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User Manual APC 2

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0% found this document useful (0 votes)
496 views62 pages

User Manual APC 2

Uploaded by

shady4yo0ou
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 62

USER MANUAL

APC 2
V 1.4.x

PLASMASURGERY 80110-201_V24169 2022-01


USER MANUAL
APC 2
Registered trademarks of Erbe Elektromedizin GmbH: autoCUT®, BiCision®, BiClamp®, CleverCap®, ELEXOR®, endoCUT®,
endoCOAG®, Erbe®, erbe power your performance.®, ERBECRYO®, ERBEFLO®, ERBEJET®, ERBOKRYO®, ETIP®, FiAPC®,
forcedCOAG®, HYBRIDknife®, HYBRIDTHERM®, HYDRON®, KYRON®, NESSY®, NESSY Ω®, PLURA®, preciseAPC®, Preflow®,
pulsedAPC®, ReMode®, softCOAG®, sprayCOAG®, swiftCOAG®, thermoSEAL®, twinCOAG®, VIO®.
Registered trademark of Erbe, USA, Inc.: CleverCap®.
For an up-to-date list of all Erbe trademarks, please visit www.erbe-med.com/IP.

CE0124
Unit REF No. 10134-000
All rights to this User Manual, in particular rights of duplication, dissemination and translation, are reserved. No part of this User
Manual may be reproduced in any form (by photocopying, microfilming or other methods) or processed, duplicated or dissemi-
nated by the use of electronic systems without the written consent of Erbe Elektromedizin GmbH.
The information contained in this User Manual can be changed or expanded without prior notice and without obligation on the
part of Erbe Elektromedizin GmbH.
Printed by Erbe Elektromedizin
Printed in Germany
Copyright © Erbe Elektromedizin GmbH, Tübingen 2022
Table of Contents

Table of Contents

1 Safety Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Combination with other equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Safety notations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Meaning of the note. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Who must read this User Manual? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Compliance with safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Structure of safety instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Operating errors and incorrect installation by persons without training . . . . . . . . . . 9
Risks due to the environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Electric shock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Fire / explosion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Burns. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Inadvertent tissue damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Risks due to incorrect use of the neutral electrode. . . . . . . . . . . . . . . . . . . . . . . . . . 17
Defective unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Interference caused by the unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Damage to the unit and accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
80110-201_V24169 

2 Additional safety instructions for APC . . . . . . . . . . . . . . . . . . . . . . . 21


Fire / explosion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
2022-01

Burns. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Risks due to gas embolisms or excessive intraluminal gas pressure . . . . . . . . . . . . 22
Risk of infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Risks due to the pressure gas bottle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

3 Description of the Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25


Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Controls on the front panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Controls on the back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

4 Working with the APC 2 (in combination with a VIO from the D
series) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Preparations for start-up. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Setup parameters on the APC 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

5 Working with the APC 2 (in combination with a VIO from the S
series) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Preparations for start-up. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Setup parameters on the APC 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

6 Description of socket hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33


Socket combinations on the APC module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Purchasing further sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

5 / 62
Table of Contents

FiAPC socket unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33


Monopolar socket, bipolar socket, multifunctional socket . . . . . . . . . . . . . . . . . . . . .34

7 Installation of the APC 2 and the Argon gas bottles . . . . . . . . . . . . 35


Ambient conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Electrical installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Installing the unit on an Erbe cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Fixing argon gas bottles, connection of the working gas bottle, detachment
of the working gas bottle on the VIO CART . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Fixing argon gas bottles, connection of the working gas bottle, detachment
of the working gas bottle on the Universal Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Risks due to the pressure gas bottle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
Refilling the working gas bottle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

8 Cleaning and disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45


Wipe disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Instructions for cleaning and disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Safety Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45

9 Status Messages, Error Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . 47

10 General Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

11 Notes on electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . 51


Guidelines for avoiding, recognizing and rectifying unwanted electromagnetic
effects on other units or systems, which are the result of operating the VIO

80110-201_V24169 
system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

2022-01
12 Maintenance, Customer Service, Warranty, Disposal . . . . . . . . . . . . 57
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
Customer service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

13 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
APC 2 example accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

14 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

6 / 62
1 • Safety Instructions

Chapter 1
Safety Instructions

Intended use
APC 2 is an argon plasma coagulator for argon plasma coagulation (APC) with VIO
electrosurgical units.

Combination with other equipment


You can combine this unit with matching Erbe equipment: e.g. VIO electrosurgical
units, IES 2, EIP 2. You will then have a well-conceived, coordinated system.

Safety notations

DANGER
indicates an imminently hazardous situation which, if not avoided,
will result in death or serious injury.
80110-201_V24169 

WARNING
2022-01

indicates a potentially hazardous situation which, if not avoided,


could result in death or serious injury.

CAUTION
indicates a potentially hazardous situation which, if not avoided, may
result in minor or moderate injury.

NOTICE
indicates a potentially hazardous situation which, if not avoided, may
result in property damage.

Meaning of the note


"Note:"
Refers a) to manufacturer's information that relates directly or indirectly to the safety
of people or protection of property. The information does not relate directly to a risk
or dangerous situation.
Refers b) to manufacturer's information that is important or useful for operating or
servicing the unit.

7 / 62
1 • Safety Instructions

Who must read this User Manual?


Knowledge of the User Manual is absolutely essential for correct operation of the unit.
The User Manual must therefore be read by everyone who works with the unit.
Anyone who prepares, sets, disassembles, cleans and disinfects the unit must also
read the User Manual.
Please pay particular attention to the safety instructions in each chapter.

Compliance with safety information


Working with medical units is associated with certain risks to patients, medical per-
sonnel and the environment. Risks cannot be entirely eliminated by design measures
alone.
Safety does not depend solely on the unit. Safety depends to a large extent on the
training of medical personnel and correct operation of the unit.
The safety instructions in this chapter must be read, understood and applied by every-
one who is working with the unit.

Structure of safety instructions


APC can only be performed with an APC 2 and a VIO electrosurgical unit. All the safety
instructions for monopolar electrosurgery and additional safety instructions for APC
apply.

80110-201_V24169 
You will find the additional safety instructions for APC in Chapter 2.
The safety instructions are structured according to the following risks:

2022-01
• Operating errors and incorrect installation by persons without training
• Risks due to the environment
• Electric shock
• Fire / explosion
• Burns
• Inadvertent tissue damage
• Risks due to incorrect use of the neutral electrode
• Defective unit
• Interference caused by the unit
• Damage to the unit and accessories
• Notes

8 / 62
1 • Safety Instructions

Operating errors and incorrect installation by persons without training

WARNING
Operating errors and incorrect installation by persons without
training
Persons without training can operate or install the unit incorrectly.
Risk of injury or death for patients and medical staff! Risk of damage
to property.
 The unit may only be used and installed by persons who have
been trained on how to use and install it properly according to this
User Manual.
 Training may only be carried out by persons who are suitable on
the basis of their knowledge and practical experience.
 In the event of uncertainties or if you have any questions, please
contact Erbe Elektromedizin. You will find the addresses in the ad-
dress list at the end of this User Manual.

Risks due to the environment

NOTICE
Interference with the unit from portable and mobile HF telecom-
munications units (e.g. mobile phones, WLAN units)
Electromagnetic waves emitted by portable and mobile HF telecom-
munications units may affect the unit.
80110-201_V24169 

The unit may fail or not perform properly.


 When using portable and mobile HF telecommunications units, in-
2022-01

cluding their accessories, there must be a distance of at least


30 cm between them and the unit and its cords.

NOTICE
Unsuitable temperature or level of humidity during operation
If you operate the unit at an unsuitable temperature or level of hu-
midity, it may sustain damage, fail, or not perform properly.
 Operate the unit at a suitable temperature and level of humidity.
You will find the tolerances for temperature and humidity in the
Technical Data.
 If other ambient conditions must be observed for operation of the
unit, you will also find them in the Technical Data.

NOTICE
Unsuitable temperature or humidity in transit or storage
If you transport or store the unit at an unsuitable temperature or level
of humidity, it may sustain damage and fail.
 Transport and store the unit at a suitable temperature and level
of humidity. You will find the tolerances for temperature and hu-
midity in the Technical Data.
 If other ambient conditions must be observed for transport and
storage of the unit, you will also find them in the Technical Data.

9 / 62
1 • Safety Instructions

NOTICE
Insufficient acclimatization time, unsuitable temperature during
acclimatization
If the unit was stored or transported below or above a certain tem-
perature, it will take a certain time and temperature to acclimatize.
If you do not observe the rules, the unit can sustain damage and fail.
 Acclimatize the unit according to the rules in the Technical Data.

NOTICE
Overheating of the unit due to poor ventilation
If ventilation is poor, the unit can overheat, sustain damage, and fail.
 Install the unit in such a way that there is an unobstructed circu-
lation of air around the housing. Installation in confined wall re-
cesses is prohibited.

NOTICE
Penetration of liquid into the unit
The housing is not absolutely watertight. If liquid penetrates, the unit
can sustain damage and fail.
 Make sure no liquid can penetrate the unit.
 Do not place vessels containing liquids on top of the unit.

Electric shock

80110-201_V24169 
WARNING

2022-01
Defective grounded power outlet, power supply network without
proper grounding, inferior-quality power cord, incorrect line volt-
age, multiple power outlets, extension cords
Risk of electric shock and other injuries to the patient and medical
personnel! Risk of damage to property.
 Connect the unit / cart to a properly installed grounded power
outlet.
 Only connect the unit to a power supply network with proper
grounding.
 Only use the Erbe power cord or an equivalent power cord for this
purpose. The power cord must bear the applicable national test
symbol.
 Check the power cord for damage. You must not use a damaged
power cord.
 The supply voltage must match the voltage specified on the unit's
rating plate.
 Do not use multiple power outlets.
 Do not use extension cords.

WARNING
Incorrect power fuse, defective unit
Risk of electric shock to the patient and medical personnel! Risk of
damage to property.

10 / 62
1 • Safety Instructions

 Blown power fuses may only be replaced by a competent techni-


cian. Only replacement fuses that have the same rating as the one
specified on the unit’s rating plate may be used.
 When a fuse has been changed, the function of the unit must be
verified. If the unit does not function properly or if there are any
concerns, please contact Erbe Elektromedizin. You will find the
addresses in the address list at the end of this User Manual.

WARNING
Connection of unit / cart and power supply during cleaning and
disinfection
Risk of electric shock to the medical personnel!
 Switch off the unit. Unplug the power cord of the unit / cart.

Fire / explosion
In electrosurgery electric sparks and arcs occur at the instrument. Flammable gases,
vapors, and liquids can be set alight or caused to explode.

DANGER
Flammable anesthetics
Risk of explosion to the patient and medical personnel! Risk of dam-
age to property.
 Do not use flammable anesthetics when an operation is being
performed on the head or thorax.
80110-201_V24169 

 If use is unavoidable, you must evacuate the anesthetics before


performing electrosurgery.
2022-01

WARNING
Flammable gas mixture in TUR (Transurethral Resection) and TCR
(Transcervical Endometrial Resection)
Hydrogen and oxygen can ascend into the roof of the bladder, the up-
per part of the prostate, and the upper part of the uterus. If you resect
into this gas mixture, it could combust.
Risk of combustion to the patient!
 Allow the gas mixture to escape through the resectoscope sheath.
 Do not resect into the gas mixture.

DANGER
Flammable endogenous gases in the gastrointestinal tract
Risk of explosion to the patient!
 Extract the gases before performing electrosurgery or irrigate
with CO2.
 Or scavenge with argon.

11 / 62
1 • Safety Instructions

DANGER
Combustion-supporting gases, e.g. oxygen, nitrous oxide
The gases can accumulate in materials like cotton wool or gauze. The
materials become highly flammable.
Risk of fire to the patient and medical personnel! Risk of damage to
property.
 Do not use combustion-supporting gases when an operation is
being performed on the head or thorax.
 If use is unavoidable, you must evacuate the combustion-sup-
porting gases before performing electrosurgery.
 Remove any jeopardized (e.g. cotton wool or gauze) materials be-
fore performing electrosurgery.
 Check the oxygen-carrying tubes and connections for leaks.
 Check the endotracheal tubes and their cuffs for leaks.

WARNING
Active or hot instruments in contact with combustible materials
Materials like gauze, swabs, and cloths can catch fire.
Risk of fire to the patient and medical personnel! Risk of damage to
property.
 Do not bring active or hot instruments into contact with combus-
tible materials.
 Put instruments down in a safe place: sterile, dry, non-conductive,
and easy to see. Instruments that have been put down must not

80110-201_V24169 
come into contact with the patient, medical personnel, or com-
bustible materials.

2022-01
WARNING
Flammable detergents and disinfectants, flammable solvents in
adhesives used on the patient and on the unit / cart
Risk of fire and explosion to the patient and medical personnel! Risk
of damage to property.
 Use products that are not flammable.
If the use of flammable products is unavoidable, proceed as fol-
lows:
 Allow the products to evaporate completely before switching on
the unit.
 Check whether flammable liquids have accumulated under the
patient, in body recesses such as the navel, or in body cavities
such as the vagina. Remove any liquids before performing elec-
trosurgery.

WARNING
Ignition of anesthetics, skin cleansers, and disinfectants in poten-
tially explosive atmospheres
If you place the unit in a potentially explosive atmosphere, anesthet-
ics, skin cleansers, and disinfectants can ignite.
Risk of fire and explosion to the patient and medical personnel! Risk
of damage to property.
 Do not place the unit in potentially explosive atmospheres.

12 / 62
1 • Safety Instructions

Burns

WARNING
Damaged unit, damaged accessories, modified unit, and modified
accessories
Risk of burns and injury to the patient and medical personnel! Risk of
damage to property.
 Check the unit and accessories for damage every time before us-
ing them (e.g. footswitch, cords of instruments and the neutral
electrode, cart).
 You must not use a damaged unit or damaged accessories. Re-
place defective accessories.
 If the unit or cart is damaged, please contact our customer ser-
vice.
 For your safety and that of the patient: Never attempt to perform
repairs or make modifications yourself. Any modification will in-
validate liability on the part of Erbe Elektromedizin GmbH.

WARNING
HF leakage current flows through metal parts
The patient must not have contact with electrically conductive ob-
jects. That includes metal parts of the operating table, for example.
HF current can be discharged through points of contact accidentally
(HF leakage current).
Risk of burns to the patient!
80110-201_V24169 

 Position the patient on dry, antistatic drapes.


 If the drapes can become wet during the surgery due to sweat,
2022-01

blood, irrigation liquid, urine, etc., lay a waterproof plastic sheet


under the drapes.

WARNING
HF leakage current flows through monitoring electrodes
HF current can be discharged through points of contact between the
skin and monitoring electrodes accidentally (HF leakage current).
Risk of burns to the patient!
 Position monitoring electrodes as far away as possible from the
procedural field (area where electrosurgical instruments are
used).
 Do not use needle electrodes for monitoring during electrosur-
gery.
 Where possible, use monitoring electrodes that contain devices to
limit high-frequency current.

WARNING
HF leakage current flows through skin-to-skin points of contact
HF current can be discharged through skin-to-skin points of contact
accidentally (HF leakage current).
Risk of burns to the patient!
 Prevent skin-to-skin points of contact. For example, lay dry gauze
between the patient's arms and body.

13 / 62
1 • Safety Instructions

WARNING
Unintentional activation of the instrument
Risk of burns to the patient and medical personnel!
 Put instruments down in a safe place: sterile, dry, non-conductive,
and easy to see. Instruments that have been put down must not
come into contact with the patient, medical personnel, or com-
bustible materials.
 Instruments that have been put down must not come into contact
with the patient, not even indirectly. An instrument can come into
contact with the patient indirectly through electrically conductive
objects or wet drapes, for example.

CAUTION
Hot instruments
Even non-active instruments that are still hot can burn the patient or
medical personnel.
 Put instruments down in a safe place: sterile, dry, non-conductive,
and easy to see. Instruments that have been put down must not
come into contact with the patient, medical personnel, or com-
bustible materials.
 Instruments that have been put down must not come into contact
with the patient, not even indirectly. An instrument can come into
contact with the patient indirectly through electrically conductive
objects or wet drapes, for example.

WARNING

80110-201_V24169 
Unintentional activation of the instrument during an endoscopic
application

2022-01
If the instrument is activated and remains activated during an endo-
scopic application, the patient can suffer burns when the instrument
is removed.
All points that come into contact with the active part of the instru-
ment are at risk. The cause of unintentional activation can be a fault
in the footswitch or unit for example.
You will recognize unintentional activation from the continuous acti-
vation signal, even though you have released the footswitch.
Risk of burns to the patient!
 Turn off the power switch on the electrosurgical unit immediately.
Only then should the instrument be removed from the patient’s
body.

WARNING
Capacitive coupling between the cords of two instruments
When one instrument is activated, current can be transferred to the
cord of another instrument (capacitive coupling).
The patient can suffer burns if the non-active but still live instrument
has direct or indirect contact with the patient.
Risk of burns to the patient!
 Lay the cords of instruments in such a way that they are as far
apart as possible.

14 / 62
1 • Safety Instructions

 Put instruments down in a safe place: sterile, dry, non-conductive,


and easy to see.
 Instruments that have been put down must not come into contact
with the patient, medical personnel, or combustible materials.
 Instruments that have been put down must not come into contact
with the patient, not even indirectly. An instrument can come into
contact with the patient indirectly through electrically conductive
objects or wet drapes, for example.

WARNING
Power setting too high, ON time too long, effects too high
The higher the power setting the longer the ON time of the unit and
the higher the effect the higher the risk of accidental tissue damage.
Risk of accidental tissue damage to the patient!
 Set power as low as possible relative to the required surgical ef-
fect. However, power settings that are too low can be dangerous,
e.g. gas embolisms with the APC (Argon Plasma Coagulation).
 Activate the unit for as short a time as possible relative to the re-
quired surgical effect.
 The temperature at the neutral electrode site increases during
long and continuous activations; therefore, ensure that the cool-
ing phases between activations are sufficient.
 Set effect as low as possible relative to the required surgical ef-
fect.
 If you are unable to achieve a surgical effect with a power setting
/ ON time / effect level that is sufficient judging from experience,
80110-201_V24169 

this can be due to a problem with the electrosurgical unit or ac-


cessories:
2022-01

 Check the instrument for soiling with insulating tissue remnants.


 Check the neutral electrode to make sure it is secure.
 Check the connectors on all cords to make sure they are secure.

WARNING
Activation of the unit with no knowledge of active settings
If the user does not understand the active settings of the unit, he can
cause the patient accidental tissue damage.
 Check the active settings on the display of the unit, after: switch-
ing on the unit, connecting up an instrument, and changing the
program.

WARNING
The user was not informed of a change in maximum ON time
Risk of accidental tissue damage to the patient!
 All users must be informed of any change in maximum ON time at
an early stage. That is, before the user works with the modified
maximum ON time for the first time.
 The temperature at the neutral electrode site increases during
long and continuous activations; therefore, ensure that the cool-
ing phases between activations are sufficient.

15 / 62
1 • Safety Instructions

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

WARNING
Activation signal not audible
You do not hear the signal when the electrosurgical unit is activated.
Risk of burns to the patient and medical personnel!
 Adjust the activation signal so that it is clearly audible.

WARNING
Undesirable contact between the active instrument and metal
objects in the patient's body
Contact with metal hemostats, etc.
Risk of burns to the patient!
 Do not touch metal objects (e.g. implants) in the patient's body
with the active instrument.

CAUTION

80110-201_V24169 
A hand-held metal instrument is touched with the active instru-
ment (electrode)
Risk of hand burns!

2022-01
 Such practice is not recommended. The risk of burns cannot be
ruled out.

Inadvertent tissue damage

WARNING
Safety margin between the active instrument and sensitive tissue
structures too narrow
Adjacent structures can be damaged by the thermal effect of electro-
surgery.
 Ensure that there is a sufficient safety margin between the active
instrument and sensitive tissue structures (e.g. nerves, muscles).

CAUTION
Electrically conductive implants can redirect or concentrate cur-
rent flow.
Risk of burns for the patient and possible damage to the implant.
 In the case of patients wearing electrically conductive implants,
consult the manufacturer of the implant or the relevant specialist
department of your hospital prior to surgery.

16 / 62
1 • Safety Instructions

 Position the neutral electrode so that the implant is not located


between the active electrode (monopolar instrument) and the
neutral electrode.

Risks due to incorrect use of the neutral electrode


Please read the safety instructions in the User Manual for the VIO electrosurgical unit.

Defective unit

WARNING
Undesirable rise in output level due to failure of electrosurgical
unit
Risk of accidental tissue damage to the patient!
 The unit shuts off independently.
 To guard against a possible failure of the electrosurgical unit,
have a technical safety check carried out at least once a year.

WARNING
Technical safety checks not being done
Risk of injury or death for patients and medical staff! Risk of damage
to property.
 Have a technical safety check carried out on the unit at least once
80110-201_V24169 

a year.
 You must not use a unit that is not safe.
2022-01

WARNING
Failure of display elements
If display elements fail, you can no longer operate the unit safely.
Risk of injury or death for patients and medical staff!
 You must not use the unit.

Interference caused by the unit

WARNING
Interference with cardiac pacemakers, internal defibrillators, or
other active implants
Activation of the electrosurgical unit may affect the performance of
active implants or damage them.
Risk of injury or death for patients and medical staff!
 In the case of patients having active implants, consult the manu-
facturer of the implant or the competent department of your hos-
pital prior to performing surgery.
 Do not position the neutral electrode near cardiac pacemakers, in-
ternal defibrillators, or other active implants.

17 / 62
1 • Safety Instructions

NOTICE
Interference with electronic units due to the electrosurgical unit
The activated electrosurgical unit can affect the performance of elec-
tronic units by causing interference.
The units may fail or not perform properly.
 Position the electrosurgical unit, the cords of the instruments, and
the cord of the neutral electrode as far away as possible from
electronic units.
 Position the cords as far away as possible from the cords of elec-
tronic units.

WARNING
Low-frequency currents stimulate nerves and muscles (Neuro-
muscular Stimulation)
Low-frequency currents arise either due to low-frequency power
sources or partial rectification of the HF current. Spasms or muscle
contractions can occur.
Risk of injury to the patient.
 Set effect as low as possible relative to the required surgical ef-
fect.

NOTICE
Use of non-approved internal cables by Technical Service
This can result in the increased emission of electromagnetic waves or
reduce the immunity of the unit.

80110-201_V24169 
The unit may fail or not perform properly.
 Technical Service may only use the internal cables that are listed

2022-01
in the service manual for the unit.

NOTICE
Stacked units
If you place the unit next to or stack it with other units, the units may
affect each other.
Units may fail or not function properly.
 The unit may only be placed next to or stacked with VIO-series
units.
 If it is necessary to operate the unit near or stacked together with
non-VIO-series units keep as much distance as possible between
the units. Check whether the units are affecting each other: Are
the units behaving unusually? Are faults occurring?

WARNING
Use of non-approved EMC-relevant accessories
This can result in the increased emission of electromagnetic interfer-
ence or reduce the electromagnetic immunity of the unit.
Risk of injury to the patient.
Units may fail or not function properly.
 Only use cable that is specified in the table "EMC-relevant accesso-
ries", see chapter "Notes on electromagnetic compatibility (EMC)".

18 / 62
1 • Safety Instructions

 If you are using accessories from other manufacturers, check


whether the Erbe unit is interfering with other units or being af-
fected by interference itself. You cannot use the unit if there is any
interference.

Damage to the unit and accessories

NOTICE
Alcohol-based spray disinfectant for fast disinfection
With membrane keyboards and paint surfaces there is the risk of
cracks. Propanol and ethanol will erode surfaces.
 Do not use these substances.

NOTICE
Alternate use of disinfectant solutions based on different active
ingredients
A color reaction may occur with plastics.
 Do not use these substances alternately.

NOTICE
Mix-up of sockets on monopolar socket modules 20140-622,
20140-623
If the sockets are mixed up, the unit will be damaged.
 If you use a connecting cable with a monopolar 4 mm dia. connec-
80110-201_V24169 

tor, you may only plug the connector into the socket with the blue
ring. The correct socket is marked with an arrow on the illustra-
2022-01

tion.

Fig. 1-1

NOTICE
Electric load on instrument too high
The instrument can be damaged.
If the damaged area comes into contact with tissue, it can lead to un-
intentional coagulation.
 Determine the electrical capacity of the instrument. It is either
printed on the instrument or can be found in the User Manual.

19 / 62
1 • Safety Instructions

Compare the electrical capacity of the instrument with the maxi-


mum HF peak voltage of the required mode.
 Instructions are available in the "Accessories" chapter of the VIO
User Manuals.

Notes

Grounding Note: If necessary, connect the grounding pin of the unit or the cart to the grounding
system of the operating room using a grounding cable.

Use of a defibrillator Note: The unit conforms to the requirements of Type CF and is protected against the
effects of a defibrillator discharge.

Membrane keyboards Note: If alcohol-based disinfectants are used on units with membrane keyboards, this
remove the anti-glare finish. However, the user surfaces remain fully functional. This
does not present a hazard.

80110-201_V24169 
2022-01

20 / 62
2 • Additional safety instructions for APC

Chapter 2
Additional safety instructions for APC

The safety instructions are structured according to the following risks:


• Fire / explosion
• Burns
• Risks due to gas embolisms or excessive intraluminal gas pressure
• Risk of infection
• Risks due to the pressure gas bottle

Fire / explosion

DANGER
Hot tissue, combustible materials, and oxygen in the tracheobron-
chial system
Due to APC the tissue can become so hot that it can ignite combusti-
ble materials in the vicinity, e.g. due to hot particles flying around.
Combustible materials are, for example, plastic insulation at the distal
80110-201_V24169 

end of the bronchoscope or a tracheal tube.


However, ignition is only possible if a fire-supporting gas, e.g. oxy-
2022-01

gen, is present at the same time. This particularly applies to highly


concentrated oxygen or pure oxygen.
Risk of burns to the patient!
 Do not admit any oxygen to the tracheobronchial system directly
before, and particularly during, APC. Do not admit any other com-
bustible or fire-supporting gases (e.g. nitrous oxide) or combus-
tible liquids either.
 If APC is used for a lengthy period of time: Administer the oxygen
required for patient ventilation and APC alternately.
 The distal end of the APC applicator must always be in the field of
view of the endoscope before and during activation of the argon
plasma. Never activate the argon plasma without visual control.
 Keep the argon plasma as far as possible away from combustible
materials.

DANGER
Combustible gas mixture in the tracheobronchial system
Hemostasis and devitalization of tissue produce smoke. In conjunc-
tion with oxygen a highly combustible gas mixture develops.
Risk of burns to the patient!
 Short activation pulses reduce development of the gas mixture.
 Extract the gas mixture.

21 / 62
2 • Additional safety instructions for APC

DANGER
Flammable endogenous gases in the gastrointestinal tract
Risk of explosion to the patient!
 Extract the gases before performing electrosurgery or irrigate
with CO2.
 Or scavenge with argon.

Burns

WARNING
An active APC electrode comes into contact with tissue during
coagulation
There is a cutting effect and uncontrolled coagulation!
 Do not touch tissue with an active APC electrode during coagula-
tion.

WARNING
The activated APC applicator presses into tissue or against the
organ wall
Risk of emphysemas / wall lesions!
 Do not press the activated APC applicator into tissue or against
the organ wall.

80110-201_V24169 
Risks due to gas embolisms or excessive intraluminal gas pressure

2022-01
WARNING
The activated APC applicator is pointing at an open vessel, argon
flow is too high, the power setting is too low
Risk of gas embolisms!
 Do not point the APC applicator at open vessels.
 Set argon flow as low as possible.
 Do not press the activated APC applicator into tissue or against
the organ wall.
 Observe the Erbe recommended settings for the APC (power,
mode).

WARNING
The argon introduced can not escape from body cavities
Risk of intraluminal pressure rise and distension! Risk of gas embo-
lisms!
 Check intraluminal gas pressure regularly.
 Extract.
 Introduce a decompression catheter if required.

22 / 62
2 • Additional safety instructions for APC

Risk of infection

WARNING
Contaminants are blown from the unit to the patient
Risk of infection!
 Do not touch the APC socket.

Risks due to the pressure gas bottle

WARNING
Damage to the gas bottle or valve. Gas emerges at high pressure.
If the gas bottle has been weakened due to serious damage, this can
lead to cracks in the wall of the gas bottle. Considerable stresses and
strains occur at the cracks, causing the gas bottle to break open. Gas
emerges at high pressure. The gas bottle is propelled like a rocket.
Risk of injury or death for patients and medical staff! Risk of damage
to property.
 Do not apply force to gas bottles, gas bottle connectors, valves, or
pressure regulators.
 When transporting, storing, and using the gas bottle, prevent it
from falling over and dropping by securing it with chains, hoops,
or retaining straps.
 Only transport gas bottles with the valve guard fitted: bottle cap
80110-201_V24169 

or bottle collar.
 Prevent the argon gas bottle from being heated by radiators or
naked flames. The surface temperature must not exceed 50 °C.
2022-01

NOTICE
Incorrect pressure regulator, incorrect pressure lines
The unit has a certain input pressure. You will find it in the Technical
Data.
If you connect up the wrong pressure regulator or wrong pressure
lines, the unit can be damaged.
 Only connect argon gas bottles to the unit using the pressure reg-
ulator and pressure lines specified by Erbe.

DANGER
Wrong gas
The unit may only be operated with argon.
Risk of injury or death for patients and medical staff! Risk of damage
to property.
 Check whether the gas bottle actually contains argon. Labels on
the gas bottle must not be damaged or removed.
 Use argon 4.8 (99.998% purity) or higher, e.g. argon 5.0.

23 / 62
2 • Additional safety instructions for APC

WARNING
Uncontrolled escape of argon
If the gas accumulates in air you are breathing, there is a risk of suf-
focation. Symptoms include drowsiness, rise in blood pressure, and
respiratory distress. In an atmosphere of pure argon a person would
fall unconscious immediately without any warning and suffocate.
 When gas bottle valves are opened, there is a brief hissing sound.
If the hiss continues for more than 2 seconds, there is a leak. The
gas bottle must be closed again immediately. The unit may only
be used when the leak has been stopped by a competent techni-
cian.
 Make sure the connections of the pressure lines to the APC 2 are
gastight. The same applies to the connection of the pressure reg-
ulator to the gas bottle.
 Close the safety valves on the gas bottles after use.

80110-201_V24169 
2022-01

24 / 62
3 • Description of the Controls

Chapter 3
Description of the Controls

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

Controls on the front panel

2
4
1
ERBE
80110-201_V24169 

APC
APC 2 2
3
3
6
2022-01

Fig. 3-1

(1) Purge button Before the instrument can be activated for the first time, it must first be purged with
argon. The Purge button only functions for the socket whose Focus button is lit up.
In the service programs of the VIO system, a technician can make the appropriate set-
ting according to whether the APC instrument is to be automatically purged with argon
when it is connected to the APC socket.

(2) Focus button for APC socket If a Focus button next to the socket is pressed, the functions of the socket and the set-
ting of the functions will be shown in the display.

(3) Footswitch indicator lights The footswitch symbol lights up when the respective footswitch is assigned to the
socket.

(4) APC socket Plug the FiAPC connector of the instrument into this socket.

(5) CF icon The unit conforms to the requirements of Type CF (Cardiac Float) and is protected
against the effects of a defibrillator discharge.

(6) ECB indicator light This light turns up red when there is no ECB connection between the APC and the elec-
trosurgical unit.

25 / 62
3 • Description of the Controls

Controls on the back

1 2 3 4 5

2 Ar 1 2 1 ECB ECB

Fig. 3-2

(1) Purge pin see chapter Installation.

(2) Argon connection see chapter Installatio.

(3) High-pressure sensor see chapter Installation.

(4) ECB sockets The ECB (Erbe Communication Bus) enables communication between the electrosur-
gical unit and connected units.

(5) Potential equalization see chapter Installation.

80110-201_V24169 
2022-01

26 / 62
4 • Working with the APC 2 (in combination with a VIO from the D series)

Chapter 4
Working with the APC 2 (in combination
with a VIO from the D series)

Preparations for start-up

1. Make power connection, switch The APC 2 can only be operated in conjunction with the electrosurgical unit! The power
on unit, automatic performance connection, startup and the automatic performance test are thus carried out jointly
test (automatically) on startup of the electrosurgical unit (see also relevant section).

2. Getting an overview: assignment The window for operation of the APC 2 is accessed by pressing the Down button. In
of the active program for the APC the display you can see a symbol for the Down button, and underneath, APC if an APC
2 2 is connected.: The Down button can be used to move to the Directory window of the
APC 2. All other steps are exactly as for operation of the electrosurgical unit.
80110-201_V24169 
2022-01

Fig. 4-1

3. Connecting the instrument


WARNING
Contaminants are blown from the unit to the patient
Risk of infection!
 Do not touch the APC socket.

Connect an instrument to the APC socket.

Instrument detection Erbe APC instruments possess an electronic identifier, i.e. the unit automatically de-
tects the product and its specifications after the connection cable has been inserted
and several default settings are executed automatically on the unit. In this case when
the instrument connector is inserted in the VIO socket, the display shows the message:
New instrument detected by system. When the connector is removed, the instrument
is logged off and this is acknowledged by the message Instrument disconnected from
the system.
Instrument detection of course does not prevent you from making your own preferred
settings.

27 / 62
4 • Working with the APC 2 (in combination with a VIO from the D series)

Setup parameters on the APC 2


When working with the APC 2 you can select and set up various parameters. To do
this you use the display and the controls of the VIO electrosurgical unit, which is al-
ready known to you. The availability of these parameters can be seen from the Focus
View for the APC socket. However, this task is generally carried out for you by the in-
strument detection system of the Erbe APC instruments: certain values are stored
electronically on the instrument and are preset automatically when the instrument is
inserted in the socket of the unit.
Depending on the mode, the other parameters affect the coagulation result in com-
pletely different ways. It is therefore not possible to give simple rules of thumb for use.

Mode Here you can select a specific mode (FORCED APC, PRECISE APC, PULSED APC and pos-
sibly others). Modes vary according to their technical properties (voltage control etc.),
which bring about different coagulation results.

Effect The effect is an indicator for the strength of the mode selected. This does not mean
that with a higher effect the result will be greater in everyregard. For example, al-
though a higher effect results in faster coagulation of the tissue with FORCED APC, the
coagulation depth is reduced as a consequence.

Flow With the flow, the rate of argon flow is set in litres per minute (l/min). Depending on
the application, a lower flow rate (e.g. if there is a risk of argon being introduced into
bodily cavities, gas embolisms) or a higher rate may be appropriate.

80110-201_V24169 
2022-01
Fig. 4-2

Power The power setting allows you to preselect the maximum output applied to the tissue.

Purging the instrument with argon If you wish to purge the instrument with argon during surgery press the Purge button
(1). The Purge button only refers to the socket whose Focus button is lit up. The in-
strument which you wish to purge must be connected to the socket with the illuminat-
ed Focus button.

28 / 62
5 • Working with the APC 2 (in combination with a VIO from the S series)

Chapter 5
Working with the APC 2 (in combination
with a VIO from the S series)

Preparations for start-up

1. Make power connection, switch The APC 2 can only be operated in conjunction with the electrosurgical unit! The power
on unit, automatic performance connection, startup and the automatic performance test are thus carried out jointly
test (automatically) on startup of the electrosurgical unit (see also relevant section).

2. Getting an overview: Assignment When you press the focus button of the APC 2, the APC 2 settings of the active pro-
of the active program for the APC 2 gram are displayed on the base unit:

Prog/ 2
Setup
L1 MONOPOLAR R1
FORCED
HIGH CUT COAG R2
+ L2 +

Effect R3 Effect
L3
80110-201_V24169 

+ +
CUT COAG
2022-01

max. Watts max. Watts

Fig. 5-1

You can modify the APC 2 settings in the same way as the settings of the base unit
using the selection buttons (L1, L2, L3, R1, R2 and R3) and the plus/minus buttons of
the base unit.
You can save modified parameters via the base unit in an existing or new program.

3. Connecting the instrument


WARNING
Contaminants are blown from the unit to the patient
Risk of infection!
 Do not touch the APC socket.

Connect an instrument to the APC socket.

Instrument detection Erbe APC instruments possess an electronic identifier, i.e. the unit automatically de-
tects the product and its specifications after the connection cable has been inserted
and several default settings are executed automatically on the unit. In this case when
the instrument connector is inserted in the VIO socket, the display shows the message:
"The connected instrument is ready for operation". When the connector is removed,
the instrument is logged off, this is acknowledged by the message "An instrument has
been disconnected"
Instrument detection, of course, does not prevent you from making your own preferred
settings.

29 / 62
5 • Working with the APC 2 (in combination with a VIO from the S series)

Setup parameters on the APC 2


When working with the APC 2 you can select and set up various parameters. To do
this you use the display and the controls of the VIO electrosurgical unit, which is al-
ready known to you. The availability of these parameters can be seen from the Focus
View for the APC socket. However, this task is generally carried out for you by the in-
strument detection system of the Erbe APC instruments: certain values are stored
electronically on the instrument and are preset automatically when the instrument is
inserted in the socket of the unit.
Depending on the mode, the other parameters affect the coagulation result in com-
pletely different ways. It is therefore not possible to give simple rules of thumb for use.

Mode Using the L2 or R2 selection buttons, open the CUT mode or the COAG mode window
to select a particular CUT or COAG mode. You have the choice between a "real" APC
mode for Argon Plasma Coagulation (FORCED APC) and various modes for argon-en-
hanced cutting or coagulation. In the modes for argon-enhanced cutting or coagula-
tion the argon gas reduces smoke formation, however, no argon plasma is produced.

Flow Using the L3 or R3 selection buttons open the window for setting argon flow (unit: li-
tres per minute). Depending on the application, a lower flow may be necessary (e.g.
when there is a risk of argon blowing into bodily cavities, gas embolism), as may be a
higher flow.

80110-201_V24169 
2022-01
Fig. 5-2

Effect Set the effect using the plus/minus buttons next to the effect displays. The COAG ef-
fect influences the coagulation depth and coagulation speed in different ways de-
pending on the COAG mode. For this, read the description of the selected mode in the
User Manual for the VIO base unit. The CUT effect is a measurement of coagulation
depth. As a rule, a higher CUT effect signifies a greater coagulation depth.

Effect

Fig. 5-3

Power limitation Set the power limitation using the plus/minus buttons next to the watt displays. The
power limitation sets the maximum power of the unit available in the selected CUT or
COAG mode. The power limitation must not be confused with the actual power applied
by the unit, which is regulated by the unit depending on the situation.

max. Watts

Fig. 5-4

Purging the instrument with argon If you wish to purge the instrument with argon during surgery press the Purge button
(1). The Purge button only refers to the socket whose Focus button is lit up. The in-

30 / 62
5 • Working with the APC 2 (in combination with a VIO from the S series)

strument which you wish to purge must be connected to the socket with the illuminat-
ed Focus button.
80110-201_V24169 
2022-01

31 / 62
5 • Working with the APC 2 (in combination with a VIO from the S series)

80110-201_V24169 
2022-01

32 / 62
6 • Description of socket hardware

Chapter 6
Description of socket hardware

Socket combinations on the APC module


The APC module can accommodate two sockets. The following combinations are pos-
sible:
• One APC socket.
• Two APC sockets.
• One APC socket and one monopolar socket.
• One APC socket and one bipolar socket.
• One APC socket and one multifunctional socket. The multifunctional socket is only
supported by the VIO 300 D.
The sockets of the VIO electrosurgical unit and the APC module must be regarded as
one unit – as a socket strip of one and the same system.
You control the Cut and Coag functions of all the sockets via the Selection buttons and
the display of the VIO electrosurgical unit (see the chapter Tutorial in the VIO User
Manual).
80110-201_V24169 

If, for example, two or more monopolar sockets are installed in the VIO system's socket
connector, these are counted from the top downwards. If you call up the monopolar
sockets, you will see the designation Monopolar socket 1, Monopolar socket 2 etc. in
2022-01

the Cut/Coag Settings window on the VIO system display.

Purchasing further sockets


You can individually select the sockets of your electrosurgical unit when placing your
order. After purchase it is possible to add further sockets or to replace existing sockets
with others.
A socket unit consists of a front plate, socket insert and two holding clips. Installation
in the electrosurgical unit is simple and can be carried out quickly by any technician
authorized by Erbe.

FiAPC socket unit

Fig. 6-1

REF No. 20134-651

Connectors supported • FiAPC connector

33 / 62
6 • Description of socket hardware

Monopolar socket, bipolar socket, multifunctional socket


Read the chapter Description of Socket Hardware in the VIO User Manual for more in-
formation on these sockets.

80110-201_V24169 
2022-01

34 / 62
7 • Installation of the APC 2 and the Argon gas bottles

Chapter 7
Installation of the APC 2 and the Argon
gas bottles

Ambient conditions

WARNING
Ignition of anesthetics, skin cleansers, and disinfectants in poten-
tially explosive atmospheres
If you place the unit in a potentially explosive atmosphere, anesthet-
ics, skin cleansers, and disinfectants can ignite.
Risk of fire and explosion to the patient and medical personnel! Risk
of damage to property.
 Do not place the unit in potentially explosive atmospheres.

NOTICE
Interference with the unit from portable and mobile HF telecom-
munications units (e.g. mobile phones, WLAN units)
80110-201_V24169 

Electromagnetic waves emitted by portable and mobile HF telecom-


munications units may affect the unit.
2022-01

The unit may fail or not perform properly.


 When using portable and mobile HF telecommunications units, in-
cluding their accessories, there must be a distance of at least
30 cm between them and the unit and its cords.

NOTICE
Unsuitable temperature or level of humidity during operation
If you operate the unit at an unsuitable temperature or level of hu-
midity, it may sustain damage, fail, or not perform properly.
 Operate the unit at a suitable temperature and level of humidity.
You will find the tolerances for temperature and humidity in the
Technical Data.
 If other ambient conditions must be observed for operation of the
unit, you will also find them in the Technical Data.

NOTICE
Unsuitable temperature or humidity in transit or storage
If you transport or store the unit at an unsuitable temperature or level
of humidity, it may sustain damage and fail.
 Transport and store the unit at a suitable temperature and level
of humidity. You will find the tolerances for temperature and hu-
midity in the Technical Data.
 If other ambient conditions must be observed for transport and
storage of the unit, you will also find them in the Technical Data.

35 / 62
7 • Installation of the APC 2 and the Argon gas bottles

NOTICE
Insufficient acclimatization time, unsuitable temperature during
acclimatization
If the unit was stored or transported below or above a certain tem-
perature, it will take a certain time and temperature to acclimatize.
If you do not observe the rules, the unit can sustain damage and fail.
 Acclimatize the unit according to the rules in the Technical Data.

NOTICE
Overheating of the unit due to poor ventilation
If ventilation is poor, the unit can overheat, sustain damage, and fail.
 Install the unit in such a way that there is an unobstructed circu-
lation of air around the housing. Installation in confined wall re-
cesses is prohibited.

NOTICE
Penetration of liquid into the unit
The housing is not absolutely watertight. If liquid penetrates, the unit
can sustain damage and fail.
 Make sure no liquid can penetrate the unit.
 Do not place vessels containing liquids on top of the unit.

Electrical installation

80110-201_V24169 
Grounding If necessary, connect the grounding pin of the unit or of the cart to the grounding sys-

2022-01
tem of the operating room using a grounding conductor.

Installing the unit on an Erbe cart


Please read the User Manual for the cart concerned. There you will find instructions on
how to secure the unit to the cart.

36 / 62
7 • Installation of the APC 2 and the Argon gas bottles

Fixing argon gas bottles, connection of the working gas bottle,


detachment of the working gas bottle on the VIO CART

1. Attach gas bottle pads

Fig. 7-1

Press the gas bottle pad (1) into the left-hand corner of the VIO CART. If you want to
position a spare gas bottle in the right-hand corner, install a gas bottle pad there as
well.

2. Insert fixing strap


80110-201_V24169 
2022-01

Fig. 7-2

Insert the fixing strap in the left-hand lug of the VIO CART (1). The fleecy side of the
fixing strap must face outwards. If you want to position a spare gas bottle in the right-
hand corner, insert a fixing strap there as well.

37 / 62
7 • Installation of the APC 2 and the Argon gas bottles

3. Place the argon gas bottle in the


VIO CART and fix in place

Fig. 7-3

Place the working gas bottle in the recess. Place the spare gas bottle - if installed - to
the right of it.
Hook the fixing strap into the lug (1). Close the fixing strap (2) firmly. If you are using
a spare gas bottle, proceed in the same manner.

80110-201_V24169 
4. Connect pressure reducer to
working gas bottle

2022-01

Fig. 7-4

Input pressure: (5 ± 2) x 105 Pa / 5 ± 2 bar.


For the country-specific gas bottles Erbe Elektromedizin offers the appropriate pres-
sure reducer complete with pressure sensor. Information is available from Erbe or your
distributor.
1. Remove the protective cap from the gas bottle (not with French gas bottles, for
which the gas bottle collar is left in place). Remove the valve closure nut. Only

38 / 62
7 • Installation of the APC 2 and the Argon gas bottles

turn the union nut (1) of the pressure reducer clockwise onto the gas bottle by
hand. Do not use tools! To prevent any soiling of the valve connection, screw the
pressure reducer onto the gas bottle at once.
2. Insert the pressure line and the line of the high-pressure sensor through the
opening (3) above the argon gas bottle.

5. Connect the pressure line and


the high-pressure sensor line

Fig. 7-5

1. Fit the connector of the pressure line (1) to the argon connection of the APC 2.
2. Fit the connector of the high-pressure sensor (2) to the sensor connection of the
APC 2. Tighten the union nut by hand.
80110-201_V24169 

3. Open the gas bottle valve (2) without jerking by turning the handwheel counter-
clockwise. After one full turn the gas bottle valve is opened completely.
2022-01

6. Detach empty gas bottles 1. Close the gas bottle valve by turning the handwheel clockwise. It is possible that
the gas bottle valve may be fairly stiff.
2. Remove the pressure line from the argon gas bottle connection of the APC 2.
3. Place the opening of the pressure line on the purge pin (3) of the APC 2 and press.
There is still a residual amount of argon in the line. This now escapes with a loud
hissing noise.
4. Remove the union nut of the pressure reducer turning anticlockwise by hand only
and detach the pressure reducer.

39 / 62
7 • Installation of the APC 2 and the Argon gas bottles

Fixing argon gas bottles, connection of the working gas bottle,


detachment of the working gas bottle on the Universal Cart

1. Attach gas bottle pads

Fig. 7-6

Remove the door of the Universal Cart. Press the gas bottle pad (1) into the left-hand
corner of the Universal Cart. If you want to position a spare gas bottle in the right-hand
corner, install a gas bottle pad there as well.

2. Place argon gas bottle in the Place the working gas bottle in the left-hand corner. Place the spare gas bottle - if in-
Universal Cart. stalled - to the right of it.

3. Thread the lashing strap

80110-201_V24169 
2022-01

Fig. 7-7

Thread the lashing strap through the lower middle lug (1) and through the left-hand
lug (2). The buckle (3) must be on the outer side.
If you have positioned a spare gas bottle in the right-hand corner, thread a lashing
strap there as well.
Tighten the lashing strap. Attach the door again.

40 / 62
7 • Installation of the APC 2 and the Argon gas bottles

4. Connect pressure reducer to


working gas bottle
80110-201_V24169 
2022-01

Fig. 7-8

Input pressure: (5 ± 2) x 105 Pa / 5 ± 2 bar.


For the country-specific gas bottles Erbe Elektromedizin offers the appropriate pres-
sure reducer complete with pressure sensor. Information is available from Erbe or your
distributor.
Remove the protective cap from the gas bottle (not with French gas bottles, for which
the gas bottle collar is left in place). Remove the valve closure nut. Screw the union nut
(1) of the pressure reducer onto the gas bottle (clockwise) by hand only. Do not use
tools! To prevent any soiling of the valve connection, screw the pressure reducer onto
the gas bottle at once.

41 / 62
7 • Installation of the APC 2 and the Argon gas bottles

5. Connect the pressure line and


the high-pressure sensor line

Fig. 7-9

1. Fit the connector of the pressure line (1) to the argon connection of the APC 2.
2. Fit the connector of the high-pressure sensor (2) to the sensor connection of the
APC 2. Tighten the union nut by hand.
3. Open the gas bottle valve (2) without jerking by turning the handwheel counter-
clockwise. After one full turn the gas bottle valve is opened completely.

6. Detach empty gas bottles 1. Close the gas bottle valve by turning the handwheel clockwise. It is possible that
the gas bottle valve may be fairly stiff.

80110-201_V24169 
2. Remove the pressure line from the argon gas bottle connection of the APC 2.
3. Place the opening of the pressure line on the purge pin (3) of the APC 2 and press.

2022-01
There is still a residual amount of argon in the line. This now escapes with a loud
hissing noise.
4. Remove the union nut of the pressure reducer turning anticlockwise by hand only
and detach the pressure reducer.

Risks due to the pressure gas bottle

WARNING
Damage to the gas bottle or valve. Gas emerges at high pressure.
If the gas bottle has been weakened due to serious damage, this can
lead to cracks in the wall of the gas bottle. Considerable stresses and
strains occur at the cracks, causing the gas bottle to break open. Gas
emerges at high pressure. The gas bottle is propelled like a rocket.
Risk of injury or death for patients and medical staff! Risk of damage
to property.
 Do not apply force to gas bottles, gas bottle connectors, valves, or
pressure regulators.
 When transporting, storing, and using the gas bottle, prevent it
from falling over and dropping by securing it with chains, hoops,
or retaining straps.
 Only transport gas bottles with the valve guard fitted: bottle cap
or bottle collar.

42 / 62
7 • Installation of the APC 2 and the Argon gas bottles

 Prevent the argon gas bottle from being heated by radiators or


naked flames. The surface temperature must not exceed 50 °C.

NOTICE
Incorrect pressure regulator, incorrect pressure lines
The unit has a certain input pressure. You will find it in the Technical
Data.
If you connect up the wrong pressure regulator or wrong pressure
lines, the unit can be damaged.
 Only connect argon gas bottles to the unit using the pressure reg-
ulator and pressure lines specified by Erbe.

DANGER
Wrong gas
The unit may only be operated with argon.
Risk of injury or death for patients and medical staff! Risk of damage
to property.
 Check whether the gas bottle actually contains argon. Labels on
the gas bottle must not be damaged or removed.
 Use argon 4.8 (99.998% purity) or higher, e.g. argon 5.0.

WARNING
Uncontrolled escape of argon
If the gas accumulates in air you are breathing, there is a risk of suf-
focation. Symptoms include drowsiness, rise in blood pressure, and
80110-201_V24169 

respiratory distress. In an atmosphere of pure argon a person would


fall unconscious immediately without any warning and suffocate.
2022-01

 When gas bottle valves are opened, there is a brief hissing sound.
If the hiss continues for more than 2 seconds, there is a leak. The
gas bottle must be closed again immediately. The unit may only
be used when the leak has been stopped by a competent techni-
cian.
 Make sure the connections of the pressure lines to the APC 2 are
gastight. The same applies to the connection of the pressure reg-
ulator to the gas bottle.
 Close the safety valves on the gas bottles after use.

Refilling the working gas bottle


Argon gas bottles can be refilled by your Erbe subsidiary or your gas dealer.
Return argon gas bottles with slight overpressure, i.e. not completely empty. This en-
sures that no foreign substances can enter the gas bottle.

43 / 62
7 • Installation of the APC 2 and the Argon gas bottles

80110-201_V24169 
2022-01

44 / 62
8 • Cleaning and disinfection

Chapter 8
Cleaning and disinfection

Wipe disinfection
For cleaning and disinfecting the surfaces of the unit or of the cart, Erbe recommends
a wipe disinfection. Use only disinfectant which complies with the relevant national
standards.

Instructions for cleaning and disinfection


Mix the disinfectant in the concentration specified by the manufacturer.
Clean surfaces contaminated with blood before using the disinfectant; otherwise it
may be less effective.
Wipe the surfaces. Make sure the surfaces are treated uniformly. Comply with the ac-
tion time of the disinfectant specified by the manufacturer.

Safety Instructions
80110-201_V24169 

WARNING
2022-01

Connection of unit / cart and power supply during cleaning and


disinfection
Risk of electric shock to the medical personnel!
 Switch off the unit. Unplug the power cord of the unit / cart.

WARNING
Flammable detergents and disinfectants, flammable solvents in
adhesives used on the patient and on the unit / cart
Risk of fire and explosion to the patient and medical personnel! Risk
of damage to property.
 Use products that are not flammable.
If the use of flammable products is unavoidable, proceed as fol-
lows:
 Allow the products to evaporate completely before switching on
the unit.
 Check whether flammable liquids have accumulated under the
patient, in body recesses such as the navel, or in body cavities
such as the vagina. Remove any liquids before performing elec-
trosurgery.

45 / 62
8 • Cleaning and disinfection

NOTICE
Penetration of liquid into the unit
The housing is not absolutely watertight. If liquid penetrates, the unit
can sustain damage and fail.
 Make sure no liquid can penetrate the unit.
 Do not place vessels containing liquids on top of the unit.

NOTICE
Alcohol-based spray disinfectant for fast disinfection
With membrane keyboards and paint surfaces there is the risk of
cracks. Propanol and ethanol will erode surfaces.
 Do not use these substances.

NOTICE
Alternate use of disinfectant solutions based on different active
ingredients
A color reaction may occur with plastics.
 Do not use these substances alternately.

Membrane keyboards Note: If alcohol-based disinfectants are used on units with membrane keyboards, this
remove the anti-glare finish. However, the user surfaces remain fully functional. This
does not present a hazard.

80110-201_V24169 
2022-01

46 / 62
9 • Status Messages, Error Messages

Chapter 9
Status Messages, Error Messages

An error message consists of an error code and an error text. The display of the VIO
system shows two different types of error messages.
a) Error messages that prompt you to take action and remedy the error. You will find
these error messages in the table.
b) Error messages that prompt you to inform Technical Service. These error messages
are not listed individually in the User Manual because the error texts of the relevant
error codes are constantly repeated. The error texts are:
• Activation has been stopped. Activate again. If the display shows this error num-
ber repeatedly, please inform Technical Service.
• Minor deviation from the system parameters. If the display shows this note
repeatedly, please inform Technical Service.

Status Messages

B-86 APC socket 1 is ready for operation.

B-8A APC socket 2 is ready for operation.


80110-201_V24169 

B-8C APC 2 is ready for operation.


2022-01

Error Messages

B-87 APC socket 1 fault. Restart VIO. If fault cannot be remedied, inform Technical Service.

B-8B APC socket 2 fault. Restart VIO. If fault cannot be remedied, inform Technical Service.

B-8D APC 2 disconnected from system.

B-B4 Purging APC instrument.

A-02 The APC setup parameters are incomplete or invalid.

A-10 Gas supply faulty. Underpressure on central gas supply line. Please inform hospital maintenance. Or the gas
cylinder is empty. Please change gas cylinder.

A-11 Gas supply faulty. Overpressure on central gas supply line. Please inform hospital maintenance.

A-40 Flow insufficient. The instrument is blocked. The gas flow is not suitable for the instrument.

A-85 Instrument detection fault. Please do not use APC instrument; have it checked.

A-86 The APC tube is possibly blocked.

A-90 Gas cylinder 1 will soon be empty. Please change the gas cylinder.

47 / 62
9 • Status Messages, Error Messages

80110-201_V24169 
2022-01

48 / 62
10 • General Technical Data

Chapter 10
General Technical Data

Connections

Low voltage via VIO electrosurgical unit

HF via VIO electrosurgical unit

Terminal for potential equalisation yes

Gas specification

Type of gas Argon

Argon minimum purity Argon 4.8 (99.998% purity) or higher, e.g. argon 5.0.

Density (relative; air = 1) 1.38

Critical temperature –122 °C

Color Colorless gas


80110-201_V24169 

Odor No warning by smell

Concentration of explosion limit (vol. % in air) Non-combustible


2022-01

Special risks Heat/fire can result in an increase in pressure causing the


pressure gas bottle to explode! Gas in high concentrations
can be suffocating!

Gas-specific unit data

Input pressure (5 ± 2) x 105 Pa 5 ± 2 bar 72.5 ± 29 psi

Max. discharge pressure 2 x 105 ± 4 x 104 Pa 2 ± 0.4 bar 29 ± 5.8 psi

Variable gas flow 0.1 - 8 l/min limited by the instrument attached, adjustable
in 0.1 l increments

Tolerance of the rated flow (in range 0.2 - 5 l/min) ± 20 %

Purging flow Depending on the instrument (corresponds to the setpoint


flow of the instrument which is currently connected)

Purging time 3 sec.

If you use a gas bottle, the residual volume display is acti- 7 x 105 Pa 7 bar 101.5 psi
vated at

Residual volume display VIO display

Residual pressure display Pressure gauge

The APC 2 switches off when the input pressure is < 3 x 105 Pa < 3 bar < 43.5 psi

49 / 62
10 • General Technical Data

Dimensions and weight

Width x height x depth 410 x 80 x 370 mm

Weight 4.8 kg

Ambient conditions for transport and storage of unit

Temperature -40 °C to + 70 °C

Relative humidity 10% – 95%

Ambient conditions for operation of unit

Temperature +10 °C to + 40 °C

Relative humidity 15% – 80%, noncondensing

Acclimatizing

If the unit has been stored or transported at temperatures below +10 °C or above +40 °C, the unit will require approx. 3 hours
to acclimatize at room temperature.

Standards

80110-201_V24169 
Classification according to EC Directive 93/42/EEC IIb

2022-01
Type as per EN 60 601-1 CF

50 / 62
11 • Notes on electromagnetic compatibility (EMC)

Chapter 11
Notes on electromagnetic compatibility
(EMC)

Where EMC is concerned, medical electrical units are subject to special safety mea-
sures and must be installed and commissioned according to the EMC notes stated
herein.

Guidelines for avoiding, recognizing and rectifying unwanted


electromagnetic effects on other units or systems, which are the result
of operating the VIO system.
When VIO electrosurgical units are activated, disturbance of other units or systems in
the immediate vicinity can occur. This can be recognized as, for example, image arti-
facts in imaging units or unusual fluctuations in measured value displays.
Such disturbances from an activated electrosurgical unit can be reduced by placing it
further away and/or carrying out suitable shielding measures on the equipment or
system experiencing disturbance.
When the VIO electrosurgical unit is in the non-activated state, interference with other
80110-201_V24169 

units in the immediate vicinity does not occur.


2022-01

WARNING
Use of non-approved EMC-relevant accessories
This can result in the increased emission of electromagnetic interfer-
ence or reduce the electromagnetic immunity of the unit.
Risk of injury to the patient.
Units may fail or not function properly.
 Only use cable that is specified in the table "EMC-relevant acces-
sories", see chapter "Notes on electromagnetic compatibility
(EMC)".
 If you are using accessories from other manufacturers, check
whether the Erbe unit is interfering with other units or being af-
fected by interference itself. You cannot use the unit if there is any
interference.

NOTICE
Stacked units
If you place the unit next to or stack it with other units, the units may
affect each other.
Units may fail or not function properly.
 The unit may only be placed next to or stacked with VIO-series
units.
 If it is necessary to operate the unit near or stacked together with
non-VIO-series units keep as much distance as possible between

51 / 62
11 • Notes on electromagnetic compatibility (EMC)

the units. Check whether the units are affecting each other: Are
the units behaving unusually? Are faults occurring?

NOTICE
Interference with the unit from portable and mobile HF telecom-
munications units (e.g. mobile phones, WLAN units)
Electromagnetic waves emitted by portable and mobile HF telecom-
munications units may affect the unit.
The unit may fail or not perform properly.
 When using portable and mobile HF telecommunications units, in-
cluding their accessories, there must be a distance of at least
30 cm between them and the unit and its cords.

NOTICE
Use of non-approved internal cables by Technical Service
This can result in the increased emission of electromagnetic waves or
reduce the immunity of the unit.
The unit may fail or not perform properly.
 Technical Service may only use the internal cables that are listed
in the service manual for the unit.

Guidance and manufacturer's declaration - electromagnetic emissions

The unit is intended for use in the electromagnetic environment specified below. The customer or the user of the unit should
ensure that it is used in such an environment.

80110-201_V24169 
Emissions test Compliance Electromagnetic environment - guidance

HF emissions CISPR 11 Group 1 In stand-by operation, the unit uses HF energy only

2022-01
for its internal function.

Group 2 In the active state, the unit emits HF energy to the


patient.

HF emissions CISPR 11 Class A The properties of this unit in terms of its emissions
mean it can only be used in medical facilities that are
Harmonic emissions IEC 61000-3-2 Class A connected to supply systems specifically provided for
Voltage fluctuations/flicker emissions Complies that purpose (usually supplied via isolating transform-
IEC 61000-3-3 ers). For domestic use (for which class B is usually
required as per CISPR 11), this unit may not offer ade-
quate protection against radio services. The user may
need to take corrective measures such as relocating or
reorienting the unit.

52 / 62
11 • Notes on electromagnetic compatibility (EMC)

Guidance and manufacturer's declaration - electromagnetic immunity

The unit is intended for use in the electromagnetic environment specified below. The customer or the user of the unit should
ensure that it is used in such an environment.

Immunity test IEC 60601-1-2 test level Compliance level Electromagnetic environment
- guidance

Discharge of static ±8 kV contact discharge ±8 kV contact discharge The floor should be made from
electricity (ESD) in wood or concrete or be covered
accordance with  ±15 kV air discharge ±15 kV air discharge with ceramic tiles. If the floor is
IEC 61000-4-2 covered with non-conductive
synthetic material, the relative
humidity must be at least 30%.

Electrical fast tran- ±2 kV for power supply lines ±2 kV for power supply lines Mains power quality should be
sient/burst IEC 61000- that of a typical commercial or
4-4 ±1 kV for input/output lines ±1 kV for input/output lines hospital environment.

Surge IEC 61000-4-5 ±1 kV differential mode ±1 kV differential mode Mains power quality should be
that of a typical commercial or
±2 kV common mode ±2 kV common mode hospital environment.

Voltage dips, short- 0% UT for 0.5 cycle, 0% UT for 0.5 cycle, Mains power quality should be
term interruptions and at 0, 45, 90, 135, 180, 225, at 0, 45, 90, 135, 180, 225, that of a typical commercial or
voltage fluctuations on 270 and 315 degrees 270 and 315 degrees hospital environment.
power supply input
lines as per  0% UT for 1 cycle, 0% UT for 1 cycle, If the user of the unit requires
IEC 61000-4-11 single-phase at 0 degrees single-phase at 0 degrees continued operation during
power mains interruptions, it is
70% UT for 25/30 cycles, 70% UT for 25/30 cycles, recommended that the unit be
single-phase at 0 degrees single-phase at 0 degrees
80110-201_V24169 

powered from an uninterrupt-


Voltage monitoring as 0% UT for 250/300 cycles 0% UT for 250/300 cycles ible power supply or a battery.
per IEC 61000-4-11 (50/60 Hz) (50/60 Hz)
2022-01

Power frequency (50/ 30 A/m 30 A/m Power frequency magnetic


60 Hz) magnetic field fields should be at levels char-
as per IEC 61000-4-8 acteristic of a typical location in
a typical commercial or hospital
environment.

Note: UT is the a.c. mains voltage prior to application of the test level.

53 / 62
11 • Notes on electromagnetic compatibility (EMC)

Guidance and manufacturer's declaration - electromagnetic immunity

The unit is intended for use in the electromagnetic environment specified below. The user of the unit should ensure that it is
used in such an environment.

Immunity test IEC 60601-1-2 test Compliance level Electromagnetic environment - guidance
level

Conducted HF distur- 3 Veff 3 Veff The field strengths of fixed transmitters, as deter-
bances as per  150 kHz to 80 MHz 150 kHz to 80 MHz mined by an electromagnetic site survey should be
IEC 61000-4-6 below the compliance level in each frequency
6 Veffa) in ISM fre- 6 Veffa) in ISM fre- range. b)
quency bands quency bands
150 kHz to 80 MHz 150 kHz to 80 MHz Interference may occur in the vicinity of units
marked with the following symbol.
Radiated high-fre- 3 V/m 3 V/m
quency electromag- 80 MHz to 2.7 GHz 80 MHz to 2.7 GHz
netic fields as per 
IEC 61000-4-3

Note: These guidelines may not apply in all cases. Electromagnetic propagation is affected by absorption and reflection from
structures, objects and people.

a) 
The ISM bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz, 13.553 MHz to 13.567 MHz, 26.957 MHz to
27.283 MHz and 40.66 MHz to 40.7 MHz.
b) 
The field strengths of fixed transmitters, such as base stations for radio (cellular/cordless) telephones and terrestrial radio
units, amateur radio stations, AM and FM radio and TV channels cannot be predicted theoretically with accuracy. To assess
the electromagnetic environment with regard to fixed transmitters, a site inspection should be considered. If the field

80110-201_V24169 
strength measured at the site where the unit is used exceeds the abovementioned compliance level, the unit must be moni-
tored to ensure it is functioning properly. In the event of any unusual operating behavior, additional measures may be
required, such as changing the orientation or location of the unit.

2022-01
Electromagnetic immunity against high-frequency wireless communication units as per IEC 61000-4-3

Frequency band (MHz) Test frequency (MHz) Modulation Compliance level (V/m)

380 - 390 385 Pulse a) (18 Hz) 27

430 - 470 450 FM ± 5 kHz deviation or 28


pulse a) (18 Hz)

704 - 778 710, 745, 780 Pulse a) (217 Hz) 9

800 - 960 810, 870, 930 Pulse a) (18 Hz) 28

1700 - 1990 1720, 1845, 1970 Pulse a) (217 Hz) 28

2400 - 2570 2450 Pulse a) (217 Hz) 28

5100 - 5800 5240, 5500, 5785 Pulse a) (217 Hz) 9

54 / 62
11 • Notes on electromagnetic compatibility (EMC)

Electromagnetic immunity against high-frequency wireless communication units as per IEC 61000-4-3

Note: A minimum safety distance of 30 cm should be maintained between the unit and portable HF telecommunications
units that transmits in the stated frequency band. This includes mobile phones, WLAN and RFID, and Bluetooth units. Failure
to comply may lead to a reduction in the unit’s performance features.
Interference may occur in the vicinity of units marked with the following symbol.

a) The pulse modulation is defined as a square-wave signal with a 50% duty factor.

The cables / cords used on the unit must not exceed the lengths specified below.

EMC-relevant accessories a)

Name Maximum cable length

Grounding cable (POAG) 10 m

ECB cable 15 cm

Monopolar connecting cable 5 m b)

Bipolar connecting cable 5 m b)

Multifunction cable 4 m b)

APC cable 6m
80110-201_V24169 

Pressure sensor cable 75 cm

a) EMC-relevant accessories refers to the cable specified. The cable can affect the unit’s electromagnetic interference or the
2022-01

electromagnetic immunity of the unit.


b) When connecting Erbe instruments, the overall cord length increases by max. 0.5 m.

Operating environment
For the intended use, the unit may only be operated in premises used for medical pur-
poses.
The unit may be operated in the vicinity of an electrosurgical unit. The safety instruc-
tions for the unit and the electrosurgical unit must be observed. Please read the safety
instructions on the following subjects in particular:
• distance between the unit and the electrosurgical unit. In this User Manual, refer
to the safety instruction Stacked units.
• Distances between the unit and the electrosurgical unit’s cords.
• Distances between the unit's cords and the electrosurgical unit’s cords.
Position the units and cords so that they are as far apart as possible.
Essential performance characteristics
The unit does not have any essential performance features within the meaning of
IEC 60601-2-2.

55 / 62
11 • Notes on electromagnetic compatibility (EMC)

80110-201_V24169 
2022-01

56 / 62
12 • Maintenance, Customer Service, Warranty, Disposal

Chapter 12
Maintenance, Customer Service, Warranty,
Disposal

Maintenance

Modifications and repairs Modifications and repairs must not impair the safety of the unit or cart and accessories
for the patient, user and the environment. This condition is met when changes to the
structural and functional characteristics are not detrimental to safety.

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

Technical safety checks The technical safety checks determine whether the safety and operational readiness
of the unit or the cart and accessories conform to a defined technical required status.
Technical safety checks must be performed at least once a year.

What technical safety checks must For this unit the following technical safety checks have been stipulated:
be performed?
• Checking of labels and User Manual
80110-201_V24169 

• Visual inspection of unit and accessories for damage


• Testing the grounded conductor in accordance with IEC 60601-1 Section 18
2022-01

• Testing the leakage current in accordance with IEC 60601-1 Section 19


• General performance testing
• Functional testing of all the unit's operating and control elements
• Testing the monitoring equipment
• Gas flow measurement
• Performance testing of the gas bottle valve, performance testing of the pressure
regulator
• Pressure line testing
The results of the technical safety checks must be documented.
If during the technical safety checks any defects are found which might endanger pa-
tients, staff or third parties, the unit may not be operated until the defects have been
remedied by competent service technicians.

Customer service
If you are interested in a maintenance contract, please contact Erbe Elektromedizin in
Germany, or your local contact in other countries. This may be an Erbe subsidiary, an
Erbe representative or a distributor.

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12 • Maintenance, Customer Service, Warranty, Disposal

Warranty
The General Terms and Conditions or the conditions of the purchase contract apply.

Disposal

Your product bears a crossed-out garbage can icon (see picture). Meaning: In all EU
countries this product must be disposed of separately in accordance with the national
laws implementing EU Directive 2012/19/EU of 07/04/2012, WEEE.
In non-EU countries the local regulations must be observed.
If you have any questions about disposal of the product, please contact Erbe Elektro-
medizin or your local distributor.

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13 • Accessories

Chapter 13
Accessories

Introduction
The following offers an overview of example accessories for each accessory category.
A complete overview is available in the Erbe accessories catalog and on the Erbe web-
site. We recommend the use of Erbe accessories.
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13 • Accessories

APC 2 example accessories

APC 2

Instruments for the APC Accessories for subsystems

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Accessories for the APC

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14 • Symbols

Chapter 14
Symbols

Individual details of the symbols in this chapter may deviate from your product. Not all
symbols may necessarily appear on your unit or its packaging.

Symbol Explanation

Caution, consult accompanying documents

Catalogue number

Serial number

Manufacturer

Date of manufacture

Keep away from sunlight


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Keep dry
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Temperature limit

Humidity limitation

Atmospheric pressure limitation

Quantity (x)
X

Follow instructions for use

Warning; Electricity

Foot switch

ECB Erbe Communication Bus


Used to exchange data between Erbe units.

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14 • Symbols

Symbol Explanation

Equipotentiality
Refers to the grounding terminal.

Off, On

Defibrillation-proof type CF applied part


The applied parts of the unit (e.g. instrument sockets) are pro-
tected against the effects of defibrillator discharge.

Computer network
Refers to the computer network itself or the network connections.

Input

HF isolated patient circuit


The danger of leakage currents and therefore the danger of burns
is substantially reduced for the patient.

Non-ionizing electromagnetic radiation


A unit that bears this symbol does not transmit ionizing electro-
magnetic radiation. Interference may occur in the vicinity of the
unit.

The product must be disposed of separately.

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European conformity marking
CE
Medical device

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