Bowa ARC 350, ARC 300 Operating Manual

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OPERATING MANUAL HIGH FREQUENCY SURGICAL DEVICE
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 3
Monopolar Cut Bipolar CoagMonopolar Coag
F
Blend ON
321 4
ARC 300
Program
Monopolar Cut Bipolar Cut Bipolar CoagMonopolar Coag
F
Blend Blend ON
321 4
15
18
ARC 350
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4 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 5
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Legend
6 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Monopolar Cut
Blend
Bipolar Coag
ON
Bipolar Cut
Blend
15
18
Monopolar Coag
Program
F
321 4
Monopolar Cut Bipolar Cut Bipolar CoagMonopolar Coag
Blend Blend ON
15
18
1
3 4
2
5
6 7
8
10 11
12 14
9
13
21
23 24
25
26
27
22
28
30
32
31
29
16
15
17
36 37 41 42 46353433 38 40 43
201918
4744 45 494839
13+23
4 2+3
50 51 52 54 5653 55
ARC 300/350
Legend
1 "Monopolar Cut" indicator arrow (yellow) 2 "Monopolar Cut" 7-segment indicator 3/4 Power limitation for monopolar cutting 5/6 Key for the degree of scabbing during monopolar cutting 7 Blend factor indicator for "Monopolar Cut"
Blend settings 0-9
8 Indicator arrow for "Monopolar Coag" (blue) 9 "Monopolar Coag" 7-segment indicator 10/11 Power limitation for monopolar coagulation 12 Key/indicator for "Moderate Coagulation" current 13 Key/indicator for "Forced Coagulation" current 14 Key/indicator for "Spray Coagulation" current
15 Indicator on main display: programs and information
Current indicator on 2-line display
16/17 Program key 18 Error status indicator 19 EASY neutral electrode monitoring for solid neutral
electrode(EASY monitoring solid)
20 EASY neutral electrode monitoring for split neutral
electrode(EASY monitoring split)
21 "Bipolar Cut" indicator arrow (yellow) 22 "Bipolar Cut" 7-segment indicator 23/24 Power limitation for bipolar cutting 25/26 Key for the degree of scabbing during bipolar cutting 27 Blend factor indicator for "Bipolar Cut"
Blend settings 0–9
28 Indicator arrow for "Bipolar Coag" (blue) 29 "Bipolar Coag" 7-segment indicator 30/31 Power limitation for bipolar coagulation 32 AUTOSTART key/indicator "Bipolar Output 3 or 4“
(connection socket 43 or 47) Only for bipolar coagulation!
33 On/off switch 34 Socket for the neutral electrode (NE) 35 Key/indicator for "Monopolar Output 1"
(connection socket 36) For monopolar instruments with manual switching
36 Connection socket for monopolar instruments with manual
switching
37 "Monopolar Output 1" finger switch indicator 38 "Monopolar Output 2"
foot switch assignment indicator
39 "Monopolar Output 2" key/indicator
(connection socket 40)
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 7
40 Connection socket for monopolar instruments with hand or
foot switch or Bovie connector or 4 mm monopolar endoscope connector or 3-pin connector
41 "Monopolar Output 2" finger switch indicator 42 "Bipolar Output 3" foot switch assignment indicator 43 Connection socket for bipolar instruments with foot switch or
AUTOSTART (to be used in ligation)
44 "Bipolar Output 3" key/indicator (connection socket 43) 45 AUTOSTART indicator"Bipolar Output 3"
(connection socket 43) active 46 Foot switch indicator assignment to "Bipolar Output 4" 47 Connection socket for bipolar instruments with foot switch or
AUTOSTART
48 "Bipolar Output 4" key/indicator (connection socket 47) 49 AUTOSTART indicator"Bipolar Output 4"
(connection socket 47) active
Back side of ARC 300/350 50 Connection socket 1 for foot switch for outputs 3/4 51 Not assigned 52 Connection socket 3 for foot switch for outputs 2/3 53 Rating label 54 Connection for communications interface 901-045 55 Connection for equipotential bonding 56 Power connection for cooling device connector 40 Connection socket for monopolar instruments with hand or
foot switch or Bovie connector or 4 mm monopolar
endoscope connector or 3-pin connector
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8 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
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Contents
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 9
Contents
Legend.........................................................................................................................................................6
1. Using this operating manual.........................................................................................................13
1.1. Revision index...................................................................................................................13
1.2. Validity...............................................................................................................................13
1.3. Other applicable documents .............................................................................................13
1.4. Icons and labeling.............................................................................................................14
1.4.1. Structure of warning instructions .......................................................................14
1.4.2. Risk levels in the warning instructions...............................................................14
1.4.3. Tips ....................................................................................................................14
1.4.4. Other icons and labeling....................................................................................15
2. Safety...............................................................................................................................................16
2.1. Intended use .....................................................................................................................16
2.2. General safety instructions ...............................................................................................17
2.3. Personal safety instructions..............................................................................................18
2.3.1. Patients with pacemakers..................................................................................18
2.3.2. Safe positioning of the patient ...........................................................................18
2.3.3. Correct connection of the HF device .................................................................18
2.3.4. Correct use of the HF device.............................................................................19
2.3.5. Adjusting the settings of the HF device and use of the accessories.................19
2.4. Device-related safety instructions.....................................................................................20
2.5. Safe handling (general instructions) .................................................................................21
2.5.1. Surgical environment: prevention of explosions/combustion ............................22
2.5.2. Application of the neutral electrode ...................................................................23
3. Functionality...................................................................................................................................25
3.1. Monopolar modes .............................................................................................................25
3.1.1. "Cut" mode.........................................................................................................25
3.1.2. "Moderate Coag" mode .....................................................................................25
3.1.3. "Forced Coag" mode .........................................................................................26
3.1.4. "Spray coagulation" mode .................................................................................26
3.1.5. "GastroCUT" mode ............................................................................................27
3.2. Bipolar modes...................................................................................................................28
3.2.1. "Soft COAG" mode ............................................................................................28
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10 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
3.3. Activation and alarm signals in monopolar and bipolar mode ..........................................29
3.4. Emergency shutoff............................................................................................................29
3.5. Monitoring functions..........................................................................................................29
3.5.1. Self-test..............................................................................................................29
3.5.2. Cyclical test during operation ............................................................................29
3.6. ARC control technology ....................................................................................................30
3.7. Neutral electrode monitoring.............................................................................................30
3.7.1. General information ...........................................................................................30
3.7.2. EASY neutral electrode monitoring (EASY monitoring) ....................................30
3.8. Foot switch........................................................................................................................31
3.9. Memory functions..............................................................................................................31
4. Description......................................................................................................................................32
4.1. Icons on the device...........................................................................................................32
4.1.1. Rating label........................................................................................................33
4.2. Scope of delivery ..............................................................................................................33
4.3. Components required for operation..................................................................................33
5. Preparation .....................................................................................................................................34
5.1. Setting up the HF device...................................................................................................34
5.2. Switching on the HF device ..............................................................................................35
5.3. Connecting instruments ....................................................................................................35
5.3.1. Instruments for monopolar applications ............................................................36
5.3.2. Instruments for bipolar applications...................................................................36
5.3.3. Connecting the foot switch ................................................................................36
5.3.4. Assigning a foot switch output ...........................................................................37
5.4. Function test .....................................................................................................................39
5.4.1. Automatic test functions ....................................................................................39
5.4.2. EASY neutral electrode monitoring (EASY monitoring) ....................................39
6. Operation...................................................................................................................... ...................40
6.1. Program overview.............................................................................................................40
6.2. Basic program settings .....................................................................................................41
6.2.1. Calling up a program .........................................................................................41
6.2.2. Changing the program.......................................................................................41
6.3. Program descriptions........................................................................................................43
6.3.1. Program 0 "Standard"........................................................................................43
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 11
6.3.2. Program 1 “EndoLAP Bipolar Cut” (Bipolar Cut only for ARC 350 and
ARC 350L).........................................................................................................43
6.3.3. Program 2 “EndoLAP II Ligation” (ligation only for ARC 350L) .........................44
6.3.4. Program 3 “Abdominal Ligation” (ligation only for ARC 350L) ..........................45
6.3.5. Program 4 “Argon Ligation” (ligation only for ARC 350L)..................................46
6.3.6. Program 5 "Argon Open"...................................................................................47
6.3.7. Program 6 "Macro Plastic".................................................................................47
6.3.8. Program 7 "Micro Plastic"..................................................................................48
6.3.9. Program 8 "Local Anaesthesia".........................................................................48
6.3.10. Program 9 "ENT" ...............................................................................................48
6.3.11. Program 10 "Micro Pediatric" ............................................................................48
6.3.12. Program 11 "Micro Neuro".................................................................................48
6.3.13. Program 12 "DryCUT" .......................................................................................49
6.3.14. Program 13 "SimCOAG" ...................................................................................49
6.3.15. Program 14 "Chest"...........................................................................................49
6.3.16. Program 15 "Mammaria" ...................................................................................50
6.3.17. Program 16 “Gynaecology Ligation” (ligation only for ARC 350L) ....................50
6.3.18. Program 17 "Gynecology Hystero"....................................................................51
6.3.19. Program 18 "TUR-P Bipolar TUR" (Bipolar TUR only for ARC 350 and
ARC 350L).........................................................................................................51
6.3.20. Program 19 "TUR-BT Bipolar TUR" (Bipolar TUR only for ARC 350
and ARC 350L)..................................................................................................52
6.3.21. Program 20 “Resection Bipolar“ (bipolar resection only for ARC 350
and ARC 350L)..................................................................................................53
6.3.22. Program 21 "GastroCUT Pol" (optional for ARC 300).......................................54
6.3.23. Program 22: "GastroCUT Pap" (optional for ARC 300) ....................................55
6.3.24. Program 23 “Argon Flex” (optional for ARC 300)..............................................56
6.4. Menu programs.................................................................................................................57
6.4.1. Overview............................................................................................................57
6.4.2. Menu program 1 "Set Language" ......................................................................58
6.4.3. Menu program 2 "Sound Level" ........................................................................58
6.4.4. Menu program 3 "Moderate Coag Mode"..........................................................59
6.4.5. Menu program 4 "Bip Coag Mode"....................................................................59
6.4.6. Menu program 5 "Forced Coag Mode"..............................................................60
6.4.7. Menu program 5a “GastroCut Mode” ................................................................60
6.4.8. Menu program 6 "Show Prev Inf-No" ................................................................60
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6.4.9. Menu program 7 "Hide Fix Prog".......................................................................61
6.4.10. Menu program 8 "Autostart Delay"....................................................................61
6.4.11. Menu program 9 "Edit Prog Names" .................................................................62
6.4.12. Menu program 10 "Restore Programs" .............................................................63
6.4.13. Menu program 11 "Panel Check" ......................................................................63
7. Detecting and correcting errors...................................................................................................64
7.1. System- errors ..................................................................................................................64
7.1.1. Error list .............................................................................................................64
7.2. Errors in the EASY monitoring..........................................................................................68
8. Preparation .....................................................................................................................................69
8.1. Preparation of the accessories .........................................................................................69
8.2. Disinfection and cleaning..................................................................................................69
9. Maintenance/Repair.......................................................................................................................70
9.1. Maintenance .....................................................................................................................70
9.1.1. Safety inspection ...............................................................................................70
9.2. Repairs..............................................................................................................................71
9.3. Technical service ..............................................................................................................72
10. Positioning......................................................................................................................................73
11. Technical specifications................................................................................................................74
11.1. Technical specifications for the HF devices ARC 300 and ARC 350...............................74
11.2. Output, voltage and current diagrams ..............................................................................80
12. Accessories/Replacement parts.................................................................................................109
13. EMC................................................................................................................................................110
13.1. Guidelines and manufacturer's declaration in accordance with DIN EN 60601-
1-2, Section 6.8.3.201.....................................................................................................110
14. Disposal.........................................................................................................................................114
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1 Using this operating manual
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1. Using this operating manual
This operating manual is part of the device. BOWA-electronic GmbH & Co. KG, referred to in the following simply as
BOWA, assume no liability nor provide any warranty whatsoever for damage and consequential damages that arise due to non-compliance with the operating manual.
X Read the operating manual carefully and thoroughly before using
this device.
X Store the operating manual in a safe place throughout the service
life of the device.
X Keep the operating manual accessible to operating room
personnel.
X Give the operating manual to each successive owner and/or user
of this device.
X Always update the operating manual whenever you receive
additional information from the manufacturer.
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1.1. Revision index
Software version Last revised
2.6 2010/01
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1.2. Validity
This operating manual applies only to the devices designated on the title page.
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1.3. Other applicable documents
X Comply with other applicable documents in the appendix or in the
other registers.
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14 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
1.4. Icons and labeling
1.4.1. Structure of warning instructions
SIGNAL WORD
"Risk type, source and consequences there of" (Personal injury)! X Measure for risk prevention.
NOTE
"Risk type, source and consequences there of" (Property damage)! X Measure .
1.4.2. Risk levels in the warning instructions
Icon Risk level Probability of
occurrence
Consequences of non-compliance
DANGER
Immediate risk Death, serious
injuries
WARNING
Possible risk Death, serious
injuries
CAUTION
Possible risk Minor injuries
NOTE
Possible risk Property damage
1.4.3. Tips
Tips/Additional information to facilitate tasks.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 15
1.4.4. Other icons and labeling
Icon/Labeling Meaning
;
Prerequisite for an activity
X
Activity with one step
1.
2.
3.
Activity with several steps in a binding sequence
ª
Result of preceding activity
•
Listing (first level)
•
Listing (second level)
Emphasis
Emphasis
..., see Chapter xxx, Page xxx Cross reference ... “Monopolar output 1” 35 Bold numbers (e.g.: 35) refer to a
schematic diagram of the ARC 300 / 350 and the respective legend (page 6 – 7)
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2. Safety
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2.1. Intended use
The HF device is intended exclusively for the generation of electrical power for monopolar and bipolar cutting and coagulation in surgical interventions.
It is used in the following areas:
• general surgery
• endoscopy
• gynecology
• hand surgery
• ENT
• cardiac surgery (including open-heart surgery)
• neurosurgery
• orthopedics
• urology, including transurethral resection (TUR)
BOWA requires that the HF device is operated under the supervision of qualified and authorized personnel. The surgeon and medical staff must be trained in the fundamental principles, rules for use and risks of HF surgery and must be familiar with these in order to safely and reliably prevent putting patients, personnel and devices at risk.
Any other use is neither intended nor proper and must be effectively prevented!
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 17
2.2. General safety instructions
X Ensure that no electronic devices that are subject to interference
from electromagnetic fields are set up in the vicinity of the HF device.
X Please comply with the instructions on electromagnetic
compatibility (EMC), see Chapter EMC, page 110.
Additional devices that are connected to electrical medical devices must satisfy relevant IEC or ISO standards (e.g. IEC 60950 for data processing devices). Furthermore, all configurations must comply with the standard requirements for medical systems (see IEC 60601-1-1 or Section 16 of the 3rd edition of IEC 60601-1). Anyone who connects additional devices to electrical medical devices is automatically a system configurator and thus responsible for meeting standard system requirements. Please note that local laws prevail over the aforementioned standard requirements. For further advice, please contact your local specialist retailer or the Technical Service Department.
To protect personnel, BOWA recommends the use of a smoke evacuator to extract electrosurgical smoke, e.g. BOWA SHE SHA.
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2.3. Personal safety instructions
2.3.1. Patients with pacemakers
Malfunctions or destruction of the pacemaker can endanger the life of the patient or result in irreversible injuries to the patient.
X In cases of patients with pacemakers, consult the cardiologist
before carrying out HF surgery.
X Use bipolar HF methods. X Move the HF neutral electrode close to the operating field. X Set the demand pacemaker to a fixed frequency. X Ensure that the pacemaker does not come into contact with the HF
electrode.
X Keep a fully operational defibrillator handy. X Carry out a postoperative pacemaker check.
2.3.2. Safe positioning of the patient
X Position the patient so that he is not touching any metal parts that
are grounded or have considerable capacity against ground (e.g. operating table brackets). Lay anti-static towels between the patient and the bedding.
X Ensure that the patient does not touch any wet towels or bedding. X Place anti-static towels between areas of heavy sweating and skin-
to-skin contact on the patient's trunk.
X Ensure that you are using a suitable support surface in order to
prevent pressure necrosis.
X Drain urine via the catheter.
2.3.3. Correct connection of the HF device
X Always ground the HF device via the equipotential bonding. X Do not use any needle electrodes for monitoring. X Attach electrodes of physiological monitoring devices without
protective resistors or HF regulators as far as possible from the HF electrodes.
X Attach lines from monitoring devices so that they do not lie on the
patient's skin.
X Keep the lines to the HF electrodes as short as possible and
position them so that they do not touch the patient or other lines.
X Do not place any objects on the HF device.
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2.3.4. Correct use of the HF device
Inadvertent activation in the non-visible area of the HF device can injure the patient.
X Activate the HF device only when the electrode is in your field of
vision and you can quickly deactivate the HF device at all times.
X After inadvertent activation of the HF device, switch off the device
immediately using the on/off switch.
X Pay particular attention whenever you use the foot switch or the
manual switch.
Lack of preparation, errors in usage or faults in the HF device can cause damage to the HF device.
X Use the automatic monitoring functions to ensure that the HF
device works properly without errors. For information on the automatic test functions, see Chapter Monitoring functions, Page 29.
X Ensure that no conductive fluids (e.g. blood, amniotic fluid) have
penetrated the foot switch or the manual switch.
X Ensure that there are no short circuits in the foot and manual
switches.
2.3.5. Adjusting the settings of the HF device and use of the accessories
Setting the output power too high can injure the patient! Therefore, before you increase the power output, ensure that:
• the neutral electrode is correctly positioned,
• the working electrodes are clean,
• and the plug connections are all correct.
Setting the HF device correctly
X To prevent inadvertent (thermal) tissue damage during
interventions on body parts with small cross-sections and in areas with high resistance (bones, joints), use the bipolar method in these areas.
X Always set the power output of the HF device as low as possible. X Set the acoustic signal that sounds when the electrode is activated
so that it is always clearly audible.
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Correct usage of the accessories
X Use only insulated accessories. X Check all electrodes for sharp edges and projecting parts before
use.
X Use only electrodes that are free of defects and in good working
order.
X Never place active electrodes on or near the patient. X Do not remove hot electrodes from the patient's bodydirectly after
cutting or coagulation.
X Ensure that there is sufficient distance between the patient cables
and the cables of the HF device.
X Do not run the patient cable across the patient.
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2.4. Device-related safety instructions
Devices manufactured by BOWA are developed in accordance with the current state of technology and generally accepted safety rules. Despite this, risks to the life and health of the user or third parties and/or damage to the device and other objects can occur.
X Use only of accessories approved by BOWA; see Chapter , Page . X Use the device only when it is in free of technical defects and in
good working order and only for the intended purpose, always remaining aware of safety requirements and risks while complying with this operating manual.
X Have malfunctions that can adversely affect safety (e.g. deviations
from the permissible operating conditions) repaired without delay.
X Wipe down the HF device only with cleaning agents and
disinfectants that are nationally approved for surface cleaning. See Chapter Disinfection and cleaning ,Page 69.
X Never immerse the device in water or cleaning agents. X Never boil the device and never disinfect it mechanically. X Immediately drain any fluid that might have penetrated the device.
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2.5. Safe handling (general instructions)
X Before each use of the device, check to ensure that it is functioning
properly and is in good working order.
X Comply with the instructions for use as specified by the standard;
see Chapter Risk levels in the warning instructions, Page 14.
X Pay attention to and comply with the acoustic signals and error
indicators of the HF device during use; see Chapter Error List, Page 64.
X The device and accessories may be operated and used only by
people who have the necessary training, knowledge and experience.
X Inspect the accessories, particularly electrode cables and
endoscopic accessories for damage to the insulation.
X Do not place any instruments on the patients or on the devices. X Ensure that no instruments are being cleaned when AUTOSTART
is activated.
X Wear suitable gloves during operations.
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22 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
2.5.1. Surgical environment: prevention of explosions/combustion
Sparks fly during proper use of the HF device! X Do not use the HF device in areas where there is a risk of
explosion.
X Do not use any flammable or explosive liquids. X If display components fail, do not use the HF device any longer! X Avoid using ignitable anesthetics and gases which support
combustion (e.g. nitrous oxide, oxygen) during operations (e.g. in the head and thoracic regions)
.
X Wear suitable gloves during operations. X Use exclusively non-flammable cleaning agents, disinfectants and
solvents (for adhesives). If you use flammable cleaning agents, disinfectants and solvents, ensure that these substances have evaporated before using the HF surgery device.
X Ensure that no flammable liquids collect beneath the patient or in
bodily cavities (e.g. the vagina). Suction and/or flush bodily cavities before activating the device.
X Wipe off all liquids before using the HF device. X Ensure that no endogenous gases are pesent that could ignite. X Ensure that all materials saturated with oxygen (e.g. cotton, gauze)
are removed far enough from the HF environment that they cannot ignite.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 23
2.5.2. Application of the neutral electrode
In the monopolar HF method, the neutral electrode feeds the current introduced into the patient's body at the surgical site back to the HF device.
X To prevent a rise in temperature at the current emergence point,
the following conditions must be ensured:
• sufficiently large contact surface between the neutral
electrode and the patient's body
• high electrical conductivity between the neutral electrode
and the patient's body
X To prevent the patient being burned by the neutral electrode, you
must comply with the following conditions:
• Select the application point for the neutral electrode so
that the current paths between the active and neutral electrodes are as short as possible and run longitudinally or diagonally to the patient's body (because muscles are more conductive in the direction of the fibrils).
• During surgery in the thoracic region, not run the current
path transversely across the patient's body and ensure that the patient's heart is never in the path of the current.
• Depending on the surgical site, apply the neutral
electrode at the nearest upper arm or thigh if at all possible.
• In the case of self-adhesive disposable electrodes,
comply with any further manufacturer specifications regarding the point of application.
• Ensure that the application point is free of scar tissue
and bony prominences.
• Ensure that there are no implants (e.g. bone nails, bone
plates, endoprostheses) in the current path.
• Ensure that no short circuits can occur at the neutral
electrode connection.
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24 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Before applying the neutral electrode
X Shave the area where the neutral electrode will be applied. X Clean the application site, but do not use any alcohol, as it dries
out the skin and increases the transition resistance.
X If the patient has poor circulation, massage or brush the application
site.
X Apply the neutral electrode using the entire contact surface. Secure
reusable neutral electrodes with rubber bands or elastic ties so that they do not loosen or fall off when the patient moves. Ensure that the patient's circulation is not impaired (risk of necrosis).
X Never use wet towels or electropastes. X Ensure that no liquids (e.g. cleaning fluids, disinfectants, blood,
urine) get between the patient and the neutral electrode.
X Do not place the neutral electrode under the patient's buttocks or
back.
X Ensure that there are no EKG electrodes in the current path of the
HF device.
Use of a solid neutral electrode
X When applying the solid neutral electrode, ensure that the HF
current flows back to the longest edge so that no excessive current density develops on the short edge.
X Check the solid neutral electrode during the surgery.
Use of a split neutral electrode
X Apply the split neutral electrode correctly and without any additional
objects, as the HF device does not recognize the bridging of the section surfaces by other objects.
X Ensure that when you apply the split neutral electrode, the HF
current flows evenly back to both surfaces, so that no excessive increase in the current density develops beneath a surface or an edge.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 25
3. Functionality
The HF device is controlled by a microprocessor and converts the mains voltage into a high-frequency alternating current for monopolar or bipolar applications.
The arc control technology reduces the power output depending on the tissue and its resistance to the necessary minimum.
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3.1. Monopolar modes
In monopolar operation, the HF device has the following operating modes:
• "Cut" for cutting in low-resistance tissue
• "Moderate Coag" for contact coagulation and "Forced Coag"
for coagulation with semi-contact
• "Spray Coagulation" for contactless surface coagulation Two monopolar outputs facilitate the independent configuration of two
instruments. Instruments can be connected to the monopolar outputs 1 and/or 2
(socket 36 and/or 40). The desired output is activated by pressing the key/display 35 or 39 (for “monopolar output 1 or 2“).
3.1.1. "Cut" mode
In this mode, a high-performance HF current of up to 300 W with a low crest factor is used for cuts in biological tissue. The ARC CONTROL quickly adjusts the power output to the variations in tissue and changes in the cutting surface or speed to the relevant required minimum.
When setting the blend function between Level 0 and 9, it is possible to set a variably adjustable degree of surface scabbing.
3.1.2. "Moderate Coag" mode
If you wish to change the settings of the "Moderate Coag" mode, see Chapter Menu program 3 "Moderate Coag Mode", page 59.
This mode is used in contact coagulation for stopping hemorrhagic oozing, hemostasis of larger tissue areas, and coagulation over smaller surfaces.
The coagulation effect of the "Moderate Coag" current is adjusted in this mode.
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3 Functionality
26 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
The following modes are available:
Mode Characteristics Application
"Standard" mode (factory setting) Moderate coagulation Deep coagulation
"Dessication I" mode
Moderate to high coagulation Fast, deep coagulation
"Dessication II" mode
Moderate/Minor coagulation Deep, slow coagulation
"Dessication III" mode Minor to moderate coagulation Slow coagulation
"Dessication IV" mode High coagulation High coagulation
3.1.3. "Forced Coag" mode
If you wish to change the settings of the "Forced Coag" mode, see Chapter Menu program 5 "Forced Coag Mode", page 60.
This mode is used for contact coagulation extending only over a small area of the tissue, preferably with small surfaces and fine electrodes.
There are likewise three modes available in the "Forced Coag" mode:
Mode Characteristics Application
"Non-cutting" mode High coagulation rate
Minimal cutting tendency
Requirements for good coagulation without cutting tissue
"Mixed" mode
High coagulation rate Moderate cutting effect
All standard applications(factory setting)
"Cutting" mode
Good hemostasis Outstanding cutting effect
Preparatory cutting with the blue key
3.1.4. "Spray coagulation" mode
This mode is used for contactless surface coagulation via arcing. This mode is used for hemostasis in parenchymal tissue or in poorly
accessible crevices and in conjunction with argon coagulation.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 27
3.1.5. "GastroCUT" mode
If you wish to change the settings of the "GastroCUT" mode, see Chapter Menu program 5a “GastroCut Mode”, page 60.
This mode consists of a pulse sequence of cutting current and coagulation phase.
This mode is used for the removal of polyps or for making incisions in papillae. The following applies:
• Blend 0 = low coagulation rate
• Blend 9 = high coagulation rate
There are likewise three modes available in the "GastroCUT" mode:
Mode Characteristics Application
"Slow" mode Cutting characteristics:
Slower pulse sequence
Recommended for particularly intricate tasks
"Medium" mode
Cutting characteristics: Dynamic
Recommended for skilled users (default setting)
"Fast" mode Cutting characteristics:
Dynamic and fast pulse sequence
Recommended for experienced users in this specialist area
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28 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
3.2. Bipolar modes
Optimal results can be achieved using the bipolar method (particularly in minimally invasive surgery) only with special special instruments!
Advantages of the bipolar method:
• The required high-frequency output is only one-fourth of the
output required for the monopolar method.
• It is not necessary to attach a neutral electrode to the
patient, so that the corresponding risks for the patient are eliminated.
Two bipolar outputs on the ARC 350 facilitate the independent configuration of two instruments.
Instruments can be connected to the bipolar outputs 3 and/or 4 (socket 43 and/or 47). The desired output is activated by pressing the key/display 44 and/or 48 (for "Bipolar output 3 and/or 4").
The AUTOSTART function can be activated only for bipolar coagulation. In the AUTOSTART function, the coagulation current is automatically
added after low-resistance tissue contact of the connected bipolar instruments. Thus activation using the foot switch is not necessary.
If an output operated in AUTOSTART mode is activated using the foot switch, the AUTOSTART function is deactivated and the foot switch signal is used.
To prevent any activation problemsin AUTOSTART mode, we recommend bipolar cable with a maximum length of 4.5 meters.
3.2.1. "Soft COAG" mode
If you wish to change the settings of the "Soft COAG" mode, see Chapter Menu program 4 "Bip Coag Mode", Page 59.
The "Soft COAG" mode is used for precision work with the bipolar tweezers. The AUTOSTART function is not available in this mode.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 29
3.3. Activation and alarm signals in monopolar and bipolar mode
The activation and alarm signals are emitted at volume level 19. The mnimum volume is level 16. If required, the volume of the activation signals can be adjusted for a louder environment. The alarm sound cannot be changed.
Mode Indicator in
menu program
Frequency (Hz) Signal type
Monopolar Cut SOUND 1 700 Continuous sound
Monopolar Coag SOUND 2 500 Continuous sound
Bipolar Cut SOUND 3 550 Continuous sound
Bipolar Coag SOUND 4 340 Continuous sound
Sim Coag Forced Cut
SOUND 5 800 Continuous sound
Ligation End – – Pulsating
alternating sound
Alarm – 1000 Intermittent
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3.4. Emergency shutoff
The HF device can always be switched off in an emergency using the on/off switch 33.
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3.5. Monitoring functions
3.5.1. Self-test
When the HF device is switched on, it runs a self-test that checks the operating elements, acoustic signal, microprocessor and hardware function.
3.5.2. Cyclical test during operation
During operation, safety-relevant functions and signals will be tested cyclically. If errors are detected, the HF generator will shut itself off. An error message appears on the display. For further information, see Detecting and correcting errors, Page 64.
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30 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
3.6. ARC control technology
Arc control technology takes into account varying cutting surfaces and cutting speeds, detects differences in tissue and the resulting changes in resistance and adjusts the power output to the relevant required minimum.
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3.7. Neutral electrode monitoring
When the neutral electrode is attached, the largest possible neutral electrode must be attached!
3.7.1. General information
The monitoring of the neutral electrode minimizes the risk of burns at the site where the neutral electrode is attached.
Two types of neutral electrodes are monitored:
• Solid neutral electrodes
• Split neutral electrodes.
The split neutral electrodes are shown on display 20, and the solid neutral electrodes are shown on display 19.
3.7.2. EASY neutral electrode monitoring (EASY monitoring)
Children's electrodes cannot be monitored by the EASY system, because their resistance is too high due to their small surfaces.
The EASY monitoring system measures changes in resistance between the patient and the high-frequency surgery device both before and during HF activation. If required, it requests personnel to intervene via an optical and acoustic alarm. For this purpose, a split neutral electrode with corresponding contact surfaces and suitable transition resistances which is attached to the patient according to the manufacturer's instructions is required.
For the "TUR" and “Resection” programs and the "Moderate Coagulation" mode, the minimum surface of the electrode must be at least 110 cm².
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 31
3.8. Foot switch
In addition to the manual switch, the foot switch can be used to activate various operating modes.
The foot switches can be connected either to connection socket 50 or
52. The HF device automatically detects whether a foot switch is connected or not.
The following foot switch systems can be connected to the HF device:
Article No. Designation
901-011 Single-pedal foot switch (SP)
Single-pedal foot switch with pushbutton (SP+)
901-021 Double-pedal foot switch (DP)
901-031 Double-pedal foot switch with sensor
(DP+)
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3.9. Memory functions
For generators from the ARC series, the parameter settings of all programs can be stored.
To do this, set parameters such as output, blend factor, coagulation mode and foot switch assignment and then store them by pressing the AUTOSTART 32 key and keeping it pressed. This storage procedure only stores the current program.
By pressing a key you can call up the individual device settings and the entered empirical values; see Chapter "Basic Settings", Page 41.
The saved values will be stored even when the device is switched off.
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32 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
4. Description
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4.1. Icons on the device
Icon Designation
Solid neutral electrode
Split neutral electrode
Foot switch
Comply with operating instruction
Neutral electrode at HF insulated from ground
CF-type device with defibrillation protection
Equipotential bonding
Fuse
Alternating current
On/off switch
Labeling of electrical and electronic devices in accordance with Directive 2002/96/EC (WEEE), see "Disposal"
An electrode handle with finger switch can be used at this socket
AUTOSTART
Identification of (active) HF output; Careful: Dangerous electrical voltage.
Manufacturer
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4 Description
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 33
4.1.1. Rating label
Figure 4-1: Rating label ARC 350
(here: ARC 350; for ARC 300, REF and SN are different, e.g. REF 900-300, SN 30001620)
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4.2. Scope of delivery
You'll find detailed information on the scope of delivery in the current catalogs.
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4.3. Components required for operation
• Power cable
• Foot switch
• Neutral electrode
• Electrode handle for monopolar applications wtih finger keys
or activation via foot switch
• Working electrode
• Connection cable
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5 Preparation
34 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
5. Preparation
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5.1. Setting up the HF device
NOTE
When the HF device is used as intended, electromagnetic fields are generated! This can affect other devices.
X Ensure that no electronic devices are set up in the vicinity of the
HF device.
HF devices may be used only in rooms used for medical purposes that meet the requirements of DIN VDE 0100-710.
If the HF device was previously stored or transported at temperatures below +10 °C, it will take approximately three hours to adjust to room temperature.
1. Place the HF device on one of the following platforms:
• a table,
• an equipment trolley,
• a console suspended from a ceiling support or wall-
mounted brackets.
2. Set up the HF device with sufficient clearance to other electronic
devices.
3. Position the HF device with the front of the device facing the
patient/surgeon.
4. Except for the additional device ARC PLUS, do not place any other
devices on the HF device.
5. Do not place any other objects on / above the HF device.
6. Do not set up the HF device on other devices.
7. Connect the power cable.
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5 Preparation
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 35
5.2. Switching on the HF device
The HF device must not be used if indicator elements are not working! For more information about troubleshooting, see Chapter Detecting and correcting errors, Page 64.
1. Switch the HF device on using the on/off switch 33.
ª
The HF device carries out a self-test: all indicator elements light up and flash alternately with the display.
ª
All the modes that can be set in the menu programs are displayed alternately. For more information about the setting options, see Chapter Menu programs, page 57.
2. Check whether all the indicators and LEDs on the front plate light
up and flash alternately with the display.
3. Press any key to end the self-test.
ª
The HF device is ready for operation.
ª
The parameters of the most recently selected program appear on the display. A self-test is carried out if the device is switched off for longer than 15 to 20 seconds after being used. The default parameters of the most recently selected program subsequently appear.
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5.3. Connecting instruments
X Before connecting instruments, ensure that the following conditions
are met:
• Accessory combinations not mentioned in the operating
manual may be used only if they are explicitly specified for the intended use. Performance features as well as safety requirements must always be taken into account.
• The insulation of the accessories (e.g. HF cables,
instruments) must be sufficient for the maximum output peak voltage (see IEC 60601-2-2 and IEC 60601-2-18).
• Accessories with defective insulation may not be used.
In order to arrange and protect all cables to the HF device, use the pull­out cable laying guide on the left underside of the device.
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5 Preparation
36 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
5.3.1. Instruments for monopolar applications
1. Plug the neutral electrode cable into the socket for the neutral
electrode 34.
2. Check the EASY monitoring for solid neutral electrodes 19 or the
EASY monitoring for split neutral electrodes 20 to ensure that it corresponds to the type of neutral electrode connected.
3. Connect the electrode handle to the active connection socket 36
or 40. –or– For accessories without finger sensors: Connect the foot switch to the connection socket 52. Connect the monopolar connector cable using a Bovie connector. –or– Connect the monopolar cable for the endoscopy to the connection socket for monopolar instruments 40 (left).
5.3.2. Instruments for bipolar applications
1. Connect the bipolar cable with the instrument, e.g. the tweezers.
2. Connect the bipolar cable to the active connection socket.
• At the connection socket for bipolar instruments 43, the
coagulation instrument set can be connected on the ARC 300, while coagulation, TUR coagulation, cutting, and TUR cutting instruments can be connected on the ARC 350, and ligation instruments can be connected on the ARC 350L in the ligation programs.
• AUTOSTART works only in "bipolar standard mode"; see
Chapter Menu program 4 "Bip Coag Mode", Page 59.
4. For bipolar applications without AUTOSTART, connect the foot
switch to the connection sockets 50/52. – or – For bipolar applications with AUTOSTART, press the AUTOSTART switch 32.
ª
Once the contact is closed, the application starts after the configured reaction time.
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5.3.3. Connecting the foot switch
X Connect the desired foot switch to the foot switch connection
socket 50 or 52.
ª
The HF device automatically detects the connected foot switch and reports this via the display on the front, showing the connection socket being used.
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5 Preparation
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 37
5.3.4. Assigning a foot switch output
1. Press the key/display for “Monopolar output 2” 39 for 1.5 seconds
–or– the key/display for “Bipolar output 3” 44 –or– the key/display for “Bipolar output 4” 48 –or– press the additional key on the double pedal foot switch (e.g. for the “Bipolar output 3 or 4”).
ª
The message "SEt PEd." appears on the "Monopolar Cut" display 2 and the "Monopolar Coag" display 9 and an alternating signal sounds that confirms the switching process acoustically.
2. Press the key/display for AUTOSTART 32 for longer than 5
seconds.
ª
The configured HF parameters will be saved and the symbol -> appears on the display/main display 15.
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5 Preparation
38 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Possible foot switch combinations
Foot switch (type)
Connection socket
Active output (front)
Mode Operation
50
3 or 4 Bipolar Coag
X Change foot switch output:
Press key/display 44/48 for
1.5 sec. or with foot pedal sensor (EP+)
2 Monopolar Coag
X Change foot switch output:
Press key/display 39 for
1.5 sec. or with foot pedal sensor (EP+)
Single pedal with/without sensor (EP/EP+)
52
3 Bipolar Coag
X Change foot switch output:
Press key/display 44 for
1.5 sec. or with foot pedal sensor (EP+)
50
3 or 4 Bipolar Cut
1)
/Coag
X Change foot switch output:
Press key/display 44/48 for
1.5 sec. or with foot pedal sensor (DP+)
Double pedal with/without sensor (DP/DP+)
52
2 or 3 Monopolar
Cut/Coag Bipolar Cut
1)
/Coag
X Change foot switch output:
Press key/display 39/44 for
1.5 sec. or with foot pedal sensor (DP+)
1)
Only for ARC 350
The shift sensor on the foot switch is locked in programs 18, 19, and 20 for safety reasons. Socket changeover must occur directly at the device.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 39
5.4. Function test
5.4.1. Automatic test functions
The HF device automatically carries out a self-test after being switched on and a cyclical test during operation. If errors occur, see Chapter Detecting and correcting errors, Page 64.
5.4.2. EASY neutral electrode monitoring (EASY monitoring)
NOTE
Incorrect application of the neutral electrode!
X Ensure that the specifications for the correct application of the
neutral electrode with regard to size, adhesive properties and full­surface contact of the complete electrode have been met.
The following functions can be tested for the split and solid neutral electrodes:
Actual status Output Measure
Cable for solid/split neutral electrode not connected
Indicators for EASY monitoring of split neutral electrode 20 or EASY monitoring of solid neutral electrode 19 do not light up
X Plug in the cable for the
solid/split neutral electrode.
Only the cable for solid/split neutral electrode is connected
Indicators for EASY monitoring of split neutral electrode 20 or EASY monitoring of solid neutral electrode 19 light up
X Check the cable for a short
circuit.
Cable with split neutral electrode plugged in and not attached to patient.
Indicators for EASY monitoring of split neutral electrode 20 or EASY monitoring of solid neutral electrode 19 light up
X Check whether the electrode is
correctly attached to the cable connection.
The cable for the split or solid neutral electrode is plugged in and attached to the patient.
The indicators for EASY monitoring of the split neutral electrode 20 or EASY monitoring of the solid neutral electrode 19 light up green, but the type of neutral electrode is not correctly detected.
X Based on the assessment of
benefit and harm, decide whether you should activate the HF device.
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40 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
6. Operation
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6.1. Program overview
An overview of the programs that can be executed with the HF device is displayed below.
Program number
Program name
ARC 350L ARC 350 ARC 300G ARC 300
0
Standard X X X X
1
EndoLAP Bipolar Cut X X – –
1
EndoLAP – – X X
2
EndoLAP II Ligation X – – –
2
EndoLAP II – X X X
3
Abdominal Ligation X – – –
3
Abdominal – X X X
4
ArgonLigation X – – –
4
Argon – X X X
5
Argon Open X X X X
6
Macro Plastic X X X X
7
Micro Plastic X X X X
8
Local Anesthesia X X X X
9
HNO X X X X
10
Micro Pediatric X X X X
11
Micro Neuro X X X X
12
DryCut X X X X
13
SimCOAG X X X X
14
Thorax X X X X
15
Mammaria X X X X
16
Gynaecology – X X X
16
Gynaecology Ligation X – – –
17
Gynaecology Hystero X X X X
18
TUR-P Bipolar TUR X X – –
18
TUR-P – – X X
19
TUR-BT Bipolar TUR X X – –
19
TUR-BT – – X X
20
Resection Bipolar X X – –
20
Resection – – X X
21
GastroCUT POL X X X –
22
GastroCUT PAP X X X –
23
Argon Flex X X X –
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 41
The data about settings, points of application, application duration, and the application of instruments are based on clinical practice. However, these are only basic guidelines which must be tested and approved for suitability by the operator. Depending on the individual conditions, it may be necessary to deviate from the specified data. Medicine is continuously evolving and growing due to R&D and clinical practice. These developments may also make deviations from the specified data necessary.
All programs have basic settings, e.g. operating language, sound or display and memory options, which can be changed for individual applications; see Chapter Menu programs, Page 57.
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6.2. Basic program settings
6.2.1. Calling up a program
Call up each of the selectable programs with the following procedure:
1. Press the program key 16/17 repeatedly until the corresponding
program is shown on the display.
2. Connect the instruments; see Chapter Connecting instruments,
Page 35.
6.2.2. Changing the program
The preconfigured programs can be selected from "0-23". The parameters of the preconfigured programs can be changed, and the new parameters can be saved. Only the special types of current cannot be changed. To do this, set parameters such as output, blend factor, coagulation mode and foot switch assignment and then store them by pressing the AUTOSTART 32 key and keeping it pressed.
The programs from "24-99" can be freely configured. These programs output standard types of current.
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6 Operation
42 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
You can change the following factory settings:
Select Cutting settings
1. Press the key/display for „Monopolar Output 1“ 35 or „Monopolar
Output 2“ 39 and select connection socket 1 or 2.
2. Press the power limitation key for monopolar cutting 3 or 4. –Or–
1. Press the key/indicator for "Bipolar Output 3" 44 or "Bipolar
Output 4" 48.
2. Press the power limitation key for bipolar cutting 23 or 24.
Set blend factor
1. Press the key for the monopolar degree of scabbing 5/6.
–or– Press the key for the bipolar degree of scabbing 25/26.
2. Set the blend factor between "1-9" or to "0" for coagulation-free
cutting.
Select current type for coagulation current
1. Press the key/indicator for "Moderate Coagulation" current 12
– or – Press the key/indicator for "Forced Coagulation" current 13 – or – Press the key/indicator for "Spray Coagulation" current 14.
2. Set the power limit for the monopolar coagulation current using the
keys for power limitation for monopolar coagulation 10/11.
–Or–
1. Set the power limit for the bipolar coagulation current using the
keys for power limitation for bipolar coagulation 30/31.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 43
6.3. Program descriptions
The following recommended settings for standard programs are based on empirical values and must be verified in each individual case by the surgeon.
6.3.1. Program 0 "Standard"
This program is used for monopolar/bipolar cutting and coagulation in standard applications.
6.3.2. Program 1 “EndoLAP Bipolar Cut” (Bipolar Cut only for ARC 350 and ARC 350L)
This program is used for bipolar cutting with preconfigured settings.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 4” 48 are preconfigured.
X Connect the instrument(s) to the HF device.
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6.3.3. Program 2 “EndoLAP II Ligation” (ligation only for ARC 350L)
• Only connection socket 3 supplies ligation current.
• If the software option “Ligation” is unavailable, this program
provides the function “Standard Bipolar”.
This program is used for ligation in laparoscopic applications in which 2 monopolar instruments and 2 bipolar instruments can be connected.
In this program, one instrument of the BOWA NightKNIFE
®
, LIGATOR®,
and TissueSeal
®
series and a further optional bipolar instrument can be
connected.
The performance output is preconfigured and is automatically adjusted. The sealing effect can be altered via the key for scabbing level 25 or 26. The set effect is displayed from 1 to 4 in the 7-segment display “Bipolar Coag” 29:
• Effect 1: For a bipolar coagulation of thin structures with the
aid of a BOWA ligation instrument.
• Effect 2: The sealing of thin blood vessels and structures with
the aid of a BOWA ligation instrument.
• Effect 3: The sealing of medium-sized blood vessels and
structures with the aid of a BOWA ligation instrument.
• Effect 4: The sealing of thick blood vessels and structures of
up to 7 mm with the aid of a BOWA ligation instrument.
DANGER
Blood loss due to incomplete blood vessel sealing!
X Deactivate the ligation instrument after completed sealing of blood
vessels.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 3” 44 are preconfigured.
1. Connect the ligation instrument to the HF device.
ª
After completion of coagulation, a pulsating acoustic signal sounds.
ª
At this point only very low output can be used in the tissue.
2. Terminate activation of the ligation instrument.
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6.3.4. Program 3 “Abdominal Ligation” (ligation only for ARC 350L)
• Conventional instruments (such as handles) must not be
used in the ligation mode. Ligation in Program 3 is only possible with “Bipolar output 3” 43.
• If the software option “Ligation” is unavailable, this program
provides the function “Standard Bipolar”.
This program is used in a wide range of surgical applications, e.g. gynecology and laparoscopy.
It facilitates permanent blood vessel sealing with the manual instruments of the BOWA NightKNIFE
®
, LIGATOR®, and TissueSeal®
series for large veins, arteries or tissue bundles.
Intended for:
• large-lumen veins, arteries or tissue bundles
• use in combination with instruments of the
BOWA NightKNIFE
®
, LIGATOR®, and TissueSeal® series
Not intended for:
• tubal sterilization or sterilization by means of tubal
coagulation
• dirty or defective electrode tips
The performance output is preconfigured and is automatically adjusted. The sealing effect can be altered via the key for scabbing level 25 or 26. The set effect is displayed from 1 to 4 in the 7-segment display “Bipolar Coag” 29:
• Effect 1: For a bipolar coagulation of thin structures with the
aid of a BOWA ligation instrument.
• Effect 2: The sealing of thin blood vessels and structures with
the aid of a BOWA ligation instrument.
• Effect 3: The sealing of medium-sized blood vessels and
structures with the aid of a BOWA ligation instrument.
• Effect 4: The sealing of thick blood vessels and structures of
up to 7 mm with the aid of a BOWA ligation instrument.
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46 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
DANGER
Blood loss due to incomplete blood vessel sealing!
X Deactivate the ligation instrument after completed sealing of blood
vessels.
;
The key/display for "Monopolar output 1" 35 and "Bipolar output 3" 44 are preconfigured.
X Connect the ligation instrument to "Bipolar output 3" 43 of the HF
device.
6.3.5. Program 4 “Argon Ligation” (ligation only for ARC 350L)
If the software option “Ligation” is unavailable, this program provides the function “Standard Bipolar”.
In this program, open surgical interventions are carried out with the additional device ARC PLUS for argon electrocoagulation. When suitable instruments are connected, argon coagulation can be carried out with rigid electrodes and argon cutting.
This program is used in a wide range of surgical applications, e.g. gynecology and laparoscopy.
It facilitates permanent blood vessel sealing with the manual instruments of the BOWA NightKNIFE
®
, LIGATOR®, and TissueSeal®
series for large veins, arteries or tissue bundles.
Intended for:
• large-lumen veins, arteries or tissue bundles
• use in combination with instruments of the
BOWA NightKNIFE
®
, LIGATOR®, and TissueSeal® series
Not intended for:
• tubal sterilization or sterilization by means of tubal
coagulation
• dirty or defective electrode tips
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 47
The performance output is preconfigured and is automatically adjusted. The sealing effect can be altered via the key for scabbing level 25 or 26. The set effect is displayed from 1 to 4 in the 7-segment display “Bipolar Coag” 29:
• Effect 1: For a bipolar coagulation of thin structures with the
aid of a BOWA ligation instrument.
• Effect 2: The sealing of thin blood vessels and structures with
the aid of a BOWA ligation instrument.
• Effect 3: The sealing of medium-sized blood vessels and
structures with the aid of a BOWA ligation instrument.
• Effect 4: The sealing of thick blood vessels and structures of
up to 7 mm with the aid of a BOWA ligation instrument.
DANGER
Blood loss due to incomplete blood vessel sealing!
X Deactivate the ligation instrument after completed sealing of blood
vessels.
;
The key/display for "Monopolar output 1" 35 and "Bipolar output 3" 44 are preconfigured.
1. Connect the additional device ARC PLUS.
2. Connect the argon handpiece to “Monopolar output 1” 36 of the HF
device. –or (only ARC 350L)– Connect the ligation instrument to “Bipolar output 3” 43 of the HF device.
6.3.6. Program 5 "Argon Open"
In this program, open surgical interventions are carried out with the additional device ARC PLUS for argon electrocoagulation. When suitable instruments are connected, argon coagulation can be carried out with rigid electrodes and argon cutting.
1. Connect the additional device ARC PLUS.
2. Connect the argon handpiece with the rigid probes to the ARC
PLUS.
3. Connect the surgical handpiece to the HF device.
6.3.7. Program 6 "Macro Plastic"
This program is used in plastic surgery of the hand and maxillofacial region.
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48 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
6.3.8. Program 7 "Micro Plastic"
This program is used in the lower output range with fine electrodes for microscopic tissue structures.
6.3.9. Program 8 "Local Anaesthesia"
This program is used for applications in which the patients are not anesthetized or given only local anesthetics and in which extremely low­energy coagulation current is used. In this program, the coagulation current is set with extremely low energy using keys 13 or 14.
X Select the key/display for "Forced Coagulation" 13 or "Spray
Coagulation" 14.
6.3.10. Program 9 "ENT"
This program is used for applications in the ENT field. In this program, Dessicate IV is available as standard as moderate
coagulation.
6.3.11. Program 10 "Micro Pediatric"
This program is used in pediatric surgery with fine electrodes.
6.3.12. Program 11 "Micro Neuro"
This program is used for microsurgical work in neurosurgery in the lower output range.
It facilitates extremely precise output control to 0.1 W and precise work for tightly restricted contact coagulation in bipolar coagulation.
The program is used for monopolar and bipolar application with fine needle electrodes or tweezers.
In program 11, the maximum output transfer is unlimited to ensure maximum settings.
X Please refer to the respective diagrams Mono CUT 300 W, Mono
COAG 120 W, Bipolar CUT 150 W, and Bipolar COAG 120 W.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 49
CAUTION
Risk of injuring patients due to excessive output transfer! X Always check settings prior to activation.
6.3.13. Program 12 "DryCUT"
This program is a technology used to generate a so-called dry cut. It is used in cardiac surgery, particularly in hemostasis of receding blood vessels in the area of the sternum.
In this program, a larger controlled arc can be generated via which significantly deeper coagulation can be achieved.
6.3.14. Program 13 "SimCOAG"
The configured output applies to both output sockets and is distributed according to the tissue structure.
The program is used in the field of cardiac surgery for simultaneous preparation.
In this program, two monopolar connection sockets can be activated simultaneously to facilitate the simultaneous use of two manually switched instruments.
;
The key/display for “Monopolar output 1” 35 and “Monopolar output 2” 39 as well as the key/display for "Forced Coagulation" current 13 light up.
X Connect the handpieces with finger switches to the output
sockets 36/40.
ª
Both handpieces with finger switches can be switched on or off independently of each other.
It is not possible to work in cutting mode and key/display 12 is deactivated.
6.3.15. Program 14 "Chest"
This program is used in thoracic surgery. In this program, a cutting current and forced coagulation are used.
Maximum output is limited to 90 W.
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50 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
6.3.16. Program 15 "Mammaria"
This program is used in breast and heart surgery. In this program, a cutting current and forced coagulation are used.
Maximum output is limited to 90 W.
6.3.17. Program 16 “Gynaecology Ligation” (ligation only for ARC 350L)
This program is used for surgery in gynecology.
If the software option “Ligation” is unavailable, this program provides the function “Standard Bipolar”.
This program is used in a wide range of surgical applications, e.g. gynecology and laparoscopy.
It facilitates permanent blood vessel sealing with the manual instruments of the BOWA NightKNIFE
®
, LIGATOR®, and TissueSeal®
series for large veins, arteries or tissue bundles.
Intended for:
• large-lumen veins, arteries or tissue bundles
• use in combination with instruments of the
BOWA NightKNIFE
®
, LIGATOR®, and TissueSeal® series
Not intended for:
• tubal sterilization or sterilization by means of tubal
coagulation
• dirty or defective electrode tips
The performance output is preconfigured and is automatically adjusted. The sealing effect can be altered via the key for scabbing level 25 or 26. The set effect is displayed from 1 to 4 in the 7-segment display “Bipolar Coag” 29:
• Effect 1: For a bipolar coagulation of thin structures with the
aid of a BOWA ligation instrument.
• Effect 2: The sealing of thin blood vessels and structures with
the aid of a BOWA ligation instrument.
• Effect 3: The sealing of medium-sized blood vessels and
structures with the aid of a BOWA ligation instrument.
• Effect 4: The sealing of thick blood vessels and structures of
up to 7 mm with the aid of a BOWA ligation instrument.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 51
DANGER
Blood loss due to incomplete blood vessel sealing!
X Deactivate the ligation instrument after completed sealing of blood
vessels.
;
The key/display for “Monopolar output 1” 35 and “Bipolar output 3” 44 are preconfigured.
1. Connect the additional device ARC PLUS.
2. Connect the argon handpiece to “Monopolar output 1” 36 of the HF
device. –or (only ARC 350L)– Connect the ligation instrument to “Bipolar output 3” 43 of the HF device.
6.3.18. Program 17 "Gynecology Hystero"
This program is used in gynecology for hysterectomies.
6.3.19. Program 18 "TUR-P Bipolar TUR" (Bipolar TUR only for ARC 350 and ARC 350L)
• Both cutting and coagulation are possible in the bipolar
application.
• Use the connection socket for monopolar instruments 40 for
monopolar TUR.
• Use the connection socket for bipolar instruments 43 for
bipolar TUR.
• In the bipolar application, the output is adjusted via the so-
called “effect”. The higher the effect number (0 to 9), the higher the degree of coagulation.
• Only coagulation current is available at “Bipolar output 4” 47.
• The standard bipolar functions are available for ARC 300 and
ARC 300G.
The shift sensor on the foot switch is locked in this program for safety reasons.
This program is used for underwater cutting in the transurethral resection of the prostate.
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52 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
In this program, the resection snare is used for cutting and coagulation. Arc control technology generates the cutting effect with simultaneously minimized power output.
ARC control facilitates immediate cutting and prevents adhesion of the electrodes.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 3” 44 are preconfigured.
X Connect the bipolar resectoscope to “Bipolar output 3” 43. X Connect the monopolar resectoscope to “Monopolar output 2” 40.
6.3.20. Program 19 "TUR-BT Bipolar TUR" (Bipolar TUR only for ARC 350 and ARC 350L)
• Both cutting and coagulation are possible in the bipolar
application.
• Use the connection socket for monopolar instruments 40 for
monopolar TUR.
• Use the connection socket for bipolar instruments 43 for
bipolar TUR.
• In the bipolar application, the output is adjusted via the so-
called "effect". The higher the effect number (0 to 9), the higher the degree of coagulation.
• Only coagulation current is available at “Bipolar output 4” 47.
• The standard bipolar functions are available for ARC 300 and
ARC 300G.
The shift sensor on the foot switch is locked in this program for safety reasons.
This program is used in hemostasis with the underwater cut in transurethral resection and in the surgical treatment of bladder tumors.
In this program, the resection snare is used for cutting and coagulation. Arc control technology generates the cutting effect with simultaneously minimized power output.
ARC control facilitates immediate cutting and prevents adhesion of the electrodes.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 3” 44 are preconfigured.
X Connect the bipolar resectoscope to "Bipolar output 3" 43. X Connect the monopolar resectoscope to "Monopolar output 2" 40.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 53
6.3.21. Program 20 “Resection Bipolar“ (bipolar resection only for ARC 350 and ARC 350L)
• Both cutting and coagulation are possible in the bipolar
application.
• Use the connection socket for monopolar instruments 40 for
monopolar TUR.
• Use the connection socket for bipolar instruments 43 for
bipolar TUR.
• In the bipolar application, the output is adjusted via the so-
called "effect". The higher the effect number (0 to 9), the higher the degree of coagulation.
• Only coagulation current is available at “Bipolar output 4” 47.
• The standard bipolar functions are available for ARC 300 and
ARC 300G.
The shift sensor on the foot switch is locked in this program for safety reasons.
This program is used in hemostasis with the underwater cut in transurethral resection with immediate vaporization of the prostate tissue.
In this program, the resection snare is used for cutting and coagulation. Arc control technology generates the cutting effect with simultaneously minimized power output. The “rollerblade electrode” is used to vaporize the prostate tissue.
ARC control facilitates immediate cutting and prevents adhesion of the electrodes.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 3” 44 are preconfigured.
X Connect the bipolar resectoscope to “Bipolar output 3” 43. X Connect the monopolar resectoscope to “Monopolar output 2” 40.
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54 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
6.3.22. Program 21 "GastroCUT Pol" (optional for ARC 300)
This program is used in gastroenterology for the removal of polyps with polypectomy snares via flexible endoscopes.
In this program, polypectomy snares are used for cutting and coagulation. Arc control technology generates the cutting effect with simultaneously minimized power output.
ARC control facilitates immediate cutting and prevents adhesion of the electrodes.
The degree of coagulation increases with an increasing blend factor.
Three modes are available in this program: fast, medium, and slow. For further information on the “GastroCut” mode, see Chapter "GastroCUT" mode, Page 27.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 4” 48 are preconfigured.
1. Connect the polypectomy snares to the socket for “Monopolar
output 2” 40 (use an adapter if necessary).
2. Connect the foot switch to the HF device.
3. Activate the HF current via the yellow key of the foot switch for
cutting. –or– Activate the HF current via the blue key of the foot switch for coagulation.
4. Set the coagulation level using the keys for scabbing level 5/6.
5. In the case of hemorrhages:
Press the key/display for “Forced Coagulation” current 13 or use a clip.
6. If necessary, remove the polypectomy snares and connect the
argon probe with the argon unit ARC PLUS.
7. Press the key/display for “Spray Coagulation” current 14.
8. Press the blue key of the foot switch for coagulation.
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6.3.23. Program 22: "GastroCUT Pap" (optional for ARC 300)
This program is used for making incisions in papillae with a papillotome via flexible endoscopes.
In this program, the papillotome is used for cutting and coagulation. Arc control technology generates the cutting effect with simultaneously minimized power output.
ARC control facilitates immediate cutting and prevents adhesion of the electrodes.
The arc is reduced as the blend factor is increased.
Three modes are available in this program: fast, medium, and slow. For further information on the “GastroCut” mode, see Chapter "GastroCUT" mode, Page 27.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 4” 48 are preconfigured.
1. Connect the papillotome to the socket for “Monopolar output 2” 40
(use an adapter if necessary).
2. Connect the foot switch to the HF device.
3. Activate the HF current via the yellow key of the foot switch for
cutting. –or– Activate the HF current via the blue key of the foot switch for coagulation.
4. Set the coagulation level using the keys for scabbing level 5/6.
5. In the case of hemorrhages:
Press the key/display for “Forced Coagulation” current 13 or use a clip.
6. If required, remove the papillotome and connect the argon probe
with the argon unit ARC PLUS.
7. Press the key/display for “Spray Coagulation” current” 14.
8. Press the blue key of the foot switch for coagulation.
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56 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
6.3.24. Program 23 “Argon Flex” (optional for ARC 300)
This program is used in argon electrosurgery with ARC PLUS. In this program, surgical interventions are carried out with endoscopic
use of flexible probes with the additional device ARC PLUS for argon electrocoagulation.
;
The key/display for “Monopolar output 2” 39 and “Bipolar output 4” 48 are preconfigured.
1. Connect the additional device ARC PLUS.
2. Connect the flexible probes to the HF device at “Monopolar
output 2” 43.
Pos: 39 /679-BOWA/ARC 300/350/7 Bedienung/7.5 Menü-Progr amme @ 4\mod_1261040640397_6. doc @ 35109 @ 233333333333 33
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6.4. Menu programs
The menu programs are standard programs which define basic parameters, such as the operating language, sound, display and memory options, for the main programs.
6.4.1. Overview
The following menu programs are available:
• Menu program 1 "Set Language"
• Menu program 2 "Sound Level"
• Menu program 3 "Moderate Coag Mode"
• Menu program 4 "BipCoag Mode"
• Menu program 5 "Forced Coag Mode"
• Menu program 5a "GastroCut Mode"
• Menu program 6 "Show Prev Inf-No"
• Menu program 7 "Hide Fix Prog"
• Menu program 8 "Autostart Delay"
• Menu program 9 "Edit Prog Names"
• Menu program 10 "Restore Programs"
• Menu program 11 "Panel Check"
Selecting a menu program
1. Simultaneously press the on/off switch 33 and the program
selection switch 17 to access the overview of the menu programs.
ª
The current software version is displayed on the display/main display 15.
2. Press the menu selection switch 16 to select the menu program.
Exiting a menu program
X Press the power limitation key for monopolar cutting 3 to return to
the overview of the menu programs.
When the HF device is switched off, the new settings will be saved automatically.
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6.4.2. Menu program 1 "Set Language"
The language of the menu programs is English and cannot be changed.
In the menu program "Set Language", set the appropriate national language for the standard programs: (G: German; E: English; F: French; I: Italian; P: Polish, S: Spanish, T: Turkish).
1. Press the power limitation key for monopolar cutting 4.
2. Press the key for scabbing level 5/6 to select the appropriate
language.
3. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
After the front plate test when the device is switched on, the selected language is shown with a code letter on the "Bipolar Coag" display 29.
6.4.3. Menu program 2 "Sound Level"
Set the volume of the individual activation signals in the menu program "Sound Level".
1. Press the power limitation key for monopolar cutting 4.
2. Press the key for scabbing level 5/6 to change the volume.
3. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
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900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 59
6.4.4. Menu program 3 "Moderate Coag Mode"
For further information on the “Moderate Coag” mode, see Chapter "Moderate Coag" mode, Page 25.
In the “Moderate Coag Mode” menu, it is possible to change the mode for moderate coagulation.
The following modes are available in menu program 3:
• Standard mode
• Dessication 1, 2, and 3
1. Press the power limitation key for monopolar cutting 4.
2. Press the key for scabbing level 5/6 to select the desired mode.
ª
The selected mode is saved and displayed for 3 seconds on the bipolar coag display 29 after switching on the device.
3. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
6.4.5. Menu program 4 "Bip Coag Mode"
In the "Bipolar Coag Mode" menu you can change the mode of forced coagulation.
The following modes are available in menu program 4:
• Standard COAG Mode
• Soft COAG Mode
• AUTOSTART is not available in "Soft COAG" mode.
• For further information on the “Soft COAG Mode”, see
Chapter "Soft COAG" mode, Page 28.
1. Press the power limitation key for monopolar cutting 4.
2. Press the key for scabbing level 5/6 to select the desired mode.
ª
The selected mode is saved and displayed for 3 seconds on the bipolar coag display 29 after switching on the device.
3. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
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60 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
6.4.6. Menu program 5 "Forced Coag Mode"
In "Forced Coag Mode", set the cutting/coagulation specifications for the "Forced Coag" current.
For further information on the “Forced Coag Mode”, see Chapter "Forced Coag" mode, Page 26.
1. Press the power limitation key for monopolar cutting 4.
2. Press the key for scabbing level 5/6 to change the forced
coagulation mode.
3. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
6.4.7. Menu program 5a “GastroCut Mode”
For further information on the “GastroCut Mode”, see Chapter "GastroCUT" mode, Page 27.
1. Press the power limitation key for monopolar cutting 4.
2. Press the key for scabbing level 5/6 to toggle between slow
"GastroCUT" (slow, non-accelerated), dynamic "GastroCUT" (default, medium) and fast dynamic "GastroCUT" (accelerated, fast).
3. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
6.4.8. Menu program 6 "Show Prev Inf-No"
The errors saved in the HF device are called up in the menu program "Show Prev Inf-No".
1. Press the power limitation key for monopolar cutting 4.
2. Press the key for scabbing level 5 to call up the individual error.
ª
The error number will appear on the main display 15.
3. Press the key/display for AUTOSTART 32 to call up the last 10
errors.
ª
The error number will appear on the main display 15.
4. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
The service manual contains further information on menu program 6.
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6.4.9. Menu program 7 "Hide Fix Prog"
Standard programs that are not required are hidden in the menu program "Hide Fix Prog".
1. Press the power limitation key for monopolar cutting 4.
2. Press the power limitation key for bipolar coagulation 31 to display
all standard programs.
ª
“All fixpgm active” appears on the main display 15.
3. Press the power limitation key for bipolar coagulation 30 to hide all
standard programs.
ª
“No fixpgm active” appears on the main display 15. –or– Press the key/display for AUTOSTART 32 to show/hide individual standard programs.
4. Press program key 16/17 to browse the standard programs.
5. Press the power limitation key for monopolar coagulation 10 to hide
the standard program. –or– Press the power limitation key for monopolar coagulation 11 to show the standard program.
6. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
6.4.10. Menu program 8 "Autostart Delay"
In the menu program “Autostart Delay”, the start-up delay period and post-run time are changed in the AUTOSTART mode.
1. Press the power limitation key for monopolar cutting 4.
2. Press the power limitation key for monopolar coagulation 10/11 to
adjust the start-up delay in 50 ms increments (from 50-2500 ms).
3. Press the power limitation key for bipolar coagulation 30/31 to
adjust the post-run time in 100 ms increments (from 0-2500 ms).
4. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
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6.4.11. Menu program 9 "Edit Prog Names"
In the menu program “Edit Prog Names”, freely available programs are edited with an individual text in the display/main display.
X Press the power limitation key for monopolar cutting 4.
Editing text in the display/main display
1. Press the program key 16/17 to select the program to be edited.
2. Press the key/display 12 for moderate coagulation.
3. Press the key for scabbing level 25 or 26 to select a letter or
character.
4. Press the power limitation key for monopolar coagulation 10/11 to
toggle between upper and lower case.
5. Press the power limitation key for monopolar cutting 4 to select the
next letter or character.
6. Press the power limitation key for monopolar cutting 3 to delete the
last letter or character.
7. Press the key/display for AUTOSTART 32 to save entered names.
8. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
Deleting the text in the display/main display
All HF parameters of the deleted programs will likewise be deleted.
1. Press the power limitation key for bipolar coagulation 30 and the
key/display for AUTOSTART 32 to delete the entire text entry for the selected program.
2. Press the power limitation key for bipolar coagulation 31 and the
key/display for AUTOSTART 32 to delete all entries in the freely selectable HF programs (24-99).
3. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
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6.4.12. Menu program 10 "Restore Programs"
In the menu program “Restore Programs”, all standard program parameters which have been changed in the HF device will be reset to the factory settings.
1. Press the power limitation key for monopolar cutting 4 to reset the
standard programs (0-23).
2. Press the key/display for AUTOSTART 32 to confirm the reset.
ª
After the restoration procedure has been completed, the program automatically returns to the menu programs.
6.4.13. Menu program 11 "Panel Check"
In the menu program “Panel Check”, all lighting components on the operating panel are activated.
1. Press the power limitation key for monopolar cutting 4 to activate
all lighting components.
2. Press the power limitation key for monopolar cutting 3 to return to
the menu programs.
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Page 64
7 Detecting and correcting errors
64 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
7. Detecting and correcting errors
Two types of errors can occur:
• system errors
• errors in the EASY monitoring
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7.1. System- errors
When a system error occurs, the error indicator 18 lights up red. “INF” appears on the display “Monopolar Cut” 2 and a one to three digit error code on the display “Monopolar Coag” 9.
7.1.1. Error list
Optical and acoustic signals indicating errors
The error messages are accompanied by optical and acoustic signals. Furthermore, the generator cancels activation if certain errors occur and the system is reset.
Optical and acoustic signals:
Signals Designation
“Output error” indicator lights up red
Display and storage of the message number
Acoustic warning signal sounds
System events:
System events Designation
System reset
Generator cancels activation
Page 65
7 Detecting and correcting errors
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 65
Error no. (INF)
Signa­ls/System events
Cause Corrective measures
1
Defective cable or output set too low
X Check/Replace the cable. X Set the output higher.
2
Defective cable or output set too low
X Check/Replace the cable. X Set the output higher.
11
Constant power is output at a constant resistance over a longer period.
X Check the connection and the
accessories.
40
Additional device ARC PLUS not connected / not switched on / offline
X Switch the additional device ARC
PLUS on.
X Check the connection to the interface.
43
Key on front plate pressed when switching on the unit
X Switch on the device using the on/off
switch 33 and do not actuate any other operating elements at the same time.
44
Finger or foot switch activation is pending when the device is switched on
X Switch on the device using the on/off
switch 33 and do not actuate any other operating elements at the same time.
45
Both keys of the handpiece have been actuated at the same time
X Press only one key of the handpiece
at a time.
46
Both pedals of the double-pedal foot switch have been activated simultaneously
X Activate only one pedal of the double-
pedal foot switch.
47
No power set for the activated output
X Set the power for the activated output.
49
Connection socket activated via finger and foot switches At the end of activation a different activation signal is pending for the same socket
X Activate the output via the finger or
foot switch one after the other.
Page 66
7 Detecting and correcting errors
66 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Error no. (INF)
Signa­ls/System events
Cause Corrective measures
61
Tissue contact is already pending upon activation of the AUTOSTART mode
X Remove the instrument from the
tissue and re-activate AUTOSTART.
80
Ligation instrument is heavily soiled or tissue is too dry
X Clean the ligation instrument. X Check the cable and the instrument. X Select a new ligation site.
81
Ligation instrument is defective or has short circuited.
X Replace the ligation instrument. X Select a new ligation site.
90
Papillotome or snare is not applied
X Apply the papillotome or the snare.
91
Instrument for GastroCut application defective or has short circuited
X Replace the Gastro instrument. X
Select a new point of application.
92
Excessive low-resistance activation (e.g. in saline)
X Ensure that the instrument has
sufficient contact with the tissue for coagulation/cutting prior to activating the device.
100-104
EASY neutral electrode error
X Check the neutral electrode and the
neutral electrode cable; see Chapter EASY neutral electrode monitoring (EASY monitoring), Page 30.
144
HF device goes into a protective state due to an insufficient power supply of the arc sensor
X Switch the HF device on using the
on/off switch 33.
X In the case of continuing error
messages, contact the BOWA Service Dept., see Chapter Technical service, Page 72.
148
System voltage too low
X Ensure constant system voltage. X
If necessary, connect a UPS.
Page 67
7 Detecting and correcting errors
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 67
Error no. (INF)
Signa­ls/System events
Cause Corrective measures
149
• 3-pin plug of the
handpiece has been inserted incorrectly
• Handpiece possibly
defective
• Monopolar 4 mm
connection cable has been connected to output 2 40 in the right-hand 4 mm connection socket
X
Check the handpiece.
X Replace the handpiece. X Connect the 4 mm connection cable
to output 2 40 in the left-hand 4 mm connection socket.
X Contact the service department if an error cannot be corrected with
the measures listed; see Chapter Technical service, Page 72.
Errors not listed
X Contact the service department regarding errors that are not shown
in the error list; see Chapter Technical service, Page 72.
X If the expected change in the tissue does not occur and no error
message appears, check the parameters and the accessory connections.
Page 68
7 Detecting and correcting errors
68 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
7.2. Errors in the EASY monitoring
When working with a split neutral electrode, the following errors may occur:
EASY monitoring 20
Cause Indicator Corrective measures
Flashes green Significant increase in
resistance
–
Application must not be terminated.
When the monopolar current is activated, a significant problem occurs
An acoustic signal sounds. A corresponding “INF” - "xxx" message appears on the 7­segment indicator “Monopolar Cut” 2 and the 7­segment indicator “Monopolar Coag” 9.
X Check the neutral
electrode and the neutral electrode cable; see Chapter EASY neutral electrode monitoring (EASY monitoring), Page 30.
X Check the neutral
electrode cable for proper contact and external damage.
Switches from green to continuous red
Loosening electrode An acoustic signal sounds.
The corresponding “INF” – “xxx” message appears. The device's electronics system switches off the monopolar outputs of the connection sockets 36 and
40.
X Correct the position of
the neutral electrode. In the case of continuing error messages, replace the neutral electrode.
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Page 69
8 Preparation
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 69
8. Preparation
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8.1. Preparation of the accessories
X Prepare the accessories (e.g. surgical handles, instruments, active
electrodes, neutral electrodes and cables) as described in the corresponding operating manuals.
X Check the accessories before and after use for damage and to
ensure that they are working properly.
8.2. Disinfection and cleaning
NOTE
Incorrect handling of the HF device can cause damage to the unit!
X Never sterilize the HF devices ARC 300/350. Clean or disinfect
them instead.
WARNING
Risk of electric shock and fire!
X Unplug the power connection before cleaning the device. X For cleaning surfaces, use the approved cleaning
agents/disinfectants only as specified by the manufacturer.
X Ensure that no liquid penetrates the device. X Ensure that the AUTOSTART function is deactivated.
1. Apply the cleaning agent and disinfectant.
2. Wipe the agent off with a sponge moistened with clean water or
with a cloth.
3. Dry the device using a clean, lint-free cloth.
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Page 70
9 Maintenance/Repair
70 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
9. Maintenance/Repair
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9.1. Maintenance
X Check the device, the device trolley and the accessories (e.g. foot
switch, cable) after each use for damage or defects. In particular, make sure that the insulation is intact on all cables.
X Do not use any damaged device, damaged device trolley or
damaged accessories.
X Replace defective accessories immediately. X Have the safety inspection for the device performed once a year.
9.1.1. Safety inspection
Safety inspections must be performed once a year. X The device and accessories may be inspected only by persons
who have the required training, knowledge or experience and who can perform the inspection independently.
X With regard to the safety inspection, you must comply with the
country-specific rules and regulations.
The inspector documents the inspection results and measured values corresponding to the printed inspection protocol.
In the case of severe deviations from the values of the attached final acceptance report, or if the specified maximum values were exceeded:
X Send the HF device to the service center; see Chapter Technical
service, Page 72.
Page 71
9 Maintenance/Repair
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 71
9.2. Repairs
NOTE
You can damage the HF device by doing your own repairs and modifications of medical equipment!
X If a repair is necessary, have it done only by the service center
specified below.
X Never carry out any repairs yourself.
BOWA is liable for safety, reliability and performance of the HF device under the following conditions:
• full compliance with all instructions regarding the installation
and proper use for the intended purpose contained in this operating manual was maintained.
• changes, repairs, new settings and similar procedures were
carried out only by persons authorized to do this work by BOWA.
• the electrical installations in the relevant room meet the local
requirements and statutory provisions.
The following information is required for returning the device:
Fast and satisfactory repairs can only be guaranteed when all required data have been supplied in full.
• complete address
• model number
• serial number
• software version
X Describe the problem, the appropriate application and the
accessories used.
–Or– X Describe the repairs to be made.
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Page 72
9 Maintenance/Repair
72 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
9.3. Technical service
Contact the following service center for maintenance and repair work: BOWA-electronic GmbH & Co. KG Heinrich-Hertz-Strasse 4–10 72810 Gomaringen, Germany Phone +49 (0) 7072-6002-0 Fax +49 (0) 7072-6002-33 or visit our Web site: www.bowa-medical.com
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Page 73
10 Positioning
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 73
10. Positioning
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X If you store the HF device longer than one year, pay particular
attention to the indicators of the automatic function tests; see Chapter Monitoring functions, Page 29.
X Clean the HF device thoroughly before you put it into storage. X Store the HF device in a clean, dry place in accordance with the
storage conditions.
Storage conditions:
• Temperature: -20 °C to +50 °C
• Relative humidity 0 to 75%, no condensation
• Atmospheric pressure: 500 to 1600 mbar
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Page 74
11 Technical specifications
74 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
11. Technical specifications
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11.1. Technical specifications for the HF devices ARC 300 and ARC 350
Insulation type / Classification
EMC IEC 60601-1-2
Level of protection provided by the housing IP 21
Protection class according to EN 60601-1 I
Type of application component as specified in EN 60601-1
CF
Compliance with standards IEC 60601-1: 1988,
IEC 60601-1-A1: 1991, IEC 60601-1-A2: 1995, IEC 60529:1989+A1:1999, IEC 60601-1-1: 2000 (in combination with ARC PLUS) IEC 60601-1-2: 2001, IEC 60601-1-4: 2000, IEC 60601-2-2: 1998, IEC 61000-3-2: 2001, ISO 14971: 2000
Classification as per EC Directive 93/42/EEC IIb
Power connection
Power consumption in standby mode 25 VA
Line frequency 50/60 Hz
Max. power consumption with an HF power output of 300 W
500 VA
Connection for potential equalization line Yes
Voltage range: 230 V
Input voltage range 198 V to 260 V
Current consumption in standby mode 110 mA
Current consumption at max. HF output 3.2 A
Mains fuses 2 x 4 A slow-blow
Voltage range: 100 V
Input voltage range 90 V to 110 V
Current consumption in standby mode 220 mA
Current consumption at max. HF output 6.4 A
Mains fuses 2 x 8 A slow-blow
Voltage range: 115 V
Input voltage range 100 V to 130 V
Current consumption in standby mode 220 mA
Current consumption at max. HF output 6.4 A
Mains fuses 2 x 8 A slow-blow
Page 75
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 75
Dimensions and weight
External dimensions: width x height x depth (mm) 430 x 180 x 400
Weight Approx. 14 kg
Programs
Number of programs in the device 100
Standard programs, factory set √
Individually programmable √
Program number and information shown on the display
√
Monitoring of the neutral electrode
EASY: Electrode Application System √
Indicator for solid or split electrode on the front panel
√
Indication of the transition resistance between the section surfaces of the split
√
neutral electrode on the display √
Indication of the line resistance when using a solid neutral electrode on the display
√
Max. resistance between the section surfaces of split electrodes
250 Ω
Warning signal in the case of risk under the neutral electrode
Visual, acoustic
Warning indicator as a text on the display: √
Safety features
ISSys: Integrated safety system √
Continuous monitoring of the HF leakage current with error messages
√
Monitoring of the dosage, error message on the display
√
Continuous self-test √ Continuous status indication on the display
√
Display of operating errors on the display √
Display of system errors on the display √
Page 76
11 Technical specifications
76 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Documentation
Recording and storage of data in the device √
Error statuses √
Operating errors √
Retrieval of these data via the display √
Communication
External interface for communication with the ARC PLUS
√
External PC interface using BOWA software √
Service support using BOWA software √
Service support
Service support integrated in the device via service programs
√
Service support via ISSys √
Cooling
Convection √
Temperature-controlled fan √
Operating mode
Operating mode 10 / 30 sec
Page 77
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 77
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2, type 3 pin
+ Bovie (socket 2)
Activation
with finger switch,
both outputs
Activation with foot switch,
one output
Monopolar cutting 049zHk
033la
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i o su
n
i s
seyse
y
Vp for "Monopolar Cut"
3 places 300 W 1 to 300 W,
adjustable in 1
W steps
1 digit or
–15 %
10
levels
600 Vp
for "MicroCUT/MacroCUT"
30 W
for "MicroCUT"
1 to 30 W,
adjustable in 1
W steps
75 W
for "MacroCUT"
1 to 75 W,
adjustable in 1
W steps
Monopolar cutting "DryCut"
yes yes sinusoidal,
modulated
,W 002 ot 1
W 002secalp 3
p V 05
5 1
zHk
0 33
adjustable in 1
W steps
1 digit or
–15 %
10
levels
2, type 3 pin
+ Bovie (socket 2)
Activation
with finger switch,
both outputs
Activation with foot switch,
one output
Monopolar cutting
"CardiacCUT"
,W 09 ot 1W 09secalp 2pV 005 2zHM 1eslup
adjustable in 1
W steps
1 digit or
–15 %
2, type 3 pin
+ Bovie (socket 2)
Activation
with finger switch,
both outputs
Activation with foot switch,
one output
Monopolar cutting
"GastroCUT"
Mode: Slow
yes yes sinusoidal,
modulated
eivoB + mm 4 ,nip 3 epyt ,2sey slevel 01p
V
000 1zHk 033
Activation with foot switch
Monopolar cutting
"GastroCUT"
Mode: Medium
yes yes sinusoidal,
modulated
eivoB + mm 4 ,nip 3 epyt ,2sey slevel 01pV 000
1zHk 033
Activation with foot switch
Monopolar cutting
"GastroCUT"
Mode: Fast
yes yes sinusoidal,
modulated
eivoB + mm 4 ,nip 3 e
pyt ,2sey slevel 01pV 0001zHk 033
Activation with foot switch
Monopolar coagulation
"SimCOAG"
, W 0 21 ot
1W 0
21
se c
a
l p
3
p V 0
0 2
3
zH
M 1
e sl
u p
adjustable in 1
W steps
1 digit or
–15 %
2, type 3 pin
+ Bovie (socket 2)
Activation
with finger switch,
both outputs
Activation with foot switch,
one output
Monopolar "Moderate
Contact Coagulation"
p V 0
71zH
k 03
3
l adio
s uni
s
for "Standard"
120 W 1 to 120 W,
adjustable in 1
W steps
1 digit or
–15 %
2.0 A
2 300 Vp
for "Desiccate 1"
340 Vp
for "Desiccate 2"
5 to 120 W,
adjustable in 1
W steps
500 Vp
for "Desiccate 3"
1 540 Vp
for "Desiccate 4"
1 to 120 W,
adjustable in 1
W steps
140 Vp
for "Micro Moderate Coag"
2 places 30 W
for "Micro Moderate
Contact Coagulation"
1 to 30 W,
adjustable in 1
W steps
2, type 3 pin
+ Bovie (socket 2)
Activation
with finger switch,
both outputs
Activation with foot switch,
one output
2, type 3 pin
+ Bovie (socket 2)
Activation
with finger switch,
both outputs
Activation with foot switch,
one output
3 places
Page 78
11 Technical specifications
78 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
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Monopolar "Forced
Coagulation"
pulse,
modulated
pV
032 2
zH
M 1
for "Cutting Mode"
3 places 120 W 1 to 120 W,
adjustable in 1
W steps
1 digit or
–15 %
3 200 Vp
for "Mixed Coag Mode"
4 880 Vp
for "Non Cutting Mode"
1 100 Vp
for "Micro Cutting Mode"
2 places 30 W 1 to 30 W,
adjustable in 1
W steps
2 700 Vp
for "Micro Mixed Mode"
3 940 Vp
for "Micro Non Cutting Mode"
3 700 Vp
for "GastroCUT Forced COAG"
50 W 1 to 50 W,
adjustable in 1
W steps
Activation with foot switch,
one output
Monopolar "Spray
Coagulation"
pulse,
modulated
pV 007 5zHM
1
for "Spay COAG"
3 places 120 W 1 to 120 W,
adjustable in 1
W steps
1 digit or
–15 %
Monopolar "Argon Plasma
Coagulation"
pulse,
modulated
pV 002 5zHM 1
for program Argon flex "Spay COAG I"
3 places 120 W 1 to 120 W,
adjustable in 1
W steps
1 digit or
–15 %
1, type 3 pin
+ Bovie (socket 2)
4 020 Vp
for Program Argon Open and ArgonLigation "Spray
COAG II"
Activation with finger switch
on socket 1
Monopolar coagulation
"Local Anaesthesia"
"Local Anaesthesia Spray"
sinusoidal,
modulated
pV 541 2zHk 033
for "Local Anaesthesia"
2 places 40 W 1 to 40 W,
adjustable in 1
W steps
1 digit or
–15 %
2 700 Vp
for "Local Anaesthesia Spray"
30 W 1 to 30 W,
adjustable in 1
W steps
Monopolar coagulation
"CardiacCOAG"
,W 09 ot 1W 09secalp 2 pV 005 2zHM 1eslup
adjustable in 1
W steps
1 digit or
–15 %
2, type 3 pin + Bovie
(socket 2)
Activation
with finger switch,
both outputs
Activation with foot switch,
one output
2, type 3 pin
+ Bovie (socket 2)
Activation
with finger switch,
both outputs
Activation with foot switch,
one output
2, type 3 pin
+ Bovie (socket 2)
Activation
with finger switch,
both outputs
Activation with foot switch,
one output
2, type 3 pin
+ Bovie (socket 2)
Activation
with finger switch,
both outputs
Activation with foot switch,
one output
3 000 Vp
for "Micro Spray Coagulation"
30 W 1 to 30 W,
adjustable in 1
W steps
Page 79
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 79
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c
u
r
a
c
y
o
f
H
F
p
o
w
e
r
l
i
m
i
t
a
t
i
o
n
B
l
e
n
d
/
E
f
f
e
c
t
s
e
t
t
i
n
g
O
u
t
p
u
t
s
M
a
x
.
o
u
t
p
u
t
c
u
r
r
e
n
t
Bipolar cutting
(only ARC 350)
,W 051 ot 1W 051secalp
3pV
0 35zH
k 03
3ladio
s unis
s ey
s ey
adjustable in 1
W steps
1 digit or
–15 %
10
levels
2, type 3 pin
2 places 30 W
for "Micro Bipolar
Cutting"
1 to 30 W,
adjustable in 1
W steps
Activation with foot switch,
both outputs
Bipolar "Contact
Coagulation"
pV
07 1zH
k 03
3
l adio
s uni
s
for "Standard COAG",
"Soft COAG"
3 places 120 W 1 to 120 W,
adjustable in 1
W steps
1 digit or
–15 %
2.0 A
160 Vp
for "Micro Bipolar Coag"
2 places 50 W 1 to 50 W,
adjustable in 1
W steps
175 Vp
for "Micro Neuro Bipolar Coag"
2 places 120 W 0.1 W to 1 W
0.1 W Grading
1 W to 5 W
0.2 W Grading
5 W to 10 W
0.5 W Grading
10 W to 50 W
1 W
Grading
Bipolar Contact High
Current "Ligation" (only
ARC 350)
pV
002zHk 0
33ladio
sunis
for "Ligation programs"
3 places 245 W at 25
20 to 200 W,
adjustable in 5
W steps
1 digit or
–15 %
1, type 3 pin
Activation with foot switch on
4.0 A
Bipolar "TUR CUT"
(only ARC 350)
nip 3 epyt ,1seyW 083slevel 01pV 019zHk 033ladiosunisseysey
Activation with foot switch on
socket 3
Bipolar "TUR COAG"
(only ARC 350)
nip 3 e
p yt ,1seyW
002s
l ev
e
l 0
1
p V 0 81zH
k 0
3 3
l adio
s unis
Activation with foot switch on
socket 3
2, type 2 pin
Activation with foot switch,
both outputs
Activation
with AUTO START,
both outputs
(not with Soft COAG, Micro
Neuro and TUR programs)
Pos: 51 /679-BOWA/ARC 300/350/12 Technische Daten/12.2 Leis tungs-. Spannungs- und Stromdiagramme @ 4\mod_1 261040732147_6. doc @ 35337 @ 2
Page 80
11 Technical specifications
80 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
11.2. Output, voltage and current diagrams
Setting Program Monopolar Cut 0-5, 16-20,
11 (31 W and above), 23 (only socket 1), 24-99 (socket 1+2)
ARC350MCTUR_SE_080124_1
0
50
100
150
200
250
300
350
10 100 1000 10000
R [Ω]
P [W]
Blend 4-9
Blend 3
Blend 2
Blend 0, 1
Measurement of resistances without arcing
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Monopolar Cut” = 300 W/150 W
ARC350MCTUR_SE_080124_2
0
50
100
150
200
250
300
350
10 100 1000 10000
R [
]
P [W]
Blend 6, 7
Blend 3, 4, 5
Blend 2
Blend 0, 1
Blend 8, 9
Measurement of resistances with prior arcing
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Monopolar Cut” = 300 W/150 W
ARC350MCTUR_SE_080125_3
0
50
100
150
200
250
300
0 0 100 150 200 250 300
displayed value
P [W]
• Diagram of power output P [W] as a
function of the "Monopolar Cut" setting. Measured load resistance = 500 Ω
ARC350MCTUR_SE_080125_4
0
100
200
300
400
500
600
700
800
900
1000
0 50 100 150 200 250 300
displayed value
U [Vp]
Blend 6, 7
Blend 3, 4 5
Blend 2
Blend 8, 9
Blend 0, 1
• Diagram of HF output voltage U [Vp] as a function of the "Monopolar Cut" setting (idle mode)
Page 81
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 81
Setting Program MicroCUT 7, 10,
11 (up to 30 W)
MacroCUT 6, 8, 9
0
5
10
15
20
25
30
35
10 100 1000 10000
P [W]
Blend 9
Blend 8
Blend 7
Blend 6
Blend 5
Blend 4
Blend 3
Blend 2
Blend 1
Blend 0
ARC350MPC_SE_080124_1
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “MicroCUT” = 30 W/15 W
Blend 9
Blend 8
Blend 7
Blend 6
Blend 5
Blend 4
Blend 3
Blend 2
Blend 1
Blend 0
0
10
20
30
40
50
60
70
80
10 100 1000 10000
P [W]
ARC350MPC_SE_080124_2
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “MacroCUT” = 75 W/38 W
ARC350MPC_SE_080124_3
0
10
20
30
40
50
60
70
80
01020304050607080
displayed value
P [W]
P
max
Micro Programme
P
max
Macro, Local Anestesia, HNO
• Diagram of power output P [W] as a
function of the "MacroCUT" setting. Measured load resistance = 500 Ω
Blend 8
Blend 7
Blend 6
Blend 9
Blend 4
Blend 3
Blend 2
Blend 5
Blend 0
Blend 1
ARC350MPC_SE_080124_4
0
010203040506070
100
200
300
400
500
600
700
displayed value
U [Vp]
P MicroCUT
max
• Diagram of HF output voltage U [Vp] as a function of the "Blend" setting (idle mode)
Page 82
11 Technical specifications
82 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Setting Program DryCUT 12
ARC350DC_SE_080124_1
0
50
100
150
200
250
10 100 1000 10000
P [W]
DryCut 100W Blend 0-9
DryCut 200W Blend 0-9
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “DryCUT” = 200 W/100 W
ARC350DC_SE_080125_2
0
20
40
60
80
100
140
120
180
160
200
0 20 40 60 80 100 120 140 160 180 200
displayed value
P [W]
• Diagram of power output P [W] as a
function of the "DryCUT" setting. Measured load resistance = 500 Ω
Blend 0-9
ARC350DC_SE_080124_3
0
200
600
1000
1400
400
800
1200
1600
1800
0 20 40 60 80 120100 140 160 180 200
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the "DryCUT" setting (idle mode)
Page 83
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 83
Setting Program GastroCUT Pol 21
ARC350GCPol_SE_100111_1
0
100
200
300
400
500
600
10
100
1000
10000
R [Ohm]
P [W]
Cut Phase
Coag Phase Blend 9
Coag Phase Blend 5-8
Coag Phase Blend 4
Coag Phase Blend 3
Coag Phase Blend 2
Coag Phase Blend 1
Coag Phase Blend 0
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “GastroCUT Pol” “Blend 0-9”
Blend
1000 1000 1000 1000 1000 1000 1000 1000 1000
1000
• Diagram of HF output voltage U [Vp] as
a function of the “GastroCUT Pol” “Blend 0-9” (idle mode)
ARC350GCPol_SE_100111_2
0
50
100
150
200
250
300
0123456789
Blend
P [W]
Coag Phase Cut Phase = 520 W
• Diagram of power output P [W] as a function of the “Blend” setting for “GastroCUT Pol”
The short-term peak power exceeds 400 W. However, this is still permissible since the mean value from 1 second is below 400 W.
Page 84
11 Technical specifications
84 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Setting Program GastroCUT Pap 22
ARC350GCPap_SE_10011_1
0
10
20
30
40
50
60
70
10
100
1000
10000
R [Ohm]
P [W]
Coag Phase Blend 9
Coag Phase Blend 8
Coag Phase Blend 7
Coag Phase Blend 6
Coag Phase Blend 5
Coag Phase Blend 4
Coag Phase Blend 2,3
Coag Phase Blend 0,1
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “GastroCUT Pap” “Blend 0-9” during the Coag phase
ARC350GCPap_SE_100111_3
0
100
200
300
400
500
600
10
100
1000
10000
R [Ohm]
P [W]
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “GastroCUT Pap” during the Cut phase
ARC350GCPap_SE_100111_2
0
10
20
30
40
50
60
70
0123456789
Blend
P [W]
Coag Phase Cut Phase = 520 W
• Diagram of power output P [W] as a
function of the “Blend” setting for “GastroCUT Pap”
Blend
1000 1000 1000 1000 1000 1000 1000 1000 1000
1000
• Diagram of HF output voltage U [Vp] as a function of the “GastroCUT Pap” “Blend 0-9” (idle mode)
The short-term peak power exceeds 400 W. However, this is still permissible since the mean value from 1 second is below 400 W.
Page 85
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 85
Setting Program CardiacCUT 14, 15
ARC350CCUT_SE_080124_1
0
10
20
30
40
50
60
70
80
90
100
10 100 1000 10000
P [W]
CardiacCut 90W CardiacCut 45W
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “CardiacCUT” = 90 W/45 W
ARC350CCUT_SE_080124_2
0
10
20
30
40
50
70
60
80
90
0102030405060708090
displayed value
P [W]
• Diagram of power output P [W] as a
function of the “CardiacCUT” setting. Measured load resistance = 500 Ω
ARC350CCUT_SE_080124_3
0
500
1000
1500
2000
2500
3000
0
displayed value
U [Vp]
10 20
30 40
6050 70 80 90
• Diagram of HF output voltage U [Vp] as a function of the "CardiacCUT" setting (idle mode)
Page 86
11 Technical specifications
86 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Setting Program SimCOAG 13
ARC350SCOAG_SE_080125_1
0
20
40
60
80
100
120
140
10 100 1000 10000
P [W]
SimCOAG P=60W
SimCOAG P=120W
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “SimCOAG” = 120 W/60 W
ARC350SCOAG_SE_080125_2
0
20
40
60
80
100
120
0 20 40 60 80 100 120
displayed value
P [W]
• Diagram of power output P [W] as a
function of the “SimCOAG” setting. Measured load resistance = 500 Ω
ARC350SCOAG_SE_080125_3
0
500
1000
1500
2000
2500
3000
3500
0 20 40 60 80 100 120
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “SimCOAG” setting (idle mode)
Page 87
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 87
Setting Program Moderate COAG Standard 0-6, 9, 12, 14-16, 17,
11 (31 W and above), 23 (only socket 1) 24-99 (socket 1+2)
ARC350MBCOAG_SE_080124_1
0
20
40
60
80
100
120
140
10 100 1000 10000
P[W]
P=60W
P=120W
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Moderate COAG Standard” = 120 W/60 W
ARC350MBCOAG_SE_080124_2
0
20
40
60
80
100
120
0 20 40 60 80 100 120
displayed value
P [W]
• Diagram of power output P [W] as a
function of the “Moderate COAG Standard” setting. Measured load resistance = 75 Ω
ARC350MBCOAG_SE_080124_3
0
20
40
60
80
100
120
140
160
180
200
0 20 40 60 80 100 120
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “Moderate COAG Standard” setting (idle mode)
Page 88
11 Technical specifications
88 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Setting Program Moderate COAG Dessication 1 0-6, 9, 12, 14-16, 17, 24-9 9 (socket 1+2),
23 (only socket 1)
ARC350MCD1_SE_080124_1
0
20
40
60
80
100
120
140
10 100 1000 10000
P [W]
Desiccate 1 60W
Desiccate 1 120W
Measurement of resistances after prior arcing
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Moderate COAG Dessication 1” = 120 W/60 W
ARC350MCD1_SE_080124_2
0
20
40
60
80
100
120
0 20 40 60 80 100 120
displayed value
P [W]
• Diagram of power output P [W] as a
function of the “Moderate COAG Dessication 1” setting. Measured load resistance = 500 Ω
• Diagram of HF output voltage U [Vp] as a function of the “Moderate COAG Dessication 1” setting (idle mode)
Page 89
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 89
Setting Program Moderate COAG Dessication 2 0-6, 9, 12, 14-16, 17, 24-9 9 (socket 1+2),
23 (only socket 1)
ARC350MCD2_SE_080124_1
0
20
40
60
80
100
120
140
10 100 1000 10000
P [W]
Desiccate 2 60W
Desiccate 2 120W
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Moderate COAG Dessication 2” = 120 W/60 W
ARC350MCD2_SE_080124_2
0
20
40
60
80
100
120
0 20 40 60 80 100 120
displayed value
P [W]
• Diagram of power output P [W] as a
function of the “Moderate COAG Dessication 2” setting. Measured load resistance = 200 Ω
ARC350MCD2_SE_080125_3
0
100
200
300
400
0 20 40 60 80 100 120
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “Moderate COAG Dessication 2” setting (idle mode)
Page 90
11 Technical specifications
90 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Setting Program Moderate COAG Dessication 3 0-6, 9, 12, 14-16, 17, 24-9 9 (socket 1+2),
23 (only socket 1)
Dessicate 3 60W
Dessicate 3 120W
ARC350MCD3_SE_080124_2
0
20
40
60
80
100
120
140
10 100 1000 10000
R [
]
P [W]
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Moderate COAG Dessication 3” = 120 W/60 W
ARC350MCD3_SE_080124_2
0
20
40
60
80
100
120
0 20 40 60 80 100 120
displayed value
P [W]
• Diagram of power output P [W] as a
function of the “Moderate COAG Dessication 3” setting. Measured load resistance = 500 Ω
ARC350MCD3_SE_080125_3
0
100
200
300
400
500
600
0 20 40 60 80 100 120
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “Moderate COAG Dessication 3” setting (idle mode)
Page 91
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 91
Setting Program Moderate COAG Dessication 4 0-6, 9, 12, 14-16, 17, 24-9 9 (socket 1+2),
23 (only socket 1)
ARC350MCD4_SE_091217_1
0
20
40
60
80
100
120
140
0000
1000
10
010
1
R [Ω]
P [W]
P = 120 W
P = 60 W
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Moderate COAG Dessication 4” = 120 W/60 W
ARC350MCD1_SE_080124_2
0
20
40
60
80
100
120
0 20 40 60 80 100 120
displayed value
P [W]
• Diagram of power output P [W] as a
function of the “Moderate COAG Dessication 4” setting. Measured load resistance = 500 Ω
ARC350MCD4_SE_091217_3
0
200
400
600
800
1000
1200
1400
1600
1800
0 20406080100120
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “Moderate COAG Dessication 4” setting (idle mode)
Page 92
11 Technical specifications
92 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Setting Program Micro Moderate COAG 7, 8, 10,
11 (up to 30 W)
ARC350MMCOAG_SE_080124_1
0
5
10
15
20
25
30
35
10 100 1000 10000
P [W]
Micro Moderate COAG 15W
Micro Moderate COAG 30W
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Micro Moderate COAG” = 30 W/15 W
ARC350MMCOAG_SE_080124_2
0
10
5
20
15
25
30
0102025155 30
displayed value
P [W]
• Diagram of power output P [W] as a
function of the "Micro Moderate COAG" setting. Measured load resistance = 125 Ω
ARC350MMCOAG_SE_080125_3
0
20
40
60
80
100
120
140
160
180
200
0 5 10 15 20 25 30
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “Micro Moderate COAG” setting (idle mode)
Page 93
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 93
Setting Program Forced COAG Non-cutting, Cutting, Mixed 0-6, 9, 12, 16, 20,
11 (31 W and above), 23 (only socket 1), 24-99 (socket 1+2)
ARC350FCOAG_SE_080124_1
0
20
40
60
80
100
120
140
10 100 1000 10000
P [W]
Forced Coag P=60W
Forced Coag P=120W
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Forced COAG Mixed, Non­cutting, Cutting” = 120 W/60 W
ARC350FCOAG_SE_080124_2
0
20
40
60
80
100
120
0 20 40 60 80 100 120
displayed value
P [W]
• Diagram of power output P [W] as a
function of the "Forced COAG Mixed, Non-cutting, Cutting" setting. Measured load resistance = 500 Ω
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
02
10
0108
060
40
2
0
displayed value
U [Vp]
ARC350FCNC_SE_080125
• Diagram of HF output voltage U [Vp] as a function of the “Non-cutting Forced COAG” setting (idle mode)
0
500
1000
1500
2000
2500
021001
08
06
0
4
0
2
0
displayed value
U [Vp]
ARC350FCC_SE_080125
• Diagram of HF output voltage U [Vp] as
a function of the “Cutting Forced COAG” setting (idle mode)
ARC350FCOAG_SE_080313_3
0
500
1500
1000
2000
2500
3000
3500
0 20 40 60 80 100 120
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “Mixed Forced COAG” setting (idle mode)
Page 94
11 Technical specifications
94 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Setting Program Forced COAG Micro Mixed, Micro Non-cutting,
Micro Cutting
7, 10, 11 (up to 30 W)
ARC350MFCOAG_SE_080124_1
0
5
10
15
20
25
30
35
10 100 1000 10000
P [W]
Micro Forced Coag P=15W
Micro Forced Coag P=30W
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for “Forced COAG Micro Mixed, Forced COAG Micro Non-cutting, Forced COAG Micro Cutting” = 30 W/15 W
ARC350MFCOAG_SE_080124_2
0
5
10
15
20
25
30
0 5 10 15 20 25 30
displayed value
P [W]
• Diagram of power output P [W] as a
function of the setting “Forced COAG Micro Mixed, Forced COAG Micro Non­cutting, Forced COAG Micro Cutting”. Measured load resistance = 500 Ω
ARC350MFCOAG_SE_080124_3
0
500
1000
1500
2000
2500
3000
0 5 10 15 20 25 30
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “Forced COAG Micro Mixed” setting (idle mode)
ARC350MFCOAG_SE_080124_5
0
500
1000
1500
2000
2500
3000
3500
4000
0 5 10 15 20 25 30
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as
a function of the “Forced COAG Micro Non-cutting” setting (idle mode)
ARC350MFCOAG_SE_080124_4
0
200
400
600
800
1000
1200
0 5 10 15 20 25 30
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “Forced COAG Micro Cutting” setting (idle mode)
Page 95
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 95
Setting Program GastroCUT ForcedCOAG 21, 22 (only Socket 2)
ARC350GCFC_SE_080125_1
0
10
20
30
40
50
60
10 100 1000 10000
P [W]
P=25W
P=50W
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “GastroCUT ForcedCOAG” = 50 W/25 W
ARC350GCFC_SE_080125_3
0
5
15
25
35
45
10
20
30
40
50
0 5 10 15
20 3025 35 40 45 50
displayed value
P [W]
• Diagram of power output P [W] as a
function of the “GastroCUT ForcedCOAG” setting. Measured load resistance = 500 Ω
ARC350GCFC_SE_080125_2
0
500
1000
1500
2000
2500
3000
3500
4000
0 5 10 15 20 25 30 35 40 45 50
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “GastroCUT ForcedCOAG” setting (idle mode)
Page 96
11 Technical specifications
96 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Setting Program Micro Spray COAG 7, 10,
11 (up to 30 W)
0
5
10
15
20
25
30
35
10 100 1000 10000
P [W]
ARC350MSCOAG_SE_080125_1
Micro Spray Coag P=15W
Micro Spray Coag P=30W
Measurement of resistances
• Diagram of power output P [W] as a function of the load resistance R [Ω] for the setting “Micro Spray COAG” = 30 W/15 W
ARC350MSCOAG_SE_080125_2
0
5
10
15
20
25
30
0 5 10 15 20 25 30
displayed value
P [W]
• Diagram of power output P [W] as a
function of the "Micro Spray COAG" setting. Measured load resistance = 500 Ω
ARC350MSCOAG_SE_080125_3
0
500
1000
1500
2000
2500
3000
3500
0 5 10 15 20 25 30
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as a function of the “Micro Spray COAG” setting (idle mode)
Page 97
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 97
Setting Program Spray COAG 0-3, 6, 9, 12-20,
4, 5 (only socket 2) 11 (31 W and above), 23 (only socket 1),
24-99 (socket 1+2) Argon Flex Spray COAG I 21-23 (only socket 2) Argon OPEN Spray COAG II 4, 5 (only socket 1)
ARC350ASCOAG_SE_080125_1
0
20
40
60
80
100
120
140
10 100 1000 10000
P [W]
Argon / Spray Coag P=60W
Argon / Spray Coag P=120W
Measurement of resistances
• Diagram of power output P [W] as a
function of the load resistance R [Ω] for the setting “Spray COAG, Argon-Flex Spray COAG I, Argon-OPEN Spray COAG II und Argon Ligation” = 120 W/60 W
ARC350ASCOAG_SE_080125_2
0
20
40
60
80
100
120
0 20 40 60 80 100 120
displayed value
P [W]
• Diagram of power output P [W] as a
function of the setting “Spray COAG, Argon-Flex Spray COAG I, Argon­OPEN Spray COAG II”. Measured load resistance = 500 Ω
ARC350ASCOAG_SE_080125_3
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
5500
6000
0 20 40 60 80 100 120
displayed value
U [Vp]
• Diagram of the HF output voltage
U [Vp] as a function of "Spray COAG“ (idle mode)
ARC350ASCOAG_SE_080125_5
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
5500
6000
0 20 40 60 80 100 120
displayed value
U [Vp]
• “Argon Flex Spray COAG I” program,
connection socket 2
• Diagram of HF output voltage U [Vp] as
a function of the “Argon Flex Spray COAG” setting (idle mode)
Page 98
11 Technical specifications
98 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Setting Program Spray COAG 0-3, 6, 9, 12-20,
4, 5 (only socket 2)
11 (31 W and above),
23 (only socket 1),
24-99 (socket 1+2) Argon Flex Spray COAG I 21-23 (only socket 2) Argon OPEN Spray COAG II 4, 5 (only socket 1)
ARC350ASCOAG_SE_080125_6
0
500
1000
1500
2000
2500
3000
3500
4000
4500
0 20 40 60 80 100 120
displayed value
U [Vp]
• “Argon OPEN Spray COAG II” program,
connection socket 1
• Diagram of HF output voltage U [Vp] as
a function of the “Argon OPEN Spray COAG II” setting
Page 99
11 Technical specifications
900-350_IFU_V2.6_10296-S13-20100111-EN ARC 300 / ARC 350 Operating manual 99
Setting Program Local Anesthesia COAG 8
ARC350SCFC_SE_080124_1
0
5
10
15
20
25
30
35
40
45
50
10 100 1000 10000
P [W]
Local
Anesthesia P=20W
Local Anesthesia P=40W
Measurement of resistances
• Diagram of power output P [W] as a
function of the load resistance R [Ω] for the setting "Local Anesthesia COAG" = 40 W/20 W
ARC350SCFC_SE_080124_2
0
5
10
15
25
35
20
30
40
0 5 10 15 20 30
3525 40
displayed value
P [W]
• Diagram of power output P [W] as a
function of the “Local Anesthesia COAG” setting. Measured load resistance = 500 Ω
ARC350SCFC_SE_080124_3
010203040
0
500
1000
1500
2000
2500
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as
a function of the “Local Anesthesia COAG” setting (idle mode)
Page 100
11 Technical specifications
100 ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
Setting Program Local Anesthesia Spray COAG 8
Measurement of resistances
• Diagram of power output P [W] as a
function of the load resistance R [Ω] for the setting “Local Anesthesia Spray COAG” = 30 W/15 W
ARC350SCSC_SE_080125_2
0
5
10
15
20
25
30
0 5 10 15 20 25 30
displayed value
P [W]
• Diagram of power output P [W] as a
function of the “Local Anesthesia Spray COAG”. Measured load resistance = 500 Ω
ARC350SCSC_SE_080125_3
0
500
1000
1500
2000
2500
3000
0 5 10 15 20 25 30
displayed value
U [Vp]
• Diagram of HF output voltage U [Vp] as
a function of the “Local Anesthesia Spray COAG” setting (idle mode)
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