A.R.C. Laser C-LAS User manual

Manual
CO2-Laser
Version with WaveGuide.
Version with or without gas
management.
CO2-Laser
Version with arm
A .R.C. Laser GmbH
0123 Bessemerstr. 14
90411 Nürnberg
Tel.: [phone]
Fax: [phone]
[email protected]
www.arclaser.de

Manual C-Las
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When service is required, please contact us at:
A.R.C. LASER GmbH
Bessemerstr. 14
90411 Nuremberg
Germany
TEL: [phone]
FAX: [phone]
[email protected]
Version number
Date 01. Oktober 2012
File User-Manual_C-LAS-II_EN_03_2018_0123.docx
Date of revision 20. März 2018
Author M. Ernstberger, M. Graf, Sonja Mahler
Checked by R. Thyzel

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CONTENT
1INTRODUCTION ............................................................................................................ 8
1.1Copyright ...................................................................................................................................... 8
1.2Marking and Symbols ................................................................................................................. 8
1.3Intended use ................................................................................................................................ 9
2THEORY AND TECHNICAL STRUCTURE OF A CO2 LASER .................................. 10
3TRANSPORT / STORAGE .......................................................................................... 11
4INSTALLATION ........................................................................................................... 12
4.1Installation Site .......................................................................................................................... 12
4.2Room Requirements ................................................................................................................. 12
4.2.1Marking Access Doors ................................................................................................................. 12
4.2.2Window Shielding ......................................................................................................................... 12
4.2.3Shielding Reflecting Surfaces ...................................................................................................... 12
4.3Electrical Connection ................................................................................................................ 12
4.4Dispatching and Unpacking the Device .................................................................................. 13
5SAFETY INSTRUCTIONS AND TECHNICAL ACCEPTANCE ................................... 14
5.1General ....................................................................................................................................... 14
5.2Eye Protection ........................................................................................................................... 14
5.3Respiratory Protection .............................................................................................................. 15
5.4Electrical Protection .................................................................................................................. 15
5.5Explosion and Fire Hazard ....................................................................................................... 16
5.6Protection against Undesired Radiation ................................................................................. 16
5.7NOHD Safety Distance .............................................................................................................. 16
5.8CE Regulations .......................................................................................................................... 17
5.9RoHS-Regulations ..................................................................................................................... 17
5.10External Interlock ...................................................................................................................... 17
5.11Protective Housing .................................................................................................................... 17
5.12Safety Shutter / Aiming Beam .................................................................................................. 17
5.13Manual Reset ............................................................................................................................. 18
5.14Operating conditions ................................................................................................................ 18
5.15Electromagnetic Campatibility ................................................................................................. 18
6C-LAS CO2 LASER ...................................................................................................... 19
6.1Marking and Labeling ................................................................................................................ 19
6.2User Information ........................................................................................................................ 20
6.2.1Technical Introduction Training .................................................................................................... 20

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6.2.2Laser Safety Training ................................................................................................................... 21
6.2.3Medical Introduction Training ....................................................................................................... 21
6.2.4Medical Device Parts and Accessories ........................................................................................ 21
6.3Description and Specifications ................................................................................................ 22
6.3.1Introduction .................................................................................................................................. 22
6.3.2Hardware-Overview ..................................................................................................................... 22
6.3.3Cooling ......................................................................................................................................... 22
6.3.4Installation of Filter Cassette ........................................................................................................ 23
6.3.5Cleaning the Filter Cassette ......................................................................................................... 23
7LASER SAFETY .......................................................................................................... 24
7.1Compliance with the Permitted Emission Limits ................................................................... 24
7.2Interference Potential of the System ....................................................................................... 24
7.3Gas Management ....................................................................................................................... 24
8C-LAS USAGE REQUIREMENTS AND INSTALLATION ........................................... 25
8.1Unpacking and Inspection ........................................................................................................ 25
8.1.1Inspect the Consignment ............................................................................................................. 25
8.1.2Accessories list ............................................................................................................................ 26
8.1.3Missing accessories ..................................................................................................................... 26
8.2Safety Requirements for the Laser Installation ...................................................................... 26
8.3Mechanical Installation Basic Device ...................................................................................... 27
8.4Attaching the Articulated Arm ................................................................................................. 28
8.5Attaching the WaveGuide ......................................................................................................... 28
8.6Purity of the Ambient Air .......................................................................................................... 29
8.6.1Air Cooling .................................................................................................................................... 29
8.6.2Air Flow ........................................................................................................................................ 29
8.7Electrical Connection ................................................................................................................ 29
8.8Other Terminals ......................................................................................................................... 31
8.8.1Door Interlock Connector  ...................................................................................................... 31
8.8.2Foot Switch Connection  ........................................................................................................ 32
8.8.3Warning Light / Smoke Evacuation (optional)  ...................................................................... 32
8.8.4Interface  ............................................................................................................................... 32
8.8.5Pressure Sensor Gas Trolley  .................................................................................................. 32
8.8.6USB Port  ............................................................................................................................... 32
8.8.7Duet Interface  ....................................................................................................................... 32
8.8.8LAN / Service-Interface  ......................................................................................................... 32
8.9TFT-Screen ................................................................................................................................. 33
9GAS MANAGEMENT ................................................................................................... 34
9.1Stickers and Labels ................................................................................................................... 34
9.2Device Parts and Accessories ................................................................................................. 3 5 
9.3General ....................................................................................................................................... 35

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9.3.1Installation in Gas Cylinder Trolley .............................................................................................. 36
9.3.2Docking the Gas Trolley ............................................................................................................... 37
9.3.3Gas Management Connections ................................................................................................... 3 8 
10OPERATION OF THE C-LAS ...................................................................................... 39
10.1Turning the Laser On ................................................................................................................ 40
10.1.1Main Power Switch ....................................................................................................................... 40
10.1.2PIN ............................................................................................................................................... 40
10.2Menu ........................................................................................................................................... 41
10.2.1Home-Screen ............................................................................................................................... 41
10.2.1.1Preset Dermatology .............................................................................................................. 41
10.2.1.2Preset ENT ........................................................................................................................... 41
10.2.1.3Preset Surgery ...................................................................................................................... 41
10.2.1.4Manual Laser Mask .............................................................................................................. 41
10.2.2Preset Surgeon ............................................................................................................................ 42
10.2.2.1Deleting name of the surgeon .............................................................................................. 42
10.2.2.2Edit name of the surgeon ..................................................................................................... 4 2 
10.2.3Editing the name .......................................................................................................................... 43
10.2.4Select Application ......................................................................................................................... 43
10.2.5Input Screen ................................................................................................................................. 44
10.2.5.1Application ............................................................................................................................ 44
10.2.5.2Keypad .................................................................................................................................. 44
10.2.5.3Selection ............................................................................................................................... 44
10.2.5.4Backspace ............................................................................................................................ 44
10.2.5.5Shift Key ............................................................................................................................... 44
10.2.5.6Save ...................................................................................................................................... 44
10.2.5.7Close X ................................................................................................................................. 44
10.3Laser Main Screen ..................................................................................................................... 45
10.3.1Navigation .................................................................................................................................... 45
10.3.2Treatment Modes ......................................................................................................................... 45
10.3.3Pulse Duration .............................................................................................................................. 46
10.3.4Frequency .................................................................................................................................... 46
10.3.5SuperPulse ................................................................................................................................... 46
10.3.6Aiming Beam Brightness .............................................................................................................. 46
10.3.7Pump ............................................................................................................................................ 46
10.3.8Output Power ............................................................................................................................... 47
10.3.9Gas Management ......................................................................................................................... 47
10.3.10Standby / READY ......................................................................................................................... 47
10.4Laser Log ................................................................................................................................... 48
10.4.1Average Setting Power ................................................................................................................ 48
10.4.2Total Output Energy ..................................................................................................................... 48
10.4.3Total Firing Time .......................................................................................................................... 48
10.4.4Reset ............................................................................................................................................ 48
10.5System Settings ......................................................................................................................... 49
10.5.1Modifying Password, PIN ............................................................................................................. 49
10.5.2Contact Information ...................................................................................................................... 49
10.5.3Laser Information ......................................................................................................................... 49

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10.5.4Display Brightness ....................................................................................................................... 50
10.5.5Key Tone Volume ......................................................................................................................... 50
10.5.6Laser Tone Volume ...................................................................................................................... 50
10.5.7Select Language .......................................................................................................................... 50
10.5.8TimeOut Aiming Beam ................................................................................................................. 50
10.5.9Lag time smoke evacuation ......................................................................................................... 50
10.5.10Time Out....................................................................................................................................... 50
10.5.11Key Lock ...................................................................................................................................... 50
10.5.12Advanced Mode ........................................................................................................................... 50
10.6Special Features of WaveGuide ............................................................................................... 51
10.7Special Features of the Articulated Arm ................................................................................. 51
10.8Switching off the Laser System ............................................................................................... 5 1 
10.9Menu Structure .......................................................................................................................... 52
10.9.1Home Screen ............................................................................................................................... 52
11TECHNICAL DATA / SPECIFICATIONS ..................................................................... 53
11.1Specifications C-LAS ................................................................................................................ 53
12SERVICE / TROUBLESHOOTING .............................................................................. 54
12.1Introduction ................................................................................................................................ 54
12.2Safety Check .............................................................................................................................. 54
12.3Care and Maintenance by the User .......................................................................................... 55
12.3.1Accessories Cleaning ................................................................................................................... 55
12.3.1.1Foot switch ............................................................................................................................ 55
12.3.1.2Protective Goggles ............................................................................................................... 55
12.3.1.3Applicators (for non-sterile use) ............................................................................................ 55
12.3.2Replacing the Air Filter of C-LAS ................................................................................................. 56
12.3.3Fiber Cleaning .............................................................................................................................. 56
12.3.4Visual Inspection .......................................................................................................................... 57
12.4 Troubleshooting ....................................................................................................................... 57
12.4.1Device does not start ................................................................................................................... 57
12.4.2PIN ............................................................................................................................................... 57
12.4.3No Effect on Tissue ...................................................................................................................... 57
12.4.4System Overheated ..................................................................................................................... 57
12.4.5Error Codes on Display ................................................................................................................ 58
12.5Error Detection .......................................................................................................................... 59
12.6System check ............................................................................................................................. 59
13WARRANTY ................................................................................................................. 60
13.1Warranty on Parts ...................................................................................................................... 60
13.2Responsibility of the buyer ...................................................................................................... 60
13.3Limitation of warranty ............................................................................................................... 60
14TRANSPORT, STORAGE AND PACKAGING ............................................................ 61

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14.1Transport and storage ............................................................................................................. 61
15SAFETY CHECK .......................................................................................................... 62
16CUSTOMER SERVICE ................................................................................................ 63
16.1Warranty Information ................................................................................................................ 63
16.2Guaranteed consignment, packaging ..................................................................................... 63
16.3Sales and service information ................................................................................................. 64
16.4Disposal ...................................................................................................................................... 64
17SYMBOLS .................................................................................................................... 65
18GUIDELINES AND MANUFACTURER’S DECLARATION ......................................... 67
18.1Electromagnetic Emissions ..................................................................................................... 67
18.2Electromagnetic Immunity - I ................................................................................................... 68
18.3Electromagnetic Immunity - II .................................................................................................. 69
18.4Recommended Separation Distance ....................................................................................... 70
Recommended separation distance between portable and mobile RF telecommunications equipment
and the laser ................................................................................................................................ 70

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1 Introduction
We appreciate your decision to purchase the CO2 laser and wish you a productive and successful usage with
this multi-functional laser system.
You are reading the User Manual for the C-LAS medical CO2 laser produced by A.R.C. in Germany. The
laser is exclusively intended for medical applications. Any other applications such as applications in industry
may cause severe damage to the system. We therefore recommend you to carefully read the section on
Laser Safety containing any and all the safety information the user may require for installation. The user is
advised to read the section about safety carefully before starting with the installation. For further questions
regarding the safety or the use of the device or with respect to the laser and the laser radiation, please
contact A.R.C. Laser GmbH (see section 16.3 "Sales and Service - Information“)
A T T E N T I O N !
Settings, operations or procedures not described in this User Manual may result in hazardous radiation.
The purpose of this User Manual
This manual is designed to help the user of the C-Las use and understand its functions. It contains
information about performance and operation of the laser as well as about installation and settings.
1.1 Copyright
This manual is protected under a copyright. Such copyright also includes duplicating the User Manual in full
or in part without the explicit written approval granted by A.R.C. Laser GmbH.
Any copy of or parts extracted from this User Manual, as licensed by A.R.C. Laser GmbH, shall include
references to the original document and to the author as stated in this original document. Furthermore, this
copyright also extends to any translation of the User Manual in other languages.
We would like to point out that this manual was prepared to the best of our knowledge with all the data
available to us. We reserve the right to renew or revise any modifications to the drawings, images or text
without further notice.
1.2 Marking and Symbols
The international sign „Attention“ is attached to all surfaces which are hazardous for
the user. Before carrying out any further works at points with such markings, please
read the User Manual or inform an A.R.C. Laser GmbH service agency.
The laser radiation sign is intended to warn the users against aiming laser beams to
undesired surfaces by improper handling. The laser beams of this device are not
visible. When using the protection goggles filtering such beams, the user can neither
identify nor see the beams.
This symbol is meant to warn the user against dangerous
voltage in connection with the device, which is high enough to
cause an electric shock.
DasBild k ann zu rzeit nich t angezeigt w erden .
DasBild k ann zu rzeit nich t angezeigt w erden .

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1.3 Intended use
The CO2 laser, C-LAS Model, is an easy-to-transport table laser console made of machined aluminum and
optics for the reflection of CO2 laser beams. It is a carbon dioxide laser which emits laser light at 10.6 microns
and an RF-excited laser tube, which produces a maximum output of about 30 watts. The laser is designed for
the surgeon for cutting and coagulating tissue at a wound during surgery. The surgeon uses the laser
radiation on tissue through a handpiece with or without inserts or lenses. The laser radiation can further be
adjusted and controlled by a micromanipulator.
The CO2 laser, C-LAS model, is intended to be used by surgeons for cutting soft tissue and ablating tissue in
the following areas:
General Medicine Jaw Aesthetic & Plastic Surgery
Dermatology Neurology
ENT Dental & Maxillofacial
Gynecology Ophthalmology
Contraindications exist in case the user has not been trained on how to use the laser and is not able to
correctly control the emission while guiding the laser beam. The basic requirement being that the laser is only
used in case the user does have sufficient experience either gained in surgeries or following comprehensive
training by another experienced surgeon on a model tissue such as animal or comparable tissue.
Contraindications exist in the following cases: if the laser is used in an environment where gases may ignite
or explode e.g. when oxygen is used during the anesthesia of patients. It would be dangerous if the laser
beam hit an oxygen-saturated region. Each situation involving the risk of uncontrolled irradiation of third
parties shall be avoided.
Another contraindication exists if the need to use the laser is not high and alternatives are given, and the
treatment zone is inflammated. The effect of laser radiation results in the transfer of heat to the tissue, which
may aggravate the inflammation.
In general, no hard tissue such as bones should be treated.
The use of the laser beam in the vicinity of temperature-sensitive areas (such as nerves in neurosurgery)
should also be avoided.

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2 Theory and Technical Structure of a CO2 Laser
Laser is an acronym adopted for everyday use
Light Amplification by Stimulated Emission of Radiation
Laser light energy is different from standard optical energy as it has the following properties:
Highly coherent; All of the light energy is travelling in the same phase
Monochromatic; It consists of a narrowband range of wavelengths
Directional; The energy travels in the same direction and does not spread.
All types of lasers consist of three key parts:
Lasing medium; This provides atoms or molecules to allow for the amplification of light.
Excitation source; A means of exciting the atoms or molecules.
Optical resonator; Similar to a resonant circuit this generates and supports stimulated radiation
through continual internal reflection.
Atoms and molecules have different energy levels, when a change to a more excited state occurs, this will,
after time, be followed by a change to a more relaxed state. When the change to a more relaxed state occurs,
the lasing medium releases this stored energy, typically in the form of light (photon), though by-products such
as heat may also be emitted, this needs to be removed from the laser system.
RF energy acts as the excitation source and is supplied to the CO2 gas to change the vibrational state of the
molecule, this supplied energy changes the vibrational state of the molecule, from a lower state to one that is
a higher state i.e. the lasing medium is in an excited state. In the case of the CO2 laser the change to a lower
state of vibrational releases photons at 10.6µm. The period that the gas stays in this excited state is very short,
however this can be influenced. By adding a cavity or optical resonator around the lasing medium, already
existing photons can be used to further increase the supply of photons. Photons are absorbed by those atoms
or molecules in an excited state, this then triggers the release of two photons, each of which have the same
energy, travel in the same direction and have the same phase - these are the unique properties of the laser.
The cavity ensures that this happens many times over to increase the supply of photons and provides a steady
state to give a constant optical output. These photons would typically leave the cavity through a partial mirror
at one end; the optical energy can then be coupled into a hollow core optical fibre or another optical system.
The laser tube is controlled with electronics, which can be adjusted by the user on the control monitor. Output
power, pulse length and width can be controlled individually with the C-LAS laser.