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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.
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Electrical installation ...........38 Installing the unit on an Erbe equipment cart ......38 Fixing argon pressure cylinders, connection of the working cylinder, detachment of the working cylinder on the VIO CART .
1 • Safety Instructions Chapter 1 Safety Instructions Intended use APC 2 is an argon plasma coagulator for argon plasma coagulation (APC) withVIO elec- trosurgical units. Combination with other equipment You can combine this unit with matching Erbe equipment: e.g. VIO electrosurgical units, IES 2, EIP 2.
The safety instructions in this chapter must be read, understood and applied by every- one who is working with the equipment. 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.
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.
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.
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. WARNING Connection of unit / equipment cart and power supply during...
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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.
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.
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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.
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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.
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! ...
1 • Safety Instructions Position the return electrode so that the implant is not located be- tween the active electrode (monopolar instrument) and the return electrode. Risks due to incorrect use of the return 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...
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1 • Safety Instructions Interference with electronic equipment due to the electrosurgical unit The activated electrosurgical unit can affect the performance of elec- tronic equipment by causing interference. The equipment may fail or not perform properly. Position the electrosurgical unit, the cords of the instruments, and the cord of the return electrode as far away as possible from elec- tronic equipment.
“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.
1 • Safety Instructions Determine the electrical capacity of the instrument. It is either printed on the instrument or can be found in the user manual. Compare the electrical capacity of the instrument with the maxi- mum HF peak voltage of the required mode. ...
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 •...
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...
Data. If you connect up the wrong pressure regulator or wrong pressure lines, the device can be damaged. Only connect argon bottles to the device using the pressure reg- ulator and pressure lines specified by Erbe. / 64...
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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.
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: •...
Installation. (2) Argon connection see chapter Installatio. (3) High-pressure sensor see chapter Installation. (4) ECB connections The ECB (Erbe Communication Bus) enables communication between the electrosur- gical unit and connected units. (5) Potential equalization see chapter Installation. / 64...
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...
4 • Working with the APC 2 (in combination with a VIO from the D series) 3. Use sterile filters WARNING Body fluid flows to the argon socket of the unit, particles are blown from the device to the patient Risk of infection! ...
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4 • Working with the APC 2 (in combination with a VIO from the D series) Flow With the flow, the rate of argon flow is set in litres per minute (l/min). Depending on the application, a lower flow rate (e.g. if there is a risk of argon being introduced into bodily cavities, gas embolisms) or a higher rate may be appropriate.
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4 • Working with the APC 2 (in combination with a VIO from the D series) / 64...
(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:...
5 • Working with the APC 2 (in combination with a VIO from the S series) 3. Use sterile filters WARNING Body fluid flows to the argon socket of the unit, particles are blown from the device to the patient Risk of infection! ...
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5 • Working with the APC 2 (in combination with a VIO from the S series) Flow Using the L3 or R3 selection buttons open the window for setting argon flow (unit: li- tres per minute). Depending on the application, a lower flow may be necessary (e.g.
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5 • Working with the APC 2 (in combination with a VIO from the S series) Effect Set the effect using the plus-minus buttons next to the effect displays. The COAG ef- fect influences the coagulation depth and coagulation speed in different ways de- pending on the COAG mode.
6 • Description of receptacle hardware Chapter 6 Description of receptacle hardware Socket combinations on the APC module The APC module can accommodate two sockets. The following combinations are pos- sible: • One APC socket. • Two APC sockets. • One APC socket and one monopolar socket. •...
Instrument compatibility Fig. 6-2 Erbe Nr. 20134-650 The socket module is suitable for instruments with the following connectors: gas con- nector together with a 5-pole Erbe multifunctional connector. The instrument must have Erbe instrument detection FiAPC receptacle module Fig. 6-3 Instrument compatibility Erbe No.
7 • Installation of the APC 2 and the Argon Pressure Cylinders Chapter 7 Installation of the APC 2 and the Argon Pressure Cylinders 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.
7 • Installation of the APC 2 and the Argon Pressure Cylinders Unsuitable temperature or humidity in transit or storage If you transport or store the equipment at an unsuitable temperature or level of humidity, it may sustain damage and fail.
7 • Installation of the APC 2 and the Argon Pressure Cylinders Fixing argon pressure cylinders, connection of the working cylinder, detachment of the working cylinder on the VIO CART 1. Attach cylinder pads Fig. 7-1 Press the cylinder pad (1) into the left-hand corner of the VIO CART. If you want to po- sition a spare cylinder in the right-hand corner, install a cylinder pad there as well.
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7 • Installation of the APC 2 and the Argon Pressure Cylinders 3. Place the argon pressure cylinder in the VIO CART and fix in place Fig. 7-3 Place the working cylinder in the recess. Place the spare cylinder - if installed - to the right of it.
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2. Remove the pressure line from the argon cylinder connection of the APC 2. 3. Place the opening of the pressure line on the outlet bolt (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.
7 • Installation of the APC 2 and the Argon Pressure Cylinders Fixing argon pressure cylinders, connection of the working cylinder, detachment of the working cylinder on the Universal Cart 1. Attach cylinder pads Fig. 7-6 Remove the door of the Universal Cart. Press the cylinder pad (1) into the left-hand corner of the Universal Cart.
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7 • Installation of the APC 2 and the Argon Pressure Cylinders 4. Connect pressure reducer to working cylinder Fig. 7-8 Supply pressure (5 ± 2) x 10 Pa / 5 ± 2 bar. For the country-specific gas cylinders Erbe Elektromedizin offers the appropriate pres- sure reducer complete with pressure sensor.
2. Remove the pressure line from the argon cylinder connection of the APC 2. 3. Place the opening of the pressure line on the outlet bolt (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.
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.
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7 • Installation of the APC 2 and the Argon Pressure Cylinders / 64...
Chapter 8 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.
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8 • 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.
7 x 10 7 bar 101.5 psi activated at Residual volume display VIO display Residual pressure display Pressure gauge The APC 2 switches off when the supply pressure is < 3 x 10 < 3 bar < 43.5 psi / 64...
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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...
“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.
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11 • 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.
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11 • 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...
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11 • 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...
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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, 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.
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11 • Information on electromagnetic compatibility (EMC) / 64...
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.
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. / 64...
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. / 64...
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. / 64...
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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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