active program for the APC 2 gram are displayed on the base unit:...

  • Page 30: Setup Parameters On The Apc 2

    5 • Working with the APC 2 (in combination with a VIO from the S series) Setup parameters on the APC 2 When working with the APC 2 you can select and set up various parameters. To do this you use the display and the controls of the VIO electrosurgical unit, which is al- ready known to you.
  • Page 31 5 • Working with the APC 2 (in combination with a VIO from the S series) strument which you wish to purge must be connected to the socket with the illuminat- ed Focus button. / 62...
  • Page 32 5 • Working with the APC 2 (in combination with a VIO from the S series) / 62...

  • Page 33: Description Of Socket Hardware

    A socket unit consists of a front plate, socket insert and two holding clips. Installation in the electrosurgical unit is simple and can be carried out quickly by any technician authorized by Erbe. FiAPC socket unit Fig. 6-1 REF No.

  • Page 34: Monopolar Socket, Bipolar Socket, Multifunctional Socket

    6 • Description of socket hardware Monopolar socket, bipolar socket, multifunctional socket Read the chapter Description of Socket Hardware in the VIO User Manual for more in- formation on these sockets. / 62...

  • Page 35: Installation Of The Apc 2 And The Argon Gas Bottles

    7 • Installation of the APC 2 and the Argon gas bottles Chapter 7 Installation of the APC 2 and the Argon gas bottles Ambient conditions WARNING Ignition of anesthetics, skin cleansers, and disinfectants in poten- tially explosive atmospheres If you place the unit in a potentially explosive atmosphere, anesthet- ics, skin cleansers, and disinfectants can ignite.

  • Page 36: Electrical Installation

    7 • Installation of the APC 2 and the Argon gas bottles Insufficient acclimatization time, unsuitable temperature during acclimatization If the unit was stored or transported below or above a certain tem- perature, it will take a certain time and temperature to acclimatize.

  • Page 37: Fixing Argon Gas Bottles, Connection Of The Working Gas Bottle, Detachment Of The Working Gas Bottle On The Vio Cart

    7 • Installation of the APC 2 and the Argon gas bottles Fixing argon gas bottles, connection of the working gas bottle, detachment of the working gas bottle on the VIO CART 1. Attach gas bottle pads Fig. 7-1 Press the gas bottle pad (1) into the left-hand corner of the VIO CART. If you want to position a spare gas bottle in the right-hand corner, install a gas bottle pad there as well.
  • Page 38 7 • Installation of the APC 2 and the Argon gas bottles 3. Place the argon gas bottle in the VIO CART and fix in place Fig. 7-3 Place the working gas bottle in the recess. Place the spare gas bottle - if installed - to the right of it.
  • Page 39 2. Remove the pressure line from the argon gas bottle connection of the APC 2. 3. Place the opening of the pressure line on the purge pin (3) of the APC 2 and press. There is still a residual amount of argon in the line. This now escapes with a loud hissing noise.

  • Page 40: Fixing Argon Gas Bottles, Connection Of The Working Gas Bottle, Detachment Of The Working Gas Bottle On The Universal Cart

    7 • Installation of the APC 2 and the Argon gas bottles Fixing argon gas bottles, connection of the working gas bottle, detachment of the working gas bottle on the Universal Cart 1. Attach gas bottle pads Fig. 7-6 Remove the door of the Universal Cart. Press the gas bottle pad (1) into the left-hand corner of the Universal Cart.
  • Page 41 7 • Installation of the APC 2 and the Argon gas bottles 4. Connect pressure reducer to working gas bottle Fig. 7-8 Input pressure: (5 ± 2) x 10 Pa / 5 ± 2 bar. For the country-specific gas bottles Erbe Elektromedizin offers the appropriate pres- sure reducer complete with pressure sensor.

  • Page 42: Risks Due To The Pressure Gas Bottle

    2. Remove the pressure line from the argon gas bottle connection of the APC 2. 3. Place the opening of the pressure line on the purge pin (3) of the APC 2 and press. There is still a residual amount of argon in the line. This now escapes with a loud hissing noise.

  • Page 43: Refilling The Working Gas Bottle

     Make sure the connections of the pressure lines to the APC 2 are gastight. The same applies to the connection of the pressure reg- ulator to the gas bottle.
  • Page 44 7 • Installation of the APC 2 and the Argon gas bottles / 62...

  • Page 45: Cleaning And Disinfection

    Chapter 8 Cleaning and disinfection Wipe disinfection For cleaning and disinfecting the surfaces of the unit or of the cart, Erbe recommends a wipe disinfection. Use only disinfectant which complies with the relevant national standards. Instructions for cleaning and disinfection Mix the disinfectant in the concentration specified by the manufacturer.
  • Page 46 8 • Cleaning and disinfection Penetration of liquid into the unit The housing is not absolutely watertight. If liquid penetrates, the unit can sustain damage and fail.  Make sure no liquid can penetrate the unit.  Do not place vessels containing liquids on top of the unit. Alcohol-based spray disinfectant for fast disinfection With membrane keyboards and paint surfaces there is the risk of cracks.

  • Page 47: Status Messages, Error Messages

    APC socket 1 is ready for operation. B-8A APC socket 2 is ready for operation. B-8C APC 2 is ready for operation. Error Messages B-87 APC socket 1 fault. Restart VIO. If fault cannot be remedied, inform Technical Service. B-8B APC socket 2 fault.
  • Page 48 9 • Status Messages, Error Messages / 62...

  • Page 49: General Technical Data

    7 x 10 7 bar 101.5 psi vated at Residual volume display VIO display Residual pressure display Pressure gauge The APC 2 switches off when the input pressure is < 3 x 10 < 3 bar < 43.5 psi / 62...
  • Page 50 10 • General Technical Data Dimensions and weight Width x height x depth 410 x 80 x 370 mm Weight 4.8 kg Ambient conditions for transport and storage of unit Temperature -40 °C to + 70 °C Relative humidity 10% – 95% Ambient conditions for operation of unit Temperature +10 °C to + 40 °C...

  • Page 51: Notes On Electromagnetic Compatibility (Emc)

    "Notes on electromagnetic compatibility (EMC)".  If you are using accessories from other manufacturers, check whether the Erbe unit is interfering with other units or being af- fected by interference itself. You cannot use the unit if there is any interference.
  • Page 52 11 • Notes on electromagnetic compatibility (EMC) the units. Check whether the units are affecting each other: Are the units behaving unusually? Are faults occurring? Interference with the unit from portable and mobile HF telecom- munications units (e.g. mobile phones, WLAN units) Electromagnetic waves emitted by portable and mobile HF telecom- munications units may affect the unit.
  • Page 53 11 • Notes on electromagnetic compatibility (EMC) Guidance and manufacturer's declaration - electromagnetic immunity The unit is intended for use in the electromagnetic environment specified below. The customer or the user of the unit should ensure that it is used in such an environment. Immunity test IEC 60601-1-2 test level Compliance level...
  • Page 54 11 • Notes on electromagnetic compatibility (EMC) Guidance and manufacturer's declaration - electromagnetic immunity The unit is intended for use in the electromagnetic environment specified below. The user of the unit should ensure that it is used in such an environment. Immunity test IEC 60601-1-2 test Compliance level...
  • Page 55 EMC-relevant accessories refers to the cable specified. The cable can affect the unit’s electromagnetic interference or the electromagnetic immunity of the unit. b) When connecting Erbe instruments, 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 56 11 • Notes on electromagnetic compatibility (EMC) / 62...

  • Page 57: 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 58: Warranty

    EU Directive 2012/19/EU of 07/04/2012, 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. / 62...

  • Page 59: Accessories

    Chapter 13 Accessories Introduction 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. / 62...

  • Page 60: Apc 2 Example Accessories

    13 • Accessories APC 2 example accessories APC 2 Instruments for the APC Accessories for subsystems Accessories for the APC / 62...

  • Page 61: Symbols

    Serial number Manufacturer Date of manufacture Keep away from sunlight Keep dry Temperature limit Humidity limitation Atmospheric pressure limitation Quantity (x) Follow instructions for use Warning; Electricity Foot switch Erbe Communication Bus Used to exchange data between Erbe units. / 62...
  • Page 62 14 • Symbols Symbol Explanation Equipotentiality Refers to the grounding terminal. 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. Computer network Refers to the computer network itself or the network connections. Input HF isolated patient circuit The danger of leakage currents and therefore the danger of burns...

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