Argon Plasma Generator Arco 3000: User Manual

User Manual
Argon Plasma Generator

Arco 3000
DocNr.: 03-4769_R02.01 | 09-2013 | en-GB 0123

Arco 3000
2 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB
Table of contents
Table of contents
1 Introduction .................................................................................................... 6
1.1 Information about these instructions for use................................. 6
1.2 Typographical conventions ............................................................. 6
1.2.1 Safety and warning information ........................................................................ 6
1.2.2 Additional information.......................................................................................... 7
1.3 General conditions............................................................................ 8
2 Safety ............................................................................................................... 9
2.1 Intended use...................................................................................... 9
2.2 General safety information ............................................................10
3 Overview........................................................................................................16
3.1 Overview of argon plasma generator ...........................................16
3.1.1 Symbols on the argon plasma generator .....................................................18
3.1.2 Type plate.................................................................................................................19
3.1.3 Buttons and indicator lamps .............................................................................20
3.2 Scope of delivery.............................................................................26
3.3 System overview .............................................................................27
3.3.1 Use with a monopolar handle with buttons................................................27
3.3.2 Use with a monopolar handle without buttons.........................................28
3.3.3 Use with an Arco handle with buttons ..........................................................29
3.3.4 Use with an Arco handle without keys ..........................................................30
3.3.5 Use with a bipolar instrument ..........................................................................31
3.4 Functional description....................................................................32
3.4.1 Monopolar cutting................................................................................................33
3.4.2 Monopolar coagulation ......................................................................................33
3.4.3 Argon plasma coagulation.................................................................................34
3.4.4 Bipolar cutting ........................................................................................................34
3.4.5 Bipolar coagulation...............................................................................................34
4 Transport and storage..................................................................................35
5 Installation ....................................................................................................36
5.1 Carrying out a visual inspection ....................................................36
5.2 Connecting the argon plasma generator to the supply network37
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Table of contents
5.3 Preparing the argon plasma generator ........................................38

5.3.1 Installing the foot switch.................................................................................... 38
5.3.2 Installing the gas cylinder.................................................................................. 39
5.3.3 Connecting the neutral electrode cable....................................................... 41
5.4 Switching on the argon plasma generator ...................................42
5.5 Connecting instruments.................................................................44
5.5.1 Connecting a monopolar handle.................................................................... 44
5.5.2 Connecting the Arco handle............................................................................. 45
5.5.3 Connecting a bipolar instrument.................................................................... 47
6 Operation ......................................................................................................48
6.1 Preparing for treatment .................................................................49
6.1.1 Activating the operator control panel........................................................... 49
6.1.2 Attaching the neutral electrode and checking the connection........... 50
6.1.3 Adjusting the volume.......................................................................................... 51
6.1.4 Carrying out functional testing........................................................................ 51
6.1.5 Adjusting power settings................................................................................... 56
6.1.6 Managing programs ............................................................................................ 69
6.2 Starting treatment ..........................................................................72
6.2.1 Requirements for all applications ................................................................... 72
6.2.2 Requirements for all applications ................................................................... 73
6.2.3 Requirements for monopolar applications ................................................. 76
6.2.4 Requirements for argon plasma coagulation............................................. 79
6.2.5 Requirements for bipolar applications ......................................................... 80
6.3 Ending treatment............................................................................81
6.3.1 Switching off the argon plasma generator.................................................. 81
6.3.2 Disconnecting instruments from the argon plasma generator ........... 81
6.3.3 Detaching the accessories ................................................................................. 81
7 Reprocessing .................................................................................................83
7.2 Cleaning the argon plasma generator and accessories ...............84
7.3 Disinfecting the argon plasma generator and accessories .........84
8 Maintenance..................................................................................................85
8.1 Regular checks ................................................................................85
8.2 Faults................................................................................................86
8.2.1 Faults occurring during the self-test.............................................................. 86
8.2.2 Faults occurring during operation.................................................................. 87
8.3 Repairs .............................................................................................89
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Table of contents
9 Disposal .........................................................................................................90
10 Technical data ...............................................................................................91

10.1 Power tables and power graphs ....................................................92
10.1.1 Monopolar cutting................................................................................................92
10.1.2 Monopolar coagulation ......................................................................................98
10.1.3 Argon plasma coagulation.............................................................................. 103
10.1.4 Bipolar cutting ..................................................................................................... 105
10.1.5 Bipolar coagulation............................................................................................ 107
Index ............................................................................................................109
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Introduction
Information about these instructions for use
1 Introduction
1.1 Information about these instructions for use

These instructions for use are intended to assist you in properly using the argon
plasma generator. Emphasis is placed on the installation, start-up and safe operation
of the argon plasma generator. Medical application is not described. Find out about
the medical applications and their side effects. The relevant information can be found
in the specialist literature. The basic principles of argon plasma coagulation and
high-frequency surgery (electrosurgery) can be found in the medical literature.
These instructions for use are included with the argon plasma generator. Please read
the instructions for use completely before using the argon plasma generator. Please
keep these instructions for use for future reference.
The argon plasma generator is intended for use with instruments and accessories
from Sring. Please also observe the instructions for use for the instruments and ac-
cessories used.
If you have further questions on the content of these instructions for use or use of the
argon plasma generator please contact Sring GmbH (contact data on back page) or
an authorised dealer.
1.2 Typographical conventions
1.2.1 Safety and warning information
In these instructions for use, safety information and warnings are indicated by sym-
bols and signal words. Hazards are categorised into four hazard levels.
All safety and warning information is structured according to the same four-stage
model.
Names the source of the hazard

Describes the consequences of the hazard. This will result in death or severe injuries.
Specifies the steps that must be taken to eliminate the hazard.
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Introduction
Typographical conventions

Describes the consequences of the hazard. This may result in death or severe injuries.

Describes the consequences of the hazard. This may result in minor injuries.

Describes the consequences of the hazard. This may result in material damage.
Specifies the steps that must be taken to avoid the hazard.
1.2.2 Additional information
In these instructions for use, special information is marked by the following symbol.
Gives further information about the argon plasma generator.
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Introduction
General conditions
1.3 General conditions

Ensure that the following conditions are met when working with the argon plasma
generator:
The instructions for use must be read before the argon plasma generator is used.
Before an instrument is connected to the argon plasma generator the instructions
for use for the instrument must be read.
Any recurring faults or problems must be reported to Sring GmbH or an author-
ised dealer.
Sring GmbH does not accept liability for any damage or personal injury arising from:
changes made to the argon plasma generator,
improper use,
use of unauthorised instruments,
use of accessories other than the approved ones,
improper handling,
non-compliance with this instruction for use.
1.4
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Safety
Intended use
2 Safety
2.1 Intended use

The argon plasma generator is intended solely for use in open surgery and minimally
invasive surgery on humans. Only soft tissue may be treated in short-term use.
The precise purpose is determined by the instrument connected. Only approved in-
struments and accessories may be connected (see catalogue or our website:
www.soering.com).
This results in applications for
non-contact argon plasma coagulation,
monopolar and bipolar cutting,
monopolar and bipolar coagulation.
Non-contact argon plasma coagulation is a monopolar application in which high-fre-
quency electrical current ionises an argon gas, thereby generating an arc between
the Arco handle probe and the tissue.
The argon plasma generator is not intended for use in heart or eye operations.
As no definite information is available for the treatment of high-risk patients prima-
rily pregnant women and haemophiliacs, the attending surgeon must weigh the risks
of the treatment particularly carefully against the benefits.
The same applies to neurosurgery. Monopolar cutting and the use of an operating
mode with higher peak voltage for monopolar coagulation as well as argon plasma
coagulation should be avoided. Only bipolar coagulation is recommended.
In each case, the surgeon providing treatment is responsible for weighing the risks of
treatment against the benefits.
The argon plasma generator may only be used in medical operating rooms.
Only qualified specialists such as OP staff, sterilisation department staff and operating
room assistants possessing the required education, training or knowledge as well as
sufficient experience may use the argon plasma generator.
Only qualified surgeons may operate on patients using instruments connected to the
argon plasma generator.
The connected instruments and the accessories used (e.g. instrument cable, probe
and neutral electrode) must be approved for a peak voltage that is higher than the
peak voltage for the selected operating mode (see section 10.1 Power tables and
power graphs on page 92).
For argon plasma coagulation the argon plasma generator may only be used with the
pressure reducer from Sring and only with argon gas.
In general the argon plasma generator may only be used by individuals properly in-
structed in its handling. The manufacturer or a person authorised by the operator
must provide instruction in the handling of the argon plasma generator with the help
of these instructions for use.
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Safety
General safety information
The argon plasma generator is intended for short-term use. The connected instru-
ments may not be permanently activated. A pause must be made after each activa-
tion. The activation time during an operation must not exceed a total of one hour.
The required environmental conditions for operation as well as for transport and stor-
age must be met (see section 4 Transport and storage on page 35).
Under no circumstances shall liquid be allowed to penetrate into the argon plasma
generator.
Any other use is considered to be improper use. Use of the Automatic function for bi-
polar cutting, in particular, is not permitted.
The local occupational health and safety, hygiene and safety regulations and the
specifications in these instructions for use and the instructions for use for the instru-
ments used must be complied with.
2.2 General safety information
Insufficient qualification
Improper handling of the argon plasma generator may lead to severe personal injury,
irreversible physical injury or death.
Only deploy qualified specialists.
Do not grant access to unauthorised persons.
Contact the manufacturer or an authorised dealer if necessary for repairs and
maintenance work.
Magnetic fields
Magnetic fields may affect the function of the argon plasma generator and severely
injure patients.
Do not use the argon plasma generator in the region of influence of magnetic
fields.
Ensure electromagnetic compatibility.
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Safety
Use of a physiological monitoring device

If the argon plasma generator unit is used at the same time as a physiological moni-
toring device with monitoring electrodes (e.g. an ECG device), this may cause a
high-frequency current to flow in the monitoring electrodes. This can result in severe
burns in the area of the monitoring electrodes. In addition, the monitoring device can
fail.
Use a monitoring device with a high-frequency current restriction.
Attach the monitoring electrodes as far as possible from the surgical site and from
the neutral electrode.
Do not use needle electrodes as monitoring electrodes.
Using other electrical devices

The use of the argon plasma generator can impair the function of other electronic de-
vices.
Only use the argon plasma generator if the impairment of other devices by the
unit has no negative impact on the patient.
Damaged cable
Damaged insulation on the mains cable or the instrument cable can cause electric
shock and result in severe injury or death.
Check cables for damage.
If a cable is damaged, immediately switch off the power supply (or do not switch
it on).
Replace any damaged cables.
Only use undamaged cables.
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Safety
Improperly connected instrument cable

An improperly connected instrument cable may cause the connector socket to melt.
This will lead to malfunctioning of the argon plasma generator and may result in se-
vere personal injury to patients. Treatment must be continued with replacement
units or by conventional means, thereby lengthening the treatment duration.
Correctly connect the instrument cable. The instrument cable must engage in the
connector socket.
Prior to each use of an instrument, ensure that the instrument cable is properly
connected.
Incorrect instruments and spare parts

The use of unauthorised instruments and unauthorised accessories can lead to mal-
function and severely injure operators and patients.
Only use approved instruments (see catalogue or our website:
www.soering.com).
Only use approved accessories (see catalogue or our website: www.soering.com).
Insufficient peak voltage for instrument or accessories

Use of an instrument or accessories only approved for a peak voltage that lies below
the peak voltage for the operating mode can lead to malfunctions and severely injure
operators as well as patients.
Prior to each use, check that the peak voltage for the instrument and the accesso-
ries is above the peak voltage for the operating mode (see section 10.1 Power ta-
bles and power graphs on page 92).
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Safety
Operation outside the specified range of operating conditions

Use of the argon plasma generator outside the specified range of environmental con-
ditions for operation as well as for transport and storage may have incalculable con-
sequences.
Only operate the argon plasma generator under the specified operating condi-
tions.
Treatment of high-risk patients

Treatment of high-risk patients with high-frequency current can lead to death or se-
vere bodily injury. High-risk patients include pregnant women, haemophiliacs and
patients with pacemakers.
Prior to beginning treatment, ensure that all precautionary measures have been
taken to avoid the hazard.
Treatment of pregnant women

Treatment of pregnant women with high-frequency current can lead to death or se-
vere bodily injury. The foetus, in particular, can be damaged.
In such cases, the bipolar application mode should preferably be used.
If monopolar application cannot be avoided, position the neutral electrode so
that the foetus cannot be damaged.
Treatment of haemophiliacs
In the treatment of haemophiliacs, there is a risk that bleeding cannot be stopped or
cannot be stopped sufficiently. This may lead to death or severe bodily injury.
Prior to beginning treatment, take all precautionary measures necessary to avoid
the hazard (e.g. adjust medication).
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Safety
Treatment of patients with pacemakers or other active implants

Treatment of patients with pacemakers or other active implants with high-frequency
current can lead to death or severe bodily injury. The pacemaker or active implant can
be damaged or malfunction.
If in doubt, consult a cardiologist before beginning treatment.
Weigh the medical benefits of the treatment against the risks.
that the path of the high-frequency current does not pass through the pacemaker
or active implant.
Prepare for the event that the pacemaker is damaged or malfunctions.
Treatment of patients with implants

The current density can be higher in the implant region when high-frequency current
is used. This can result in tissue damage.
that the path of the high-frequency current does not pass through the implant.
Weigh the medical benefits of the treatment against the risks.
High-frequency current
The high-frequency current directed at the tissue by the instrument can cause cuts or
burns.
The instrument should be used with care and for its intended use only.
The electrode or probe may only be directed at the area to be treated.
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Safety
Plasma beam
The high-frequency current directed at the tissue by the plasma beam may cause cuts
or burns.
The Arco handle should be used with care and for its intended purpose only.
The plasma beam may only be directed at the area to be treated.
Sparking during high-frequency applications

When high-frequency current is used, sparks which can ignite explosive or flammable
materials are formed. The sparks and arcs formed during operation may cause fire or
explosions. Explosions and fire can result in severe injury or death as well as consider-
able material damage.
Do not use anaesthetic gas or oxygen.
Do not use any explosive or flammable materials. Use of the following is strictly
prohibited: oxygen-saturated cotton wool or cotton gauze, alcohol-soaked gauze,
flammable skin cleansers, flammable degreasers or flammable disinfectants.
Never point the plasma beam at explosive or flammable materials.
Avoid endogenous gases. Prior to the operation, adjust the patient's diet accord-
ingly.
Use of combustible fluids

Sparks formed can ignite combustible fluids and cause burns as a result. Especially
dangerous is fluid that has collected on the patient's skin, in bodily depressions or
cavities.
Only use non-combustible fluids, e.g. disinfectants.
Before the operation, wipe off fluid that has collected on the patient's skin, in
bodily depressions or cavities. Allow any residues to evaporate completely.
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Overview
Overview of argon plasma generator
3 Overview
3.1 Overview of argon plasma generator

The argon plasma generator is suitable for non-contact argon plasma coagulation as
well as for monopolar and bipolar applications. Various instruments can be operated
with the argon plasma generator (see section 3.3 System overview on page 27).
The power settings can be adjusted on the operator control panels according to the
requirements of the treatment. Frequently used power settings can be saved in ten
program storage locations.
The treatment is actuated via a or a button on the instrument. With the aid of an au-
tomatic function, bipolar instruments can also be activated via measurement of the
tissue resistance.
An endoscopy monitor can be connected to the argon plasma generator. Through
the direct connection of the endoscopy monitor, the endoscopic image is less dis-
turbed because the high-frequency current output is synchronised with the line out-
put transformer in the endoscopy monitor.
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Overview
1 2 3 4 5 6
11 10 9 8 7
Fig. 3.1 Front side
1 Operator control panel for monopolar 7 Connector socket for an Arco handle
cutting 8 Connector socket for a bipolar instrument
2 Button for selecting the program function 9 Connector socket for a monopolar handle
3 Operator control panel for monopolar 10 Connector socket for a neutral electrode
coagulation
11 Mains switch
4 Operator control panel for non-contact
argon plasma coagulation
5 Operator control panel for bipolar cutting
and coagulation
6 Display panel
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Overview
1 2 3 4 5 6
Made in
0123
Germany
Sring GmbH
Synchro- Justus-von-Liebig-Ring 2
Socket D-25451 Quickborn
Inert Gas Germany
Coagulation
- Lautstrke +
- Volume + SN
Monopolar Netzanschlu
Argon Bipolar Power Cord
Cutting
Coagulation
10 Versorgungs-
spannung
Supply Voltage
9 8 7
Fig. 3.2 Rear side
1 Loudspeaker 6 Connector socket for the mains cable

2 Volume regulator 7 Connection for the potential equalisation
3 Connector socket for a single foot switch cable
4 Connector socket for an endoscopy monitor 8 Type plate
5 Fuse holder 9 Connector socket for a dual foot switch
10 Connection for the pressure hose of the gas
supply
3.1.1 Symbols on the argon plasma generator
Symbol Meaning
Read the instruction for use
Type CF, defibrillator-proof
Neutral electrode
High voltage
Monopolar connection
Bipolar connection
Arco connection
Footswitch
Potential equalisation
Hazardous waste
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Overview
3.1.2 Type plate
The type plate is attached to the rear side of the argon plasma generator.
Made in
0123
Germany
1
Sring GmbH
Justus-von-Liebig-Ring 2
D-25451 Quickborn
Germany 2
Typ / Model:
11 3
Art. #.:
SN
4
5
Spannung / Voltage:
Stromaufnahme / Current consumption: max.
6
Sicherung / Fuse:
Leistungsaufnahme / Power consumption: max.
Einschaltzyklus / duty cycle
Ausgangsdaten / Output data

7
-
Leistung / Power
max.
Frequenz
Frequency 8
-
- - - 9
- - -
10
Fig. 3.3 type plate
1 Manufacturer 7 Maximum power consumption

2 Type 8 Maximum activation time
3 Serial number 9 Output frequency
4 Mains voltage 10 Maximum output power
5 Maximum current consumption 11 Year of manufacture
6 Mains fuse
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Overview
3.1.3 Buttons and indicator lamps
Operator control panel for monopolar cutting

The monopolar cutting operator control panel offers pure cutting (Mono CUT) and
four other operating modes for selection.
The options are:
TUR
Blend (with Power Blend)
Pulse
Combination of TUR and Pulse
For the Blend and Pulse operating modes, effect levels must be selected.
The cutting power (in W) can be increased or decreased; the range depends on the
operating mode. Alternatively, the cutting power can be selected directly. Five differ-
ent cutting powers are available for selection. The cutting power can still be adjusted
afterwards. The selected cutting power is displayed. An indicator lamp lights up as
soon as an instrument becomes active. An activation tone sounds at the same time.
2
1
9 3
4
8
6 5
Fig. 3.4 Operator control panel for monopolar cutting
1 Instrument activity indicator lamp 6 Display for direct selection of the cutting
2 Digital display of cutting power and effect power and for program storage locations 1
levels to 5
3 Button for increasing the cutting power and 7 Button for selecting Pulse mode
selecting the effect levels 8 Button for selecting Blend mode
4 Button for decreasing the cutting power 9 Button for selecting TUR mode
and selecting the effect levels
5 Buttons for direct selection of the cutting
power and for programming
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Overview
Operator control panel for monopolar coagulation

One of three different operating modes must be selected on the operator control
panel for monopolar coagulation. The options are:
Spray
Force (with High Force)
Soft
For the Force operating mode, an effect level must be selected.
The coagulation power (in W) can be increased or decreased; the range depends on
the operating mode. Alternatively, the coagulation power can be selected directly.
Five different coagulation powers are available for selection. The coagulation power
can still be adjusted afterwards. The selected coagulation power is displayed. An indi-
cator lamp lights up as soon as an instrument becomes active. An activation tone
sounds at the same time.
The Auto Stop function can be switched on to limit the activation time of an instru-
ment to 2 seconds.
2
1
10 3
4
9
8 5
6
7 5
6
Fig. 3.5 Operator control panel for monopolar coagulation
1 Instrument activity indicator lamp 6 Buttons for direct selection of the

2 Digital display of the coagulation power coagulation power and for programming
and the effect level 7 Display for direct selection of the
3 Button for increasing the coagulation coagulation power and program storage
power and selecting the effect levels locations 6 to 10
4 Button for decreasing the coagulation 8 Button for selecting Soft mode
power and selecting the effect levels 9 Button for selecting Force mode
5 Button for selecting the auto Stop function 10 Button for selecting Spray mode
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Overview
Operator control panel for non-contact argon plasma coagulation

The argon plasma coagulation power (in W) can be increased or decreased. Alterna-
tively, the argon plasma coagulation power can be selected directly. Five different
argon plasma coagulation powers are available for selection. The argon plasma coag-
ulation power can still be adjusted afterwards. The selected argon plasma coagula-
tion power is displayed. The gas flow rate can also be set. A display lights up as soon
as an Arco handle becomes active. An activation tone sounds at the same time.
The Auto Stop function can be switched on to limit the activation time of an Arco
handle to 2 seconds.
The Purge function can be used to blow out the Arco handle with argon gas. The
Purge function should be used three times to blow out the Arco handle completely.
2
1
9 3
8 5
7 6
Fig. 3.6 Operator control panel for non-contact argon plasma coagulation
1 Instrument activity indicator lamp 6 Buttons for direct selection of the argon
2 Digital display of argon plasma coagulation plasma coagulation power
power 7 Display for direct selection of the argon
3 Button for increasing the argon plasma plasma coagulation power
coagulation power and the gas flow rate 8 Button for selecting the Purge function to
4 Button for decreasing the argon plasma blow out the Arco handle
coagulation power and the gas flow rate 9 Display which lights when using an
5 Button for selecting the auto Stop function Endoflow probe and button for switching
the digital display between the argon
plasma coagulation power and the gas flow
rate
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Overview
Operator control panel for bipolar cutting and coagulation

The cutting power and the coagulation power can be adjusted on the operator con-
trol panel for bipolar cutting and coagulation; the range depends on the operating
mode.
The cutting power (in W) can be increased or decreased. In addition to pure cutting
(Bipo CUT), the Pulse operating mode can be selected. The selected cutting power is
displayed. An indicator lamp lights up as soon as an instrument becomes active. An
activation tone sounds at the same time.
The coagulation power (in W) can be increased or decreased. The selected coagula-
tion power is displayed. An indicator lamp lights up as soon as an instrument be-
comes active. An activation tone sounds at the same time.
Bipolar instruments can be activated by measuring the tissue resistance during bipo-
lar coagulation with the aid of the Automatic function. A bipolar instrument is acti-
vated as soon as it contacts tissue. The bipolar instrument remains active as long as it
contacts tissue. As soon as the tissue resistance becomes too high, the bipolar instru-
ment is shut off, but after 18 seconds at the latest.
The Auto Stop function can be switched on to limit the activation time of an instru-
ment to 2 seconds during bipolar cutting or coagulation. The Auto Stop function can-
not be used in conjunction with the Automatic function.
1 2
11 3
10 4
9 5
8 7 6
Fig. 3.7 Operator control panel for bipolar cutting and coagulation
1 Digital display of cutting power 7 Button for selecting the auto Stop function
2 Digital display of coagulation power 8 Button for selecting Pulse mode
3 Display of instrument activity during 9 Button for increasing the cutting power
coagulation 10 Button for decreasing the cutting power
4 Button for increasing the coagulation 11 Instrument activity indicator lamp for
power cutting
5 Button for decreasing the coagulation
power
6 Button for selecting the automatic function
(only permissible for bipolar coagulation)
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Overview
Button for selecting the Program function

With the help of the button for selecting the program function, power settings can be
saved and called again later. Ten program storage locations are available. The pro-
gram storage locations are displayed on the operator control panels for monopolar
cutting and monopolar coagulation.
Fig. 3.8 button for selecting the program function
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Overview
Display panel
On the display panel, there are five displays which provide information about the sta-
tus of the argon plasma generator.
With monopolar applications, the argon plasma generator monitors the connection
between the neutral (patient return) electrode and the patient, provided that one of
the recommended split (dual) neutral electrodes is used. The Patient electrode traffic
light indicator indicates the quality of the connection. The traffic light indicator lights
green or greenish yellow when the neutral electrode is properly connected to the pa-
tient. The traffic light indicator lights yellow if the neutral electrode is not connected
optimally to the patient. If the neutral electrode is not properly connected to the pa-
tient, the traffic light indicator lights up red. An alarm tone sounds at the same time.
The argon plasma generator is equipped with safety functions. It independently de-
tects faults during the self-test and certain other faults during operation. The Func-
tional error indicator signals whether a safety shutdown or a fault in the argon plasma
generator has occurred. As soon as a fault is detected, the Functional error indicator
lamp lights red. An alarm tone sounds at the same time and the argon plasma gener-
ator no longer outputs any power.
The argon plasma generator also carries out checks during monopolar cutting to de-
termine that an electrode suitable for cutting has been selected and that the selected
cutting power is high enough. The Dosage error indicator lamp lights yellow if an elec-
trode that is not suitable for cutting has been selected or if the power setting is too
low.
The argon plasma generator monitors the gas flow. If there is not enough argon gas
in the gas cylinder, the Gas shortage display lights up yellow. The Gas blockage display
lights yellow when a gas blockage occurs.
5
Fig. 3.9 Display panel
1 Patient electrode traffic light indicator for 4 Gas shortage display which lights yellow if a
the neutral electrode gas shortage occurs
2 Functional error display which lights red in 5 Gas blockage display which lights yellow if a
case of a fault gas blockage occurs
3 Dosage error indicator which illuminates
yellow if the electrode or the power setting
has been selected incorrectly
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Overview
Scope of delivery
3.2 Scope of delivery

The argon plasma generator is supplied without accessories. Approved instruments
and accessories are listed in the catalogue. Only use approved instruments and acces-
sories.
For the latest information regarding instruments and accessories, please visit our
website: www.soering.com
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Overview
System overview
3.3 System overview
3.3.1 Use with a monopolar handle with buttons
Cutting and coagulation can be carried out with a monopolar handle with buttons.
The monopolar handle can only be activated using the buttons on the handle body.
The yellow button is for cutting and the blue button is for coagulation. A foot switch
is not required.
Fig. 3.10 Use with a monopolar handle with buttons
1 Argon plasma generator 4 Split neutral electrode

2 Monopolar cable 5 Neutral electrode cable
3 Monopolar handle with buttons
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Overview
System overview
3.3.2 Use with a monopolar handle without buttons
Cutting and coagulation can be carried out with a monopolar handle without but-
tons. The monopolar handle can only be activated using a foot switch. The yellow
pedal on the foot switch is for cutting and the blue pedal is for coagulation.
If a bipolar instrument is connected in addition to the monopolar handle, it is possible
to switch over between monopolar and bipolar use (see section 6.1.1 Activating the
operator control panel on page 49).
Fig. 3.11 Use with a monopolar handle without buttons
1 Argon plasma generator 4 Dual foot switch with switch-over key

2 Monopolar cable 5 Split neutral electrode
3 Monopolar handle without buttons 6 Neutral electrode cable
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Overview
System overview
3.3.3 Use with an Arco handle with buttons
Non-contact coagulation with an argon gas supply is possible with an Arco handle
with one button. Both non-contact coagulation with argon gas and monopolar cut-
ting with high-frequency current are possible with an Arco multipurpose handle with
two buttons. The Arco handles can only be activated via the buttons on the handle
bodies. The blue button is for coagulation and the yellow button is for cutting. A foot
switch is not required.
6
3
4
Fig. 3.12 Use with an Arco handle with buttons
1 Argon plasma generator 5 Neutral electrode cable

2 Instrument cable 6 Argon gas cylinder
3 Arco handle with button 7 Sring pressure reducer
4 Split neutral electrode 8 Pressure hose
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Overview
System overview
3.3.4 Use with an Arco handle without keys
Coagulation with an argon gas supply is possible with an Arco handle without keys.
The Arco handle can only be activated using a single footswitch with pressure point.
3
7
5 4
Fig. 3.13 Use with an Arco handle without keys
1 Argon plasma generator 6 Neutral electrode cable

2 Instrument cable 7 Argon gas cylinder
3 Arco handle without keys 8 Sring pressure reducer
4 Single tactile footswitch 9 Pressure hose
5 Split neutral electrode
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Overview
System overview
3.3.5 Use with a bipolar instrument
Cutting and coagulation can be carried out with a bipolar instrument. The bipolar in-
strument can be activated using a foot switch. The yellow pedal on the foot switch is
for bipolar cutting and the blue pedal is for bipolar coagulation. With the aid of the
automatic function, bipolar coagulation can also be activated by measurement of the
tissue resistance.
If a bipolar instrument is connected in addition to the monopolar handle, it is possible
to switch over between monopolar and bipolar use (see section 6.1.1 Activating the
operator control panel on page 49).
Fig. 3.14 Use with a bipolar instrument
1 Argon plasma generator 3 Bipolar instrument

2 Dual foot switch with switch-over key 4 Bipolar cable
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Overview
Functional description
3.4 Functional description

The correct operating mode must be selected for each monopolar and bipolar appli-
cation. For some operating modes, an effect level must also be selected.
Monopolar handles and Arco handles come in different versions: with and without
buttons.
Activation is carried out via buttons on the handle body or a foot switch.
Monopolar cutting is always activated with the yellow button on the handle body or
the yellow pedal on the foot switch.
Monopolar coagulation is always activated with the blue button on the handle body
or the blue pedal on the foot switch.
Bipolar coagulation is activated with the blue pedal on the foot switch (recom-
mended). However, it can also be activated with the help of the Automatic function
by measuring tissue resistance. The Automatic function may not be used for bipolar
cutting.
Several instruments, i.e. a monopolar handle, a bipolar instrument and an Arco han-
dle, can be connected at the same time to the argon plasma generator. However, only
one instrument can ever be activated at a time.
During application, specific activation tones sound. Monopolar cutting and coagula-
tion have different activation tones. During monopolar and bipolar cutting in Pulse
mode, different activation tones can be heard that indicate the switching over be-
tween cutting and coagulation.
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Overview
3.4.1 Monopolar cutting
For monopolar cutting, five different operating modes can be selected on the argon
plasma generator. The Mono CUT operating mode is the default mode. For the Pulse
and Blend operating modes, an effect level must also be selected. The previously se-
lected effect level remains set for the next time the mode is used.
The cutting power must be reset for each patient and each time an electrode, the ap-
plication or the operating mode is changed.
Both monopolar handle and Arco multipurpose handle are suitable for monopolar
cutting.
Operating mode Effect levels Properties

Mono CUT Pure cutting without coagulation
Pulse PL.1 to PL.9 Switching over between cutting and coagulation
Depending on the effect level, the coagulation ratio can
be lower or higher. The effect level with the lowest coag-
ulation ratio is PL.1.
Blend bL.1 to bL.9 and Cutting with a coagulation ratio
(with Power Pb.1 to Pb.9 Depending on the effect level, the coagulation ratio can
Blend) be lower or higher. The effect level with the highest cut-
ting ratio and the lowest coagulation ratio is bL.1.
In Power Blend mode, the coagulation ratio is higher. The
effect level with the lowest cutting ratio and the highest
coagulation ratio is Pb.9.
TUR Pure, high-power cutting without coagulation for applica-
tions in liquid-filled cavities (TUR: transurethral resection)
TUR and Pulse switching between cutting and coagulation for applica-
tions in liquid-filled cavities
3.4.2 Monopolar coagulation
For monopolar coagulation, an operating mode must be selected on the argon

plasma generator. Three different operating modes can be selected. The Soft operat-
ing mode is the default mode. For the Force operating mode, an effect level must also
be selected. The previously selected effect level remains set for the next time the
mode is used.
The coagulation power must be reset for each patient and each time an electrode,
the application or the operating mode is changed.

Soft Gentle coagulation without cutting
Force Fr.1 to Fr.9 High-power coagulation with a cutting ratio
(with High Force) Hi Depending on the effect level, the cutting ratio can be
lower or higher. The effect level with the lowest cutting
ratio is Fr.1.
In High Force mode, the peak voltage is higher.
Spray non-contact coagulation without cutting (spray coagula-
tion or 'fulguration')
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Overview
3.4.3 Argon plasma coagulation
For non-contact argon plasma coagulation, only the preset Argon COAG operating
mode can be used on the argon plasma generator.
The argon plasma generator automatically switches to Endoflow mode when special
probes are used. The Endoflow display lights. In Endoflow mode, the output power is
restricted and the gas flow rate reduced.
The argon plasma coagulation power must be reset for each patient and each time a
probe, the application or the operating mode is changed.

Argon COAG argon plasma coagulation.
3.4.4 Bipolar cutting
For bipolar cutting, in addition to the preset Bipo CUT operating mode, the Pulse
mode can be selected on the argon plasma generator.
The cutting power must be reset for each patient and each time an electrode, the ap-
plication or the operating mode is changed.
In Pulse mode, in addition to the cutting power, the coagulation power must be set.
The power settings control when switching between cutting and coagulation occurs.
The automatic function may not be used for bipolar cutting.

Bipo CUT Pure cutting without coagulation
Pulse Switching over between cutting and coagulation
3.4.5 Bipolar coagulation
For bipolar coagulation, only the preset Bipo COAG operating mode can be used on
the argon plasma generator.
The coagulation power must be reset for each patient and each time an electrode or
the application is changed.
The Automatic function enables bipolar coagulation to be activated by measuring tis-
sue resistance.

Bipo COAG Pure coagulation without cutting
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Transport and storage
4 Transport and storage

The argon plasma generator is supplied in packaging that protects it against damage
and contamination.
Please retain the packaging. Place the argon plasma generator in the packaging for
transport or storage.
The storage environment must be dry, clean and dust-free.
Storage temperature: between -20 C and 50 C
Relative humidity: between 20% and 85%, non-condensing
Air pressure: between 700 hPa and 1060 hPa
After transport the function of the argon plasma generator must be checked by a
qualified person authorised by the manufacturer.
After lengthy storage a safety check of the argon plasma generator must be carried
out (see section 8.1 Regular checks on page 85).
4.1
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Installation
Carrying out a visual inspection
5 Installation
The argon plasma generator may only be put into operation by a qualified person
who has been trained in its use by the manufacturer or a person authorised by the
operator.
The argon plasma generator must be installed on a suitable surface which is suffi-
ciently strong and easily accessible. Trolleys from Sring are recommended.
Use of a smoke gas extractor in the operating room is also recommended.
After a visual inspection, the argon plasma generator must first be connected to the
supply network. If required, the foot switch must then be installed and the neutral
electrode cable connected. Instruments may only be connected after the argon
plasma generator has been switched on.
All cables must be laid so that no-one can trip over them. The argon plasma generator
must be installed so that the mains cable can be disconnected from the supply net-
work at any time.
5.1 Carrying out a visual inspection

Before connecting the argon plasma generator to the supply network, a visual inspec-
tion must be carried out to check that the argon plasma generator is in perfect condi-
tion. The casing must be undamaged; the mains switch must be securely mounted
and intact; the buttons and indicator lamps must be undamaged.
Procedure
1. Check that the casing of the argon plasma generator is undamaged.
The casing is in perfect condition.
2. Check that the mains switch is securely mounted and not broken.
The mains switch is in perfect condition.
3. Check that the buttons and indicator lamps are undamaged.
The buttons and indicator lamps are in perfect condition.
The visual inspection has been carried out.
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Installation
Connecting the argon plasma generator to the supply network
5.2 Connecting the argon plasma generator to the supply network

A mains cable is required for connecting the argon plasma generator to the supply
network.
Use of a potential equalisation cable is recommended, especially when several medi-
cal electrical devices are being used.
The potential equalisation cable eliminates any potential differences between medi-
cal electrical devices in the patient's surroundings.
If multiple medical electrical devices are being used in the patient's surroundings, IEC
60601-1, chapter 16, must be observed.
Supply network without earthing conductor

The absence of a protective earth conductor in the supply network may cause electric
shock and result in severe personal injury or death.
Only connect the argon plasma generator to a supply network with a protective
earth conductor.
Damaged mains cable

Damaged insulation on the mains cable can cause electric shock and result in severe
injury or death.
Check the mains cable for damage.
Replace the mains cable if damaged.
Only use a mains cable that is in perfect condition.
Requirements
The actual mains voltage corresponds to the voltage shown on the type plate.
The visual inspection has been carried out (see section 5.1 Carrying out a visual in-
spection on page 36).
The argon plasma generator is switched off; the mains switch is set to '0'.
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Installation
Preparing the argon plasma generator
Procedure
1. Connect the mains cable to the connector socket on the rear side of the argon
plasma generator (see Fig. 3.2 on page 18, No. 6).
2. Connect the mains cable to the supply network.
3. If necessary, connect the potential equalisation cable to the socket on the rear
side of the argon plasma generator (see Fig. 3.2 on page 18, No. 7).
4. If necessary, connect the potential equalisation cable to the potential equalisation
bar in the operating room.
The argon plasma generator is connected to the supply network.
5.3 Preparing the argon plasma generator
No instruction in the handling of the argon plasma generator

Improper handling of the argon plasma generator may lead to life-threatening situa-
tions or considerable material damage.
The qualified specialists who are the intended users of the argon plasma genera-
tor must be instructed in the handling of the argon plasma generator.
5.3.1 Installing the foot switch
A foot switch is not required for every application (see section 3.3 System overview on
page 27).
A dual foot switch is required for use with:
a monopolar handle without buttons
a bipolar instrument
A simple foot switch with pressure point is required when using
an Arco handle without buttons.
Special foot switches are available for use in ENT surgery.
Select a suitable foot switch (see catalogue or our website: www.soering.com).
Requirements
38 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Installation
Procedure
1. Connect the foot switch cable to the appropriate connector socket on the rear
side of the argon plasma generator (see Fig. 3.2 on page 18).
Single foot switch with 3-pin connection: upper connector socket (No. 3).
Dual foot switch with 4-pin connection: lower connector socket (No. 9).
The foot switch cable engages in the connector socket.
The foot switch is now installed.
5.3.2 Installing the gas cylinder
For argon plasma coagulation, a gas cylinder containing argon gas, a Sring pressure
reducer and a pressure hose must be installed. Use of a Sring trolley equipped with a
gas cylinder holder is recommended.
Only use a pressure reducer and a pressure hose from Sring. The pressure reducer
may only be put into operation by competent individuals.
Only use commercial gas cylinders containing argon 4.8. The argon gas must have a
purity of at least 99.998%.
Made in
0123
Germany
Sring GmbH
D-25451 Quickborn
Germany
SN
3 4
1
Fig. 5.1 Connection principle for the gas supply
1 Pressure hose 3 Sring pressure reducer

2 Argon gas cylinder 4 Argon plasma generator
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Installation
Improper handling of gas cylinders

Gas cylinders can explode or become projectiles if handled improperly. This may re-
sult in death or severe personal injury.
Only use gas cylinders in well-ventilated areas.
Always insert the gas cylinder into a gas cylinder holder and secure in place.
Always install the pressure reducer with care. Always connect the pressure hose
with care.
Always keep the valve opening on the gas cylinder clean and dry.
Always unscrew the gas cylinder valve slowly.
Requirements
The pressure reducer and the pressure hose have been cleaned and disinfected.
Procedure
1. Insert the gas cylinder into a gas cylinder holder and secure in place.
2. Remove the valve protection cap from the gas cylinder.
3. Install the pressure reducer on the gas cylinder.
Observe the instructions for use for the pressure reducer.
4. Ensure that the pressure hose is not yet connected to the pressure reducer
5. Slowly unscrew the gas cylinder valve.
6. Briefly blow out the pressure reducer using argon gas.
7. Close the valve on the gas cylinder again.
8. Connect the pressure hose to the pressure reducer.
9. Insert the pressure hose into the connector for the gas supply on the rear side of
the argon plasma generator (see Fig. 3.2 on page 18, No. 10).
10. Slowly unscrew the gas cylinder valve.
The valve on the gas cylinder is open.
The gas cylinder is now installed.
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Installation
5.3.3 Connecting the neutral electrode cable
A neutral electrode is required for monopolar applications and for argon plasma co-
agulation.
A neutral electrode cable is required for use with:
Arco handles with buttons,
Arco handles without buttons,
monopolar handles with buttons,
monopolar handles without buttons.
The plug on the neutral electrode cable can be inserted into the connector socket on
the argon plasma generator in any manner.
Requirements
The neutral electrode is not yet contacting the patient's skin.
Procedure
1. Connect the neutral electrode cable to the connector socket on the front of the
argon plasma generator (see Fig. 3.1 on page 17, No. 10).
The neutral electrode cable is connected to the argon plasma generator.
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Installation
Switching on the argon plasma generator
5.4 Switching on the argon plasma generator

Before start-up of the argon plasma generator, see the instructions for use for the in-
struments and the accessories.
The instruments should not yet be connected to the argon plasma generator.
After switching-on, the argon plasma generator runs through a self-test. During the
self-test, check that all displays light up briefly and the alarm tone then sounds briefly.
Incorrect initial start-up

Incorrect initial start-up of the argon plasma generator may lead to life-threatening
situations or considerable material damage.
The argon plasma generator may only be put into operation for the first time by a
person who has been authorised by the manufacturer.
Requirements
The argon plasma generator is connected to the supply network (see section 5.2
Connecting the argon plasma generator to the supply network on page 37).
The foot switch is installed (see section 5.3.1 Installing the foot switch on page 38).
The gas cylinder is now installed (see section 5.3.2 Installing the gas cylinder on
page 39).
The neutral electrode cable is connected (see section 5.3.3 Connecting the neutral
electrode cable on page 41).
The argon plasma generator has reached the permissible temperature for use (be-
tween 10C and 40C).
Procedure
1. Switch on the argon plasma generator using the mains switch (see Fig. 3.1 on
page 17, No. 11).
The mains switch lights green.
The argon plasma generator runs through a self-test.
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Installation
Switching on the argon plasma generator
2. During the self-test, check that all indicator lamps light up briefly and the alarm
tone then sounds briefly.
All indicator lamps light up briefly.
Consecutive error codes are displayed on the digital display for the cutting
power (see Fig. 3.4 on page 20).
The self-test has been successfully completed.
Lines appear on the digital displays of the operator control panels. This indi-
cates that no instruments are connected yet.
An alarm tone sounds briefly.
The argon plasma generator is on.
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Installation
Connecting instruments
5.5 Connecting instruments

Please observe the instructions for use for the instruments used.
Only use sterilised instruments and instrument cables.
5.5.1 Connecting a monopolar handle
Monopolar handles are available in various versions. In some monopolar handles, the
monopolar cable is permanently attached to the handle body. In other versions of
monopolar handles, the monopolar cable is available separately.
The monopolar handle should not yet be fitted with an electrode. After the monopo-
lar handle has been connected to the argon plasma generator, functional testing
must be carried out without an electrode (see section 6.1.4 Carrying out functional
testing on page 51). Only after this may the monopolar handle be fitted with an elec-
trode.
Requirements
The argon plasma generator is on (see section 5.4 Switching on the argon plasma
generator on page 42).
Procedure
1. Connect the monopolar cable for the monopolar handle to the connector socket
on the front of the argon plasma generator (see Fig. 3.1 on page 17, No. 9).
2. If necessary, connect the monopolar cable to the connector socket on the mo-
nopolar handle.
The monopolar cable is now completely connected.
An alarm tone sounds and the Patient electrode traffic light indicator for the
neutral electrode flashes red.
The predefined power settings are displayed on the operator control panels for
monopolar cutting and coagulation.
The monopolar handle is connected.
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Installation
5.5.2 Connecting the Arco handle
Arco handles are available in different versions: with and without buttons. Special
probes are offered for all of the different purposes (see catalogue or our website:
www.soering.com). Non-contact coagulation with an argon gas supply is possible
with an Arco handle. Monopolar cutting with high-frequency current is also possible
with an Arco multipurpose handle with two buttons.
The probes are detected by the argon plasma generator. The argon plasma generator
automatically switches to Endoflow mode when Endoflow probes are used. The Endo-
flow display lights. In Endoflow mode, the output power is restricted and the gas flow
rate reduced. The argon plasma coagulation power and the gas flow rate must be set
for each application.
After the Arco handle has been connected, functional testing must be carried out (see
section 6.1.4 Carrying out functional testing on page 51).
Requirements
A probe has been screwed tightly to the handle body of the Arco handle.
The gas cylinder is now installed (see section 5.3.2 Installing the gas cylinder on
page 39).
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Installation
Procedure
Connector inserted incorrectly

If the connector on the Arco handle instrument cable is inserted incorrectly into the
connector socket on the front of the argon plasma generator, the socket may be de-
stroyed.
Check the orientation of the connector.
Insert the connector properly into the connector socket.
1. Insert the Arco handle instrument cable into the connector socket on the front
side of the argon plasma generator (see Fig. 3.1 on page 17, No. 7).
The instrument cable engages in the connector socket.
The argon plasma generator recognises the connected probe.
The predefined power settings are displayed on the operator control panel for
argon plasma coagulation. If an Arco multipurpose handle is used, the prede-
fined power settings are also displayed on the operator control panel for mo-
nopolar cutting.
The Arco handle is blown out with argon gas.
The Arco handle is connected.
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Installation
5.5.3 Connecting a bipolar instrument
The bipolar instrument should not initially be connected completely to the argon
plasma generator. The bipolar cable must be connected to the argon plasma genera-
tor first. Then a function test must be carried out. Only after that may the bipolar
cable be connected to the bipolar instrument.
Requirements
Procedure
1. Connect the bipolar cable for the bipolar instrument to the connector socket on
the front of the argon plasma generator (see Fig. 3.1 on page 17; No. 8).
The bipolar cable is connected to the argon plasma generator.
The argon plasma generator recognises that a bipolar cable is connected.
The predefined power settings are displayed on the operator control panel for
bipolar cutting and coagulation.
2. Carry out functional testing (see section 6.1.4 Carrying out functional testing on
page 51).
3. Connect the bipolar cable to the bipolar instrument.
The bipolar cable is now completely connected.
The bipolar instrument is connected.
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Operation
6 Operation
Only qualified specialists may use the argon plasma generator. Only qualified sur-
geons may treat patients using instruments connected to the argon plasma genera-
tor.
The surgeon providing treatment is responsible for weighing the risks of treatment
against the benefits.
Please observe the instructions for use for the instruments.
The argon plasma generator must always be cleaned and disinfected prior to treat-
ment (see chapter 7 Reprocessing on page 83). This also applies to initial treatment.
The accessories must also be disinfected. The instruments and the instrument cables
must be sterilised.
Functional testing must always be carried out on the argon plasma generator prior to
treatment (see section 6.1.4 Carrying out functional testing on page 51).
After treatment, the argon plasma generator, the instruments and the accessories
must be reprocessed (see chapter 7 Reprocessing on page 83).
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Operation
Preparing for treatment
6.1 Preparing for treatment

Before and during treatment, all displays on the display panel on the argon plasma
generator must be continuously monitored (see Fig. 3.9 on page 25).
The argon plasma generator independently detects internal faults and certain other
faults. As soon as a fault is detected, the argon plasma generator no longer outputs
any power. The Functional error indicator lamp lights red (see Fig. 3.9 on page 25, no.
2) and an alarm tone sounds. Treatment can only be continued if the Functional error
indicator lamp no longer lights.
6.1.1 Activating the operator control panel
Several instruments can be connected to the argon plasma generator at the same
time. However, an instrument can only be activated if the operator control panel for
the desired use is activated and the power settings are displayed.
If only one instrument is connected, the associated operator control panel is activated
automatically. If an Arco handle is connected, the operator control panel for non-con-
tact argon plasma coagulation is activated automatically.
If both a monopolar handle with buttons and a bipolar instrument are connected at
the same time, both operator control panels are activated.
Only if both a monopolar handle without buttons and a bipolar instrument are con-
nected at the same time must the operator control panel for the desired use be acti-
vated in order to assign the foot switch to the desired use.
It is possible to switch between the operator control panels for monopolar and bipo-
lar use. Switching over between the operator control panels can be carried out both
by hand and with the aid of a foot switch with switch-over key.
As soon as switching over between the operator control panels has been carried out
by hand, the switch-over key on the foot switch also reacts. Power settings are only
shown on the operator control panel for the selected application.
Requirements
A monopolar handle without buttons and a bipolar instrument are connected
Procedure
1. Activate the operator control panel for the desired use.
To do this, briefly press any button on the operator control panel for the desired
use. Or activate the switch-over key on the foot switch.
The operator control panel is activated, the power settings are displayed.
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Operation
6.1.2 Attaching the neutral electrode and checking the connection
For both monopolar applications and argon plasma coagulation, a neutral electrode
(patient return electrode) must be correctly positioned and applied as specified to the
patient's skin. Split neutral electrodes are recommended.
The neutral electrode must be attached at least 15 cm away from the surgical site. The
high-frequency current flow path between the active electrode and the neutral elec-
trode must be as short as possible.
The argon plasma generator can only monitor the connection between a split neutral
electrode and the patient's skin. The Patient electrode traffic light indicator indicates
the quality of the connection. If the neutral electrode is not connected properly, the
traffic light indicator lights up red (see Fig. 3.9 on page 25, No. 1). In this case, the in-
strument cannot be activated.
Requirements
The neutral electrode cable is connected to the argon plasma generator.
Procedure
1. Apply a neutral electrode to the patient's skin in the correct position and accord-
ing to guidelines.
2. Connect the neutral electrode to the neutral electrode cable.
The neutral electrode is attached.
3. Check the Patient electrode traffic light indicator.
4. If the traffic light indicator system lights up red, improve the connection between
the neutral electrode and the patient.
If the traffic light indicator lights yellow, check the neutral electrode connection
and improve if necessary.
The traffic light indicator lights green, greenish yellow or yellow.
Check the connection between the neutral electrode and the patient.
Before treatment can be started, functional testing must be carried out (see section
6.1.4 Carrying out functional testing on page 51). The power settings must also be ad-
justed (see section 6.1.5 Adjusting power settings on page 56).
If treatment had to be interrupted because the neutral electrode was no longer prop-
erly connected to the patient, it may be continued as soon as the Patient electrode
traffic light indicator lights green, greenish yellow or yellow.
During treatment, the traffic light indicator must be continuously monitored.
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Operation
6.1.3 Adjusting the volume
An activation tone signals that high-frequency current is being supplied to the instru-
ment. The volume of the activation tone can be adjusted by means of the volume
regulator (see Fig. 3.2 on page 18, no. 2). Adjustment of the volume only affects the
activation tone. The setting has no effect on the volume of the alarm tones. The acti-
vation tone cannot be shut off completely.
Procedure
1. To lower the volume, turn the volume regulator to the left.
To raise the volume, turn the volume regulator to the right.
The volume has now been adjusted.
6.1.4 Carrying out functional testing
Functional testing of monopolar cutting and coagulation

Prior to use for a monopolar application, functional testing must be carried out. First,
a neutral electrode must be applied to the patient's skin in the correct position and
according to guidelines, a neutral electrode cable must be connected and the Patient
electrode traffic light indicator must light green, greenish yellow or yellow. For func-
tional testing, the required monopolar handle must be connected to the argon
plasma generator. However, the monopolar handle should not yet be fitted with an
electrode.
Monopolar cutting is also possible using an Arco multipurpose handle. If an Arco mul-
tipurpose handle is used functional testing must be carried out for argon plasma co-
agulation.
Requirements
The neutral electrode has been applied to the patient's skin according to specifi-
cations and the Patient electrode traffic light indicator is lit green, green-yellow or
yellow.
A monopolar handle is connected to the argon plasma generator, but not yet fit-
ted with an electrode.
The operator control panels for monopolar cutting and coagulation are activated.
The power settings are set to low values: monopolar cutting to 10 W and monop-
olar coagulation to 5 W.
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Operation
Procedure
1. Hold the monopolar handle up in the air.
2. Briefly activate monopolar cutting.
At the same time, check that the instrument activity indicator for cutting lights
and an activation tone sounds.
For a monopolar handle with buttons: press the yellow button.
For a monopolar handle without buttons: depress the yellow pedal on the foot
switch.
The instrument activity indicator for cutting lights (see Fig. 3.4 on page 20,
No. 1).
An activation tone sounds.
3. Release the button or foot switch.
The instrument activity indicator lamp goes out.
The activation tone no longer sounds.
4. Hold the monopolar handle up in the air.
5. Briefly activate monopolar coagulation.
At the same time, check that the instrument activity indicator for coagulation
lights and an activation tone sounds.
For a monopolar handle with buttons: press the blue button.
For a monopolar handle without buttons: depress the blue pedal on the foot
switch.
The instrument activity indicator for coagulation lights (see Fig. 3.5 on
page 21, No. 1).
Functional testing has been carried out.
The power settings can be adjusted.
52 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Operation
Functional testing of argon plasma coagulation

Prior to an argon plasma coagulation procedure, functional testing must be carried
out. First, a neutral electrode must be applied to the patient's skin in the correct posi-
tion and according to guidelines, a neutral electrode cable must be connected and
the Patient electrode traffic light indicator must light green, greenish yellow or yellow.
For functional testing the required Arco handle with the appropriate probe must be
connected to the argon plasma generator. If an Arco multipurpose handle is used, the
multifunction needle or multipurpose knife must be retracted.
Requirements
The neutral electrode has been applied to the patient's skin according to specifi-
cations and the Patient electrode traffic light indicator is lit green, green-yellow or
yellow.
An Arco handle is connected to the argon plasma generator.
The power setting for non-contact argon plasma coagulation is set to the low
value: 5 W.
Procedure
1. Hold the Arco handle up in the air.
Do not point the probe at anyone.
2. Blow out the Arco handle using argon gas.
To do this, press the button for selecting the Purge function and hold briefly (see
Fig. 3.6 on page 22, No. 8).
The Arco handle is blown out with argon gas for a maximum of 1.5 seconds.
3. Blow out the Arco handle two more times using argon gas.
The Arco handle is blown out with argon gas another two times.
4. Briefly activate argon plasma coagulation.
For an Arco handle with one button or an Arco multipurpose handle: press the
blue button.
For an Arco handle without buttons: activate the single foot switch.
The instrument activity display lights up (see Fig. 3.6 on page 22, No. 1).
6. If necessary, hold the Arco multipurpose handle up in the air.
Do not point the probe at anyone.
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Operation
7. Briefly activate monopolar cutting if necessary.

At the same time, check that the instrument activity indicator for cutting lights
and an activation tone sounds.
For an Arco multipurpose handle: press the yellow button.
The instrument activity indicator for cutting lights
(see Fig. 3.4 on page 20, No. 1).
8. Release the yellow button.
The instrument activity display goes out.
54 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Operation
Carrying out functional testing of bipolar cutting and coagulation

Prior to use for a bipolar application, a function test must be carried out. For func-
tional testing, the required bipolar instrument should not yet be connected. The bi-
polar cable must, however, be connected to the argon plasma generator.
Requirements
The bipolar cable for the bipolar instrument is connected to the argon plasma
generator.
The operator control panel for bipolar cutting and coagulation is activated.
The power settings are set to low values: bipolar cutting to 3 W and bipolar coag-
ulation to a maximum of 1 W.
Procedure
1. Briefly activate bipolar cutting.
At the same time, check that the instrument activity indicator lamp for cutting
To do this, depress the yellow pedal on the foot switch.
The instrument activity indicator lamp for cutting lights (see Fig. 3.7 on
page 23, no. 11).
2. Release the foot switch.
The instrument activity indicator goes out.
3. Briefly activate bipolar coagulation.
Depress the blue pedal on the foot switch.
The instrument activity indicator for coagulation lights (see Fig. 3.7 on
page 23, No. 3).
4. Release the foot switch.
The instrument activity indicator goes out.
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Operation
6.1.5 Adjusting power settings
The power settings and operating modes are displayed on the operator control pan-
els. As soon as an instrument is connected, the predefined power settings are dis-
played. These power settings must always be checked and, if necessary, adjusted
prior to treatment.
Functional testing must be carried out successfully first (see section 6.1.4 Carrying out
functional testing on page 51).
The power settings must be adjusted for all operating modes used.
Monopolar cutting:
Mono CUT mode
Pulse mode
Blend mode
TUR mode
combined TUR and Pulse mode
Monopolar coagulation:
Soft mode
Force mode
Spray mode.
Non-contact argon plasma coagulation

Argon COAG mode.
Bipolar cutting:
Bipo CUT mode
Pulse mode
Bipolar coagulation:
Bipo COAG mode
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Operation
Adjusting power settings for monopolar cutting in Mono CUT mode

After functional testing has been carried out successfully, the monopolar handle must
be fitted with an electrode.
Requirements
The Patient electrode traffic light indicator for the neutral electrode is lit green,
green-yellow or yellow.
A monopolar handle is connected to the argon plasma generator and fitted with
an electrode.
The operator control panel for monopolar cutting is activated.
The power settings are displayed.
Procedure
1. Ensure that the buttons for selecting the Pulse, Blend and TUR operating modes
are not lit.
The predefined cutting power is shown in W on the digital display.
A running light indicates that the power settings must be adjusted.
2. Set the cutting power.
Briefly press a button for direct selection of the cutting power (see Fig. 3.4 on
page 20, no. 5).
The buttons can then be used for increasing and decreasing the cutting power
until the desired value is set (nos. 3 and 4).
The desired cutting power is shown in W on the digital display.
All power settings have been checked and are correct.
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Operation
Adjusting the power settings for monopolar cutting in Pulse mode

An effect level must be selected in Pulse mode (see section 3.4.1 Monopolar cutting on
page 33).
Requirements
an electrode.
Procedure
1. Briefly press the button for selecting Pulse mode (see Fig. 3.4 on page 20, no. 7).
The button for selecting Pulse mode lights.
2. Ensure that the button for selecting TUR mode is not lit.
page 20, no. 5).
4. Press the button to select Pulse mode again and hold for 2 seconds.
The previously selected effect level appears on the digital display.
5. Set the effect level.
Use the buttons to scroll through the effect levels in order to set the desired effect
level (see Fig. 3.4 on page 20, nos. 3 and 4).
The desired effect level is shown on the digital display.
6. Press the button to select Pulse mode again and hold for 2 seconds.
The button for selecting Pulse mode continues to light.
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Operation
Adjusting power settings for monopolar cutting in Blend mode

An effect level must be selected in Blend mode (see section 3.4.1 Monopolar cutting on
page 33).
Requirements
an electrode.
Procedure
1. Briefly press the button to select Blend mode (see Fig. 3.4 on page 20, no. 8).
The button for selecting Blend mode lights.
page 20, no. 5).
3. Press the button to select Blend mode again and hold for 2 seconds.
level (see Fig. 3.4 on page 20, nos. 3 and 4). The Pb.1 effect level is below bL.9.
5. Press the button to select Blend mode again and hold for 2 seconds.
The button for selecting Blend mode continues to light.
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Operation
Adjusting the power settings for monopolar cutting in TUR mode

Requirements
an electrode.
Procedure
1. Briefly press the button to select TUR mode (see Fig. 3.4 on page 20, no. 9).
The button for selecting TUR mode lights.
2. Ensure that the button for selecting Pulse mode is not lit.
page 20, no. 5).
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Operation
Adjusting the power settings for monopolar cutting in combined TUR and Pulse mode
Requirements
an electrode.
Procedure
1. Briefly press the button to select TUR mode (see Fig. 3.4 on page 20, no. 9).
The button for selecting TUR mode lights.
The button for selecting Pulse mode also lights.
page 20, no. 5).
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Operation
Adjusting the power settings for monopolar coagulation in Soft mode

Requirements
an electrode.
The operator control panel for monopolar coagulation is activated.
Procedure
1. If necessary, briefly press the button to select Soft mode (see Fig. 3.5 on page 21,
no. 8).
The button for selecting Soft mode lights.
The predefined coagulation power is shown in W on the digital display.
2. Set the coagulation power.
Briefly press a button for direct selection of the coagulation power (see Fig. 3.5
on page 21, no. 6).
The buttons can be used for increasing and decreasing the coagulation power to
set the desired value (nos. 3 and 4).
The desired coagulation power is shown in W on the digital display.
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Operation
Adjusting the power settings for monopolar coagulation in Force mode

An effect level must be selected in Force mode (see section 3.4.2 Monopolar coagula-
tion on page 33).
Requirements
an electrode.
Procedure
1. Briefly press the button to select Force mode (see Fig. 3.5 on page 21, no. 9).
The button for selecting Force mode lights.
If the Hi effect level was the most recently used, this is shown on the digital dis-
play.
on page 21, no. 6).
3. Press the button to select Force mode again and hold for 2 seconds.
level (see Fig. 3.5 on page 21, nos. 3 and 4). The Hi effect level is below Fr.1.
5. Press the button to select Force mode again and hold for 2 seconds.
The button for selecting Force mode continues to light.
The coagulation power is shown in W on the digital display.
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Operation
Adjusting the power settings for monopolar coagulation in Spray mode

Requirements
an electrode.
Procedure
1. Briefly press the button to select Spray mode (see Fig. 3.5 on page 21, no. 10).
The button for selecting Spray mode lights.
on page 21, no. 6).
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Operation
Adjusting power settings for contact-less argon plasma coagulation in Argon COAG mode
The power settings for argon plasma coagulation apply to all Arco handles.
Monopolar cutting is also possible with Arco multipurpose handles. If Arco multipur-
pose handles are used the operator control panel for monopolar cutting is also acti-
vated (see Fig. 3.4 on page 20). The power settings for monopolar cutting must be
adjusted on this operator control panel.
For argon plasma coagulation, the argon plasma coagulation power must be set first.
The argon plasma generator automatically adapts the gas flow rate to the argon
plasma coagulation power. The gas flow rate can still be changed afterwards.
Requirements
The Patient electrode traffic light indicator for the neutral electrode lights green,
greenish yellow or yellow.
The operator control panel for non-contact argon plasma coagulation is acti-
vated.
An Arco handle is connected.
The Endoflow display lights if an Endoflow probe is being used.
Procedure
1. Set the argon plasma coagulation power.
Briefly press a button for direct selection of the argon plasma coagulation power
(see Fig. 3.6 on page 22, no. 6).
The buttons can be used for increasing and decreasing the argon plasma coagu-
lation power to set the desired value (nos. 3 and 4).
The desired argon plasma coagulation power is shown in W on the digital dis-
play.
2. Press the Endoflow button.
The gas flow rate is shown in litres per minute (e.g. L3.0) on the digital display.
3. Adjust the gas flow rate.
Use the buttons for increasing and decreasing the argon plasma coagulation
power until the gas flow rate is set to the desired value (see Fig. 3.6 on page 22,
Nos. 3 and 4).
The gas flow rate is shown in litres per minute on the digital display.
4. Press the Endoflow button again.
The previously set argon plasma coagulation power is shown in W on the dig-
ital display.
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Operation
Adjusting the power settings for bipolar cutting in Bipo CUT mode
Requirements
A bipolar instrument is connected.
Procedure
1. Ensure that the button for selecting the Automatic function is not lit.
2. Ensure that the button for selecting Pulse mode is not lit.
Use the buttons for increasing and decreasing the cutting power to set the de-
sired value (see Fig. 3.7 on page 23, nos. 9 and 10).
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Operation
Adjusting the power settings for bipolar cutting in Pulse mode
Requirements
Procedure
1. Ensure that the button for selecting the Automatic function is not lit.
The button for selecting Pulse mode lights.
Use the buttons for increasing and decreasing the cutting power to set the de-
sired value (see Fig. 3.7 on page 23, nos. 9 and 10).
Use the buttons for increasing and decreasing the coagulation power to set the
desired value (see Fig. 3.7 on page 23, nos. 4 and 5).
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Operation
Adjusting the power settings for bipolar coagulation in Bipo COAG mode
Requirements
Procedure
Use the buttons for increasing and decreasing the coagulation power to set the
desired value (see Fig. 3.7 on page 23, nos. 4 and 5).
2. If necessary, activate the automatic function.
To do this, press the button for selecting the Automatic function (see Fig. 3.7 on
page 23, No. 6).
The button for selecting the Automatic function lights.
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Operation
6.1.6 Managing programs
The argon plasma generator can save power settings for specific instruments in pro-
grams.
Programs enable established power settings to be retrieved repeatedly. The power
settings must be adjusted accordingly for each patient.
The power settings for the operating mode, the effect level and the gas flow rate are
saved in a program. The settings for the auto Stop function and the automatic func-
tion are also saved.
There are a total of ten program storage locations available. An occupied program
storage location can be overwritten. A program can also be deleted.
Saving power settings as a program
Requirements
The power settings for the active instrument have been modified so they can be
saved in the form of a program.
Procedure
1. Press the button for selecting the program function (see Fig. 3.8 on page 24).
The button for selecting the program function lights up.
The argon plasma generator switches to program mode.
On the digital display on the operator control panel for monopolar cutting, Pro
is displayed.
The display for program storage locations 1 to 5 on the operator control panel
for monopolar cutting indicates which locations are occupied.
for monopolar coagulation indicates which locations are occupied.
2. Save the power settings.
Press the button corresponding to the desired program storage location and hold
for 2 seconds (see Fig. 3.4 on page 20, No. 5, or Fig. 3.5 on page 21, No. 6).
On the digital display on the operator control panel for monopolar cutting,
STO is displayed briefly.
Program mode is exited.
The power settings are saved as a program.
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Operation
Accessing a program
To access a program, first switch to Program mode.
Requirements
Functional testing has been carried out successfully (see section 6.1.4 Carrying out
functional testing on page 51).
The instruments and accessories required for the program are connected.
Procedure
1. Press the button for selecting the program function (see Fig. 3.8 on page 24).
The button for selecting the program function lights up.
On the digital display on the operator control panel for monopolar cutting, Pro
is displayed.
for monopolar cutting indicates which locations are occupied.
for monopolar coagulation indicates which locations are occupied.
2. Access the desired program.
Press the button corresponding to the desired program briefly (see Fig. 3.4 on
page 20, No. 5, or Fig. 3.5 on page 21, No. 6).
The button for selecting the program function remains lit; the desired program
is called.
The stored power settings are displayed.
In Program mode, neither the operating mode and the effect level nor the settings for
the Auto Stop function and the automatic function can be changed. The power set-
tings can only be adjusted via the buttons for increasing and decreasing the cutting
and coagulation powers.
To exit Program mode, press the button for selecting the Program function again (see
Fig. 3.8 on page 24).
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Operation
Deleting a program
Programs can be deleted. A deleted program cannot be restored. Deleting a program
frees up the program storage location.
Requirements
The argon plasma generator is not in program mode.
Procedure
1. Press the button corresponding to the first program storage location and hold
(see Fig. 3.4 on page 20, No. 5).
On the digital display on the operator control panel for monopolar cutting,
there is no longer anything displayed.
2. Briefly press the button for selecting the program function (see Fig. 3.8 on
page 24).
3. Release the button assigned to the first program storage location.
The button for selecting the Program function lights.
On the digital display on the operator control panel for monopolar cutting, ErA
is displayed.
4. Delete the desired program.
Briefly press the button corresponding to the program to be deleted (see Fig. 3.4
on page 20, no. 5, or Fig. 3.5 on page 21, no. 6).
The program is deleted.
The program storage location is free again.
5. Press the button for selecting the program function.
Program mode is exited.
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Operation
Starting treatment
6.2 Starting treatment
6.2.1 Requirements for all applications
Contaminated instruments and accessories

Use of contaminated instruments or accessories (instrument cables, electrodes and
probes) may result in life-threatening infections in patients.
Only use sterilised instruments.
Only use sterilised accessories.
Cable touching the patient or other cables

If the instrument cable or the neutral electrode cable touch the patient, despite intact
insulation, excessive current densities can occur. Even contact between several cables
can lead to excessive current densities. This may result in minor burns.
Lay the instrument cable or the neutral electrode cable so that they do not touch
the patient.
Lay the instrument cable or the neutral electrode cable so that it does not come
into contact with other cables that are connected to the patient.
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Operation
Starting treatment
6.2.2 Requirements for all applications
Unintentional activation of an instrument

An unintentionally activated instrument can result in severe injury to the patient.
Position the foot switch such that it cannot be actuated unintentionally.
Incorrectly set down instrument

Instruments that are not in use can be accidentally activated. Instruments set down
on a patient can result in severe injury to the patient.
Always set down an unused instrument away from the patient and other people.
Never set down an unused instrument on a patient.
Confusing cutting and coagulation

Confusing cutting and coagulation can result in severe injury to the patient. The but-
tons on the monopolar handle, the Arco multipurpose handle and the pedal on the
foot switch can be confused. Confusing them can lead to an undesired tissue effect.
Familiarise yourself with the instrument in order to press the correct button at all
times.
Familiarise yourself with the foot switch in order to press the correct pedal at all
times.
Button or foot switch doesn't switch off

An instrument that remains active because a button or the foot switch doesn't switch
off may lead to severe injury to the patient.
Hold the instrument up in the air.
Switch off the argon plasma generator.
Close the valve on the gas cylinder.
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Operation
Starting treatment
Software error
Unintentional restart of the argon plasma generator due to a software error may lead
to severe personal injury to the patient.
Hold the instrument up in the air.
Readjust the power settings after the restart.
Power setting too low

Selection of power settings that are too low will lead to undesired cutting effects or
coagulation effects. This may result in increased blood loss and lengthening of the
time required for the operation.
Prior to beginning treatment, ensure that all power settings have been adjusted
correctly.
Power setting too high

Selection of power settings that are too high will lead to undesired cutting effects or
coagulation effects. Unintentional tissue burns, uncontrolled tissue destruction and
carbonisation may result.
Start the treatment at a low power setting.
Slowly increase the power setting during the treatment.
Power setting too high due to an unnoticed loose contact

A loose connection in the instrument cable or in the neutral electrode cable can re-
duce the tissue effect. If the output power is increased in such a case in order to
achieve a stronger tissue effect, this can result in serious burns due to suddenly in-
creased power on the electrode of the instrument.
If a loose contact is suspected, immediately replace the relevant cable.
Only use undamaged cables.
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Operation
Starting treatment
Sudden stimulation of nerves or muscles

High-frequency current can suddenly stimulate nerves and muscles. If the patient is
not adequately immobilised, he/she can be seriously injured by the muscle contrac-
tion suddenly triggered. The danger arises particularly during monopolar cutting,
when using an operating mode with high peak voltage during monopolar coagula-
tion as well as with non-contact argon plasma coagulation.
Immobilise the patient, especially his extremities.
Varying output power on the active electrode

The output power on the active electrode can vary during the treatment. The cause
can be a stuck electrode, for example. This can result in a less than optimum tissue ef-
fect.
Clean clogged electrodes.
Adjust the power settings during the treatment if necessary.
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Operation
Starting treatment
6.2.3 Requirements for monopolar applications
Monopolar applications include monopolar cutting, monopolar coagulation as well

as non-contact argon plasma coagulation.
A neutral electrode must be used for all monopolar applications. Use of a split neutral
electrode is recommended.
There are more risks to the patient in monopolar applications than in bipolar applica-
tions. The risks of monopolar application must be weighed against the benefits. Con-
sider whether bipolar application is also possible. In order to avoid unintentional
tissue damage, a bipolar application is to be preferred, especially if the high-fre-
quency current flows through parts of the body with a small cross-section or through
particularly sensitive tissue structures as in neurosurgery, for instance.
Skin-to-skin contact of body parts of the patient

A current flow can result from skin-to-skin contact of body parts of the patient and
lead to serious burns. Skin-to-skin contact can arise especially between the arm and
upper body as well as between the legs.
Ensure that the patient's body parts make no skin-to-skin contact.
Lay dry gauze (cotton wool) between closely adjacent body parts.
Improper neutral electrode

A neutral electrode with a quality and size not suitable for the patient can lead to seri-
ous burns.
Use a neutral electrode with a quality and size suitable for the patient.
Incorrectly applied neutral electrode

A neutral electrode which has been improperly applied to the patient's skin can result
in severe injury and burns or death.
Correctly position the neutral electrode.
Properly apply the neutral electrode to the prepared surface of the patient's skin
with the entire surface firmly pressed against the skin.
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Operation
Starting treatment
Use of a non-split neutral electrode

The argon plasma generator cannot monitor the connection between a non-split
neutral electrode (patient return electrode) and the patient's skin. Nevertheless, the
traffic light indicator lights greenish yellow. For this reason, a non-split neutral elec-
trode can detach from the patient's skin during treatment without being noticed,
which is why serious burns can result beneath the neutral electrode.
Use split neutral electrodes so that the argon plasma generator can monitor the
connection between the neutral electrode and the patient's skin.
Poor connection between the neutral electrode and the patient's skin
A neutral electrode which is poorly connected to the patient's skin can result in se-
vere injury and burns or death.
Use split neutral electrodes so that the argon plasma generator can monitor the
connection between the neutral electrode and the patient's skin.
Continuously monitor the traffic light indicator for the neutral electrode.
Continuously check the connection between the neutral electrode and the pa-
tient's skin.
If the neutral electrode has detached, remove the neutral electrode completely
and inspect the skin. Then attach a new neutral electrode (disposable accessory).
Unusually low tissue effect despite high power setting

Even when the neutral electrode is apparently correctly attached, the connection of
the neutral electrode with the patient's skin can be poor. An indication of a poor con-
nection is that the tissue effect is reduced. If the output power is increased in such a
case in order to achieve a stronger tissue effect, this can lead to serious burns be-
neath the neutral electrode.
If a poor connection between the neutral electrode and the patient's skin is sus-
pected, examine the skin beneath the neutral electrode. Then attach a new neu-
tral electrode (disposable accessory).
Only increase the output power if the skin under the neutral electrode is undam-
aged.
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Operation
Starting treatment
Neutral electrode cable not fully inserted

If there is a loose connection due to a neutral electrode cable that is not fully inserted,
the tissue effect can suddenly increase. This can result in severe burns.
Always connect the neutral electrode cable completely to the connector socket of
the argon plasma generator.
Body parts or tissue with a small cross-section

High-frequency current that flows through body parts or through tissue with a
cross-section that is too small can cause an unintentional tissue effect. This can result
in severe injury to the patient.
Metal parts inside or on patient

Metal parts inside or on the patient can create uncontrollable current paths. This can
result in severe injury to the patient.
Do not touch metal parts inside or on the patient with the instrument.
Contact with earthed objects

Contact with earthed objects will result in earthing of the patient. When this occurs,
the high-frequency current cannot flow through the intended path. This can result in
severe burns.
Do not touch the patient with an earthed object.
Do not use passive instruments during the treatment.
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Operation
Starting treatment
Contact with fluids

Contact with fluids can result in earthing of the patient. When this occurs, the
high-frequency current cannot flow through the intended path. This can result in se-
vere burns.
Place the patient on a dry surface.
Keep the surface dry.
Keep the patient's entire body dry using suitable materials.
Immediately vacuum up any fluids.
6.2.4 Requirements for argon plasma coagulation
Argon plasma coagulation is a monopolar application. All requirements for monopo-

lar applications must be met.
Selected argon plasma coagulation power too low

If the selected argon plasma coagulation power is too low the thickness of the scab
formed on the tissue will be insufficient. This may result in gas embolism.
Prior to beginning treatment ensure that the set argon plasma coagulation power
is sufficiently high.
Gas flow rate too high

An excessively high gas flow rate may cause gas embolism.
Select the gas flow rate according to the argon plasma coagulation power.
Do not select an excessively high gas flow rate.
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Operation
Starting treatment
Gas flow rate too low

If the gas flow rate is too low a poorly controlled arc may result and visibility may be
impaired due to smoke generation. Unintentional tissue burns and uncontrolled tis-
sue destruction may result.
If the arc is not precise increase the gas flow rate.
If smoke is generated increase the gas flow rate.
6.2.5 Requirements for bipolar applications
Unintentional activation of an instrument when the Automatic function is ac-

tive
When the Automatic function is active, the instrument can be activated unintention-
ally when it comes into contact with tissue, electrically conductive objects or fluids.
This can result in severe injury to the patient.
Prior to activating the Automatic function, ensure that the instrument is not in
contact with any tissues, electrically conductive objects or fluids.
When the Automatic function is active, ensure that the instrument does not con-
tact the patient's body in the wrong places.
When the Automatic function is active, ensure that the instrument cannot come
into contact with any electrically conductive objects or fluids.
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Operation
Ending treatment
6.3 Ending treatment

After treatment the argon plasma generator must be switched off. The instruments
must then be disconnected and the accessories must be detached from the argon
plasma generator.
6.3.1 Switching off the argon plasma generator
Procedure
1. Switch off the argon plasma generator using the mains switch.
The argon plasma generator is switched off.
6.3.2 Disconnecting instruments from the argon plasma generator
Procedure
1. Disconnect all instrument cables from the argon plasma generator.
Pull either on the grip sleeve or on the plug.
The instruments are disconnected from the argon plasma generator.
6.3.3 Detaching the accessories
Procedure
1. Close the valve on the gas cylinder.
2. Relieve the pressure.
Observe the instruction for use for the pressure reducer.
Improper detachment of the pressure hose

Pulling the pressure hose with excessive force to detach it can cause the connector
for the gas supply to break off.
When detaching the pressure hose, check the hose coupling mechanism and fol-
low the procedure give below.
3. Pull the pressure hose out of the connector for the gas supply on the rear side of
the argon plasma generator (see Fig. 3.2 on page 18, No. 10).
Push the pressure hose into the connector for the gas supply.
Then hold the unlocked ring firmly and pull out the pressure hose at the same
time.
4. Disconnect the mains cable from the supply network and then from the argon
plasma generator.
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Operation
Ending treatment
5. If necessary, disconnect the potential equalisation cable from the potential equal-
isation bar and then from the argon plasma generator.
6. If necessary, disconnect the footswitch(es) from the argon plasma generator.
Pull on the grip sleeve to do this.
7. If necessary, disconnect the neutral electrode cable from the argon plasma gener-
ator.
The accessories have been disconnected from the argon plasma generator.
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Reprocessing
7 Reprocessing
After each treatment the argon plasma generator, the instruments and the accesso-
ries must be cleaned and disinfected. The instruments, the instrument cables and the
electrodes and probes (if used) must be sterilised.
Reprocessing the instruments, instrument cables, electrodes and probes is not de-
scribed in these instructions for use. Please observe the corresponding instructions
for use for reprocessing the instruments, instrument cables, electrodes and probes.
Accessories that must be cleaned and disinfected after each treatment include the
mains cable, the potential equalisation cable, the neutral electrode cable and the foot
switch with cable.
Disposable accessories, such as the neutral electrode and the probes, must be prop-
erly disposed of.
Prior to reprocessing switch off the argon plasma generator and disconnect it from
the supply network.
Reprocessing of the argon plasma generator and the accessories comprises two main
steps:
cleaning,
Disinfection
Only use disinfectants recommended by the Association for Applied Hygiene (VAH).
Excessive cleaning agents or disinfectants

Excessive cleaning agents or disinfectants can damage the argon plasma generator.
Clean the argon plasma generator in such a way that moisture cannot penetrate
into it.
7.1
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Reprocessing
Cleaning the argon plasma generator and accessories
7.2 Cleaning the argon plasma generator and accessories

Requirements
The mains cable has been disconnected from the supply network and from the
All accessories have been disconnected from the argon plasma generator.
Procedure
1. Wipe the argon plasma generator clean with a moist cloth.
2. Wipe the accessories clean with a moist cloth.
The argon plasma generator and the accessories have been cleaned and are
ready for disinfection.
There is no visible dirt on the argon plasma generator or the accessories.
7.3 Disinfecting the argon plasma generator and accessories

Requirements
The argon plasma generator and the accessories have been cleaned (see section
7.2 Cleaning the argon plasma generator and accessories on page 84).
Procedure
1. Carry out a wipe disinfection of the argon plasma generator.
2. Carry out a wipe disinfection of the accessories.
Please observe the instructions for reprocessing the accessories.
The argon plasma generator and the accessories have been disinfected.
7.4
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Maintenance
Regular checks
8 Maintenance
8.1 Regular checks

Prior to each use, ensure that:
the argon plasma generator and the accessories are in perfect condition,
the argon plasma generator and the accessories have been cleaned and disin-
fected.
A safety check must be carried out on the argon plasma generator at least once every
12 months. The safety check may only be carried out by competent individuals au-
thorised by the manufacturer using suitable measuring and testing devices. The type
and scope of the safety check are prescribed by the manufacturer. The procedure and
the results of the safety check must be reported.
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Maintenance
Faults
8.2 Faults
8.2.1 Faults occurring during the self-test
The argon plasma generator detects internal faults independently during the
self-test. An internal fault can be communicated in any of three ways:
An alarm tone sounds
The Functional error indicator lamp lights red (see Fig. 3.9 on page 25, no. 2)
An error code is displayed
If the self-test is unsuccessful, all functions are blocked.
If no error codes appear when an internal fault occurs, the argon plasma generator
must be switched off and then switched on again after 10 seconds. For certain errors,
an error code is then displayed. If an error code is displayed, all functions are blocked.
Error code Cause of fault remedy

1.1 to 7.5 Internal fault. Remove accessories.
Switch the argon plasma generator back on again after 10
seconds have passed.
If a fault is still present, notify the manufacturer or an au-
thorised dealer.
8.1 Foot switch Switch off the argon plasma generator.
jammed or foot Activate the foot switch to eliminate the jam.
switch cable is
defective.
If a fault is still present, pull the foot switch cable out of
the connector socket.
Switch the argon plasma generator off again and switch
on again after 10 seconds have passed.
Replace the foot switch if the argon plasma generator has
successfully run through a self-test.
8.2 to 13.5 Internal fault. Remove accessories.
If a fault is still present, notify the manufacturer or an au-
thorised dealer.
If the internal fault cannot be remedied or if it reoccurs, notify the manufacturer or an

authorised dealer.
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Maintenance
Faults
8.2.2 Faults occurring during operation
During operation, other faults which can be attributed to other influencing factors
may occur. Detected faults are signaled in two ways:
an alarm tone sounds,
a display lights up (see Fig. 3.9 on page 25, No. 2, 3, 4 or 5).
Not all faults are detected by the argon plasma generator.
As soon as you discover a fault, you must eliminate its cause.
If a fault directly endangers the patient, you must immediately switch off the argon
plasma generator.
Further treatment despite fault

Further treatment of a patient despite the presence of a fault may result in life-threat-
ening injury to the patient.
Immediately switch off the argon plasma generator.
Eliminate the cause of the fault.
Report any recurring faults to the manufacturer or an authorised dealer.
Fault Possible cause of the fault remedy

Instrument not Instrument cable is defective. Replace the instrument cable.
functioning.
Instrument not Instrument is not connected cor- Insert the instrument cable connector
detected. rectly. properly into the connector socket.
Instrument is defective. Use a different instrument.
Patient electrode Neutral electrode cable is defective. Replace the neutral electrode cable.
traffic light indi-
cator lights red.
Functional error Argon plasma generator function is Switch off the argon plasma genera-
indicator lit red. disturbed. tor and switch on again after 10 sec-
onds have passed.
Continue if the argon plasma genera-
tor has successfully run through a
self-test.
If a fault is still present, carry out a
systematic search for the cause of the
fault.
Dosage error indi- An electrode which is not suitable for Use an electrode which is suitable for
cator lamp lights cutting is being used. cutting.
yellow.
Cutting power is set too low. Increase the cutting power.
Gas shortage indi- There is no longer sufficient argon Read the pressure gauge on the pres-
cator lit yellow. gas in the gas cylinder. sure reducer (see instructions for use
for the pressure reducer).
Install a new gas cylinder.
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Maintenance
Faults
Fault Possible cause of the fault remedy

Gas blockage in- Probe on Arco handle is clogged. Blow out the Arco handle using argon
dicator lit yellow. gas three times by means of the
Purge function. In doing so, hold the
probe up in the air and never point it
at oneself or others.
The pressure hose is kinked. Unkink the pressure hose.
Activation tone Button on the instrument or foot Actuate the button on the instrument
sounding, but no switch is jammed. or foot switch to eliminate the jam.
instrument ac-
Foot switch is defective. Switch off the argon plasma genera-
tive.
tor.
Disconnect the foot switch from the
Switch the argon plasma generator
back on again after 10 seconds have
passed.
If the argon plasma generator has run
through a self-test successfully, re-
place the foot switch.
Instrument or instrument cable is de- Switch off the argon plasma genera-
fective. tor.
Disconnect the instrument from the
Switch the argon plasma generator
back on again after 10 seconds have
passed.
If the argon plasma generator has run
through a self-test successfully, re-
place the instrument or instrument
cable.
Argon plasma generator is defective. Switch off the argon plasma genera-
tor and send it to the manufacturer or
an authorised dealer.
Argon plasma Power failure. After the argon plasma generator has
generator re- run successfully through a self-test,
starts. adjust all power settings.
If the fault cannot be remedied or if it reoccurs, notify the manufacturer or an author-

ised dealer.
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Maintenance
Repairs
8.3 Repairs
Unauthorised repairs
Improper repairs may lead to malfunctions and result in life-threatening injury to pa-
tients.
Repairs may only be carried out by the manufacturer or individuals authorised by
the manufacturer.
If your argon plasma generator is defective you can send it to the manufacturer or an
authorised dealer for repair. Only send cleaned and disinfected argon plasma genera-
tors. Otherwise additional costs will be incurred.
If your argon plasma generator is irreparable please send it to the manufacturer, an
authorised dealer or a disposal company for proper disposal (see chapter 9 Disposal
on page 90).
8.4
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Disposal
9 Disposal
When the argon plasma generator has reached the end of its life, it must be properly
disposed of. If the accessories have reached the end of their life, they must be prop-
erly disposed of. Disposable accessories must be properly disposed of after use.
Dispose of the argon plasma generator at a disposal company or send it to the manu-
facturer or an authorised dealer. Send the accessories to a disposal company.
Only a cleaned and disinfected argon plasma generator as well as cleaned and disin-
fected accessories may be sent for disposal.
Contaminated argon plasma generator or contaminated accessories

Both an improperly disposed of contaminated argon plasma generator and improp-
erly disposed of contaminated accessories can lead to life-threatening infections in
people and damage to the environment.
Only send cleaned and disinfected argon plasma generators for disposal.
Only clean and disinfected accessories will be accepted for disposal.
9.1
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Technical data
10 Technical data
Arco 3000
Dimensions (width, depth, height): 430 mm, 590 mm, 160 mm
Weight: 24.5 kg
Voltage: 230 V 10% | 115 V 10% | 100 V 10%
Frequency: 50 Hz to 60 Hz 5%
Current consumption: Max. 3.5 A | 7.0 A | 8.1 A
Power consumption: Max. 810 VA
Mains fuse: 2 thermal fuses: T4AH | T8AH | T10AH
Temperature: Operation: 10 C to 40 C
Transport and storage: -20 C to 50 C
Relative humidity: Operation: 20% to 80%, non-condensing
Transport and storage: 20% to 85%, non-con-
densing
Air pressure: Operation: 700 hPa to 1060 hPa
Transport and storage: 700 hPa to 1060 hPa
Activation time: Maximum 10 s, then 30 s pause until next acti-
vation;
Not more than 1 h in total
Output frequency: 280 kHz to 360 kHz
Electrical output power: Max. 350 W
Classification: Protection class I (in accordance with EN
60601-1),
Type CF (in accordance with EN 60601-1),
IPX0 (in accordance with EN 60601-1),
Class IIb (in accordance with German Medical
Devices Act and Directive 93/42/EEC, Annex IX),
Annex I (Ordinance on the Installation, Opera-
tion and Use of Medical Products (MPBetreibV))
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Technical data
Power tables and power graphs
10.1 Power tables and power graphs
10.1.1 Monopolar cutting
Operating mode Mono CUT Pulse Blend TUR TUR and

Pulse
Peak voltage [kVP] 0.8 1.2 1.2 0.8 1.6
Crest factor 1.5 2.7 1.5

Maximum power [W] 320 40 250 350 50
(to 200 )
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Technical data
Power graphs for Mono CUT mode
Mono CUT
350
300
250
200
P [W]
150
100 160 W
320 W
50
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
Fig. 10.1 Output power P resistance R
Mono CUT
800
700
600
500
UP [V]
400
300
200
100
0
10 60 110 160 210 260 310
P [W]
Fig. 10.2 Output voltage V power setting P
Mono 1 CUT
400
350
300
250
Py [W]
200
100
150 200
500
100 1000
2000
50
0
0 50 100 150 200 250 300
Px [W]
Fig. 10.3 Output power Py power setting Px
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Technical data
Power graphs for Pulse mode
Pulse
50
45
40
35
30
P [W]
25
20
15
20 W
10 40 W
5
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
Pulse
1200
1000
800
UP [V]
600
400
200
0
10 15 20 25 30 35 40
P [W]
Pulse
60
50
40
Py [W]
30
100
200
20 500
1000
2000
10
0
0 5 10 15 20 25 30 35 40
Px [W]
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Technical data
Power graphs for Blend mode
Blend
300
250
200
P [W]
150
100
125 W
250 W
50
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
Blend
1600
1400
1200
1000
UP [V]
800
600
400
200
0
10 60 110 160 210
P [W]
Blend
400
350
300
250
Py [W]
200
100
200
150
500
100 1000
2000
50
0
0 50 100 150 200 250
Px [W]
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Technical data
Power graphs for TUR mode
TUR
400
350
300
250
P [W]
200
150
100 175 W
350 W
50
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
TUR
800
700
600
500
UP [V]
400
300
200
100
0
10 60 110 160 210 260 310
P [W]
TUR
400
350
300
250
Py [W]
200
100
150 200
500
100 1000
2000
50
0
0 50 100 150 200 250 300 350
Px [W]
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Technical data
Power graphs for TUR and Pulse mode
TUR + Pulse
60
50
40
P [W]
30
20
25 W
50 W
10
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
TUR + Pulse
1600
1400
1200
1000
UP [V]
800
600
400
200
0
10 15 20 25 30 35 40 45 50
P [W]
TUR + Pulse
60
50
40
Py [W]
30
100
200
20 500
1000
2000
10
0
0 5 10 15 20 25 30 35 40 45 50
Px [W]
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Technical data
10.1.2 Monopolar coagulation
Operating mode Soft Force High Spray

Force
Peak voltage [kVP] 0.5 1.4 3.0 4.3
Crest factor 1.5 2.6 6.5 6.3

Maximum power [W] 100 120 120 120
(to 200 )
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Technical data
Power graphs for Soft mode
Soft
120
100
80
P [W]
60
40
50 W
100 W
20
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
Soft
800
700
600
500
UP [V]
400
300
200
100
0
10 20 30 40 50 60 70 80 90 100
P [W]
Soft
160
140
120
100
Py [W]
80
100
200
60
500
40 1000
2000
20
0
0 10 20 30 40 50 60 70 80 90 100
Px [W]
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Technical data
Power graphs for Force mode
Force
140
120
100
80
P [W]
60
40 60 W
120 W
20
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
Force
1600
1400
1200
1000
UP [V]
800
600
400
200
0
10 30 50 70 90 110
P [W]
Force
160
140
120
100
Py [W]
80
100
200
60
500
40 1000
2000
20
0
0 20 40 60 80 100 120
Px [W]
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Technical data
Power graphs for High-Force mode
High Force
120
100
80
P [W]
60
40
60 W
120 W
20
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
High Force
6000
5000
4000
UP [V]
3000
2000
1000
0
20 30 40 50 60 70 80 90 100 110 120
P [W]
High Force
160
140
120
100
Py [W]
80
100
200
60
500
40 1000
2000
20
0
0 20 40 60 80 100 120
Px [W]
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Technical data
Power graphs for Spray mode
Spray
120
100
80
P [W]
60
40
60 W
120 W
20
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
Spray
6000
5000
4000
UP [V]
3000
2000
1000
0
20 30 40 50 60 70 80 90 100 110 120
P [W]
Spray
160
140
120
100
Py [W]
80
100
200
60
500
40 1000
2000
20
0
0 20 40 60 80 100 120
Px [W]
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Technical data
10.1.3 Argon plasma coagulation
Operating mode Argon

COAG
Peak voltage [kVP] 4.3
Crest factor 6.3

Maximum power [W] 120
(to 200 )
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Technical data
Power graphs for Argon COAG mode
Argon COAG
120
100
80
P [W]
60
40
60 W
120 W
20
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
Argon COAG
6000
5000
4000
UP [V]
3000
2000
1000
0
20 30 40 50 60 70 80 90 100 110 120
P [W]
Argon COAG
160
140
120
100
Py [W]
80
100
200
60
500
40 1000
2000
20
0
0 20 40 60 80 100 120
Px [W]
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Technical data
10.1.4 Bipolar cutting
Operating mode Bipo CUT

Crest factor 1.5

(to 100 )
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Technical data
Power graphs for Bipo CUT mode
BIPO CUT
140
120
100
80
P [W]
60
40 65 W
130 W
20
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
BIPO CUT
800
700
600
500
400
UP [V]
300
200
100
0
10 30 50 70 90 110 130
P [W]
BIPO CUT
160
140
120
100
10
Py [W]
80
50
100
60
200
40 500
1000
20
0
0 20 40 60 80 100 120
Px [W]
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Technical data
10.1.5 Bipolar coagulation
Operating mode Bipo

COAG
Crest factor 1.5

(to 100 )
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Technical data
Power graphs for Bipo COAG mode
BIPO COAG
120
100
80
P [W]
60
40
50 W
100 W
20
0
0 200 400 600 800 1000 1200 1400 1600 1800 2000
R []
BIPO COAG
800
700
600
500
UP [V]
400
300
200
100
0
10 20 30 40 50 60 70 80 90 100
P [W]
BIPO COAG
160
140
120
100
10
Py [W]
80
50
100
60
200
40 500
1000
20
0
0 10 20 30 40 50 60 70 80 90 100
Px [W]
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Index
Index
A Argon plasma generator

Accessories checking the condition of 49
cleaning 84 cleaning 84
contaminated 72, 90 conditions for handling 8
detaching 81 connecting to the mains 37
disinfecting 84 connecting to the supply network 37
disposing of 90 contaminated 90
reprocessing 83 defective 89
disinfecting 84
Activation tone 32, 51, see also Alarm tone disposing of 90
Adjusting end of life of 90
the argon plasma coagulation power 22 improper handling of 38
the coagulation power 21, 23 initial start-up of the 42
the cutting power 20, 23 irreparable 89
overview of 16
Adjusting the volume 51 preparing 38
Alarm tone 43, 51, see also Activation tone reprocessing 83
switching off 81
Application, see Intended use
switching on 42
Arco handle, connecting 46 System overview 27
Argon plasma coagulation power Use with a bipolar instrument 31
adjusting the 22 use with a monopolar handle 27, 28
button for decreasing the 22 use with an Arco handle 29, 30
button for increasing the 22 use with an Arco multipurpose handle 29
buttons for direct selection of the 22 Auto Stop function, button for selecting
too low 79 the 21, 22, 23
Automatic function 80
button for selecting the 23
B
Bipolar cable 31
connecting 47
Bipolar instrument, connecting 47
Blend mode, button for selecting the 20
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Index
Button Contaminated accessories 72

Auto 23
Contaminated instrument 72
auto Stop 21, 22, 23
Blend 20 Contamination, see Cleaning
doesn't switch off 73 Cross-section, of the tissue 78
Endoflow 22
for selecting the Program function 17, 24 Cutting power
Force 21 adjusting the 20, 23
PROG 24 button for decreasing the 20, 23
Pulse 20, 23 button for increasing the 20, 23
Purge 22 buttons for direct selection of the 20
Soft 21
D
Spray 21
TUR 20 Digital display 20, 21, 22, 23, 23
Disinfectants 83
C
Disinfection 84
Cable
damaged 11 Display, see also Digital display
running a 72 dosage error 25, 25
for a fault 25
Check
for an incorrect power setting 25
prior to each use 85
for direct selection of the argon plasma coagula-
regular 85
tion power 22
safety 85
for direct selection of the coagulation power 23
Cleaning 84 for instrument activity 20, 21, 22, 23, 23
Cleaning agent 83 functional error 25, 25
Gas blockage 25, 25
Coagulation power, see also Argon plasma coagula- Gas shortage 25, 25
tion power of the program storage locations 20
adjusting the 21, 23
button for decreasing the 21, 23 display panel 17
button for increasing the 21, 23 Disposable accessories, disposing of 83
buttons for direct selection of the 21
Disposal 90
Conditions
Disposal company 90
for handling of the argon plasma generator 8
general 8 E
Connection Effect level 20, 21, 32
for the potential equalisation cable 18
for the pressure hose 18 Electromagnetic compatibility 10
of the mains cable 38 End of life
of the potential equalisation cable 38 of accessories 90
Connector socket of the argon plasma generator 90
for a bipolar instrument 17 Endoflow 34
for a dual foot switch 18
Endoflow mode, button for selecting the 22
for a monopolar handle 17
for a neutral electrode 17 Endoscopy monitor 16
for a single foot switch 18 Error code 86
for an Arco handle 17
for an endoscopy monitor 18
for the mains cable 18
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Index
F Instructions for use, see Instructions for use

Fault 86 for the argon plasma generator 6
cause of 86 for the instruments 6
during operation 87 Instrument
during self-test 86 connecting 44
further treatment despite 87 contaminated 72
internal 86 Disconnecting from the Argon Plasma
measures to be taken in case of a 86 Generator 81
remedy 86 incorrectly selected 12
use despite 87 incorrectly set down 73
Foot switch 16 not working 87
doesn't switch off 73 reprocessing 83
installing 38 unintentional activation of an 73, 80
Footswitch, disconnecting 82 Instrument activity, Indicator lamp

for 20, 21, 22, 23, 23
Force mode, button for selecting the 21
Instrument cable 28, 29, 30, see also Bipolar cable,
Functional testing 48 see also Monopolar cable, see also Monopolar
carrying out 51 cable, see also Bipolar cable
Fuse holder 18 connecting 46
damaged 11
G disconnecting 81
Gas flow rate improperly connected 12
button for decreasing the 22 Instrument detection, not working 87
button for increasing the 22
Intended use 9
too high 79
too low 80 L
H Loose contact 78
unnoticed 74
Handling of the argon plasma generator, conditions
for 8 Loudspeaker 18
Handpiece, see Instrument M
High-frequency current 14 Magnetic fields 10
I Mains, see Supply network

Indicator lamp Mains cable 37
for direct selection of the cutting power 20 connecting 38
for the neutral electrode 25 damaged 11, 37
of program storage locations 20 disconnecting 81
patient electrode 25 Mains switch 17
Initial start-up 42 Metal parts, inside or on patients 78
Installation 36 Monopolar cable 27
requirements 36 connecting 44
Instruction for use, purpose of the 6 Monopolar handle, connecting 44
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Index
N Power setting
Neutral electrode 50 adjusting 56
detaching 77 checking 56
improper 76 too high 74
incorrectly applied 76 too low 74
non-split 77 Power settings 16
poorly connected 77
Pressure hose, disconnecting 81
Neutral electrode cable
Program function, Button for selecting the 24
connecting 41
not fully inserted 78 Programs, managing 69
Pulse mode, button for selecting the 20, 23
O
Operating mode 32 Purge function, button for selecting the 22
Blend 20
Q
Force 21
High Force 21 Qualification, see also Specialist staff, insufficient 10
Power Blend 20
Pulse 20, 23 R
Soft 21 Repair
Spray 21 by the manufacturer 89
TUR 20 improper 89
TUR and Pulse 20 unauthorised 89
Operation 48 Reprocessing 83
outside the specified range of operating prior to initial use 48
conditions 13
S
Operator control panel 16
Safety information
for argon plasma coagulation 17, 22
general 10
for bipolar cutting and coagulation 17, 23
structure of 6
for monopolar coagulation 17, 21
for monopolar cutting 17, 20 Scope of delivery 26
Overview 16 Signal tone, see Activation tone, Alarm tone
Skin-to-skin contact 76
P
Packaging 35 Soft mode, button for selecting the 21
Peak voltage 12 Software error 74
Plasma beam 15 Sparking 15
Potential equalisation cable 37 Specialist staff, qualified 9

connecting 38 Spray mode, button for selecting the 21
connection for the 18
Storage 35, see Storage
disconnecting 82
Storage environment 35
Power cable, see Mains cable, instrument cable
Supply network 37
112 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Index
Symbol TUR mode, button for selecting the 20

Arco connection 18
Type plate 18, 19
Bipolar connection 18
Defribrillator-proof 18 U
Footswitch 18
Usage, see Intended use
Hazardous waste 18
High voltage 18 Use, see Treatment
Monopolar connection 18 electrical devices 11
Neutral electrode 18 intended 9
on the argon plasma generator 18 of a monitoring device 11
Potential equalisation 18 of fluids 15
Read the instruction for use 18 of incorrect accessories 12
Type CF 18 of incorrect instruments 12
of instruments 16
system overview 27
V
T
Visual inspection, carrying out 36
Technical data 91
Volume regulator 18
Traffic light indicator, for the neutral electrode 25
Transport 35 W
Treatment Warning information, structure of 6
benefits of the 48 Wipe disinfection 84
despite fault 87
ending 81
functional testing prior to 48
of haemophiliacs 13
of high-risk patients 13
of patients with implants 14
of patients with pacemakers 14
of pregnant women 13
risks of the 48
starting 72
tasks to be carried out prior to 48
DocNr.: 03-4769_R02.01 | 09-2013 | en-GB | Arco 3000 113

Index
114 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Sring GmbH
D-25451 Quickborn
Tel.: +49 (0)4106-6100-0
Fax: +49 (0)4106-6100-10 Redaction
E-Mail: info@soering.com ZINDEL AG
Internet: www.soering.com www.zindel.de

Argon Plasma Generator Arco 3000: User Manual

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User Manual

Argon Plasma Generator

DocNr.: 03-4769_R02.01 | 09-2013 | en-GB 0123

4 Transport and storage..................................................................................35

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5.3 Preparing the argon plasma generator ........................................38

4 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

10 Technical data ...............................................................................................91

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1.1 Information about these instructions for use

1.2 Typographical conventions

1.2.1 Safety and warning information

Names the source of the hazard

6 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Names the source of the hazard

Names the source of the hazard

Names the source of the hazard

1.2.2 Additional information

Gives further information about the argon plasma generator.

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1.3 General conditions

8 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

2.1 Intended use

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2.2 General safety information

10 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Use of a physiological monitoring device

Using other electrical devices

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Improperly connected instrument cable

Incorrect instruments and spare parts

Insufficient peak voltage for instrument or accessories

12 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Operation outside the specified range of operating conditions

Treatment of high-risk patients

Treatment of pregnant women

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Treatment of patients with pacemakers or other active implants

Treatment of patients with implants

14 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Sparking during high-frequency applications

Use of combustible fluids

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3.1 Overview of argon plasma generator

16 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Fig. 3.1 Front side

DocNr.: 03-4769_R02.01 | 09-2013 | en-GB | Arco 3000 17

1 Loudspeaker 6 Connector socket for the mains cable

3.1.1 Symbols on the argon plasma generator

Read the instruction for use

Type CF, defibrillator-proof

18 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

3.1.2 Type plate

Ausgangsdaten / Output data

Fig. 3.3 type plate

1 Manufacturer 7 Maximum power consumption

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3.1.3 Buttons and indicator lamps

Operator control panel for monopolar cutting

20 Arco 3000 | DocNr.: 03-4769_R02.01 | 09-2013 | en-GB

Operator control panel for monopolar coagulation

1 Instrument activity indicator lamp 6 Buttons for direct selection of the

DocNr.: 03-4769_R02.01 | 09-2013 | en-GB | Arco 3000 21