Bowa ARC 400 User manual

OPERATING MANUAL
ELECTROSURGICAL UNIT

BOWA-IFU-11779-ARC400-V2.1.0-S0-EN Operating Manual ARC 400 3

Contents
4Operating Manual ARC 400 BOWA-IFU-11779-ARC400-V2.1.0-S0-EN
Contents
1. Using this operating manual ...........................................................................................................9
1.1. Revision index.....................................................................................................................9
1.2. Validity.................................................................................................................................9
1.3. Other applicable documents ...............................................................................................9
1.4. Icons and labeling ...............................................................................................................9
1.4.1. Structure of warning instructions .........................................................................9
1.4.2. Risk levels in warning instructions.....................................................................10
1.4.3. Tips....................................................................................................................10
1.4.4. Other symbols and marks..................................................................................10
2. Safety...............................................................................................................................................11
2.1. Intended use .....................................................................................................................11
2.2. General safety instructions ...............................................................................................12
2.3. Personal safety instructions..............................................................................................13
2.3.1. Ambient conditions ............................................................................................13
2.3.2. Patients with pacemakers..................................................................................13
2.3.3. Hazard-free patient positioning .........................................................................14
2.3.4. Correct connection of the HF device .................................................................14
2.3.5. Correct use of the HF device.............................................................................14
2.3.6. Configuring HF device settings and using
accessories........................................................................................................15
2.4. Product-related safety instructions ...................................................................................16
2.5. Safe handling (general instructions) .................................................................................16
2.5.1. Operation area: avoiding ignition and
explosions..........................................................................................................17
2.5.2. Applying the neutral electrode...........................................................................17
3. Description......................................................................................................................................20
3.1. User interface components...............................................................................................20
3.1.1. Front panel user interface components.............................................................20
3.1.2. Monopolar connector module (left)....................................................................20
3.1.3. Bipolar connector module (right) .......................................................................21
3.1.4. Rear panel user interface components .............................................................22
3.2. Symbols used on the device.............................................................................................23
3.2.1. Nameplate .........................................................................................................24
3.3. Scope of delivery ..............................................................................................................24
3.4. Components required for operation ..................................................................................25
3.4.1. OR1 Storz..........................................................................................................25

Contents
BOWA-IFU-11779-ARC400-V2.1.0-S0-EN Operating Manual ARC 400 5
3.4.2. MAQUET TEGRIS:............................................................................................27
3.5. Operating conditions .........................................................................................................28
3.6. The basis of modern HF surgery ......................................................................................29
4. Prearrangement ..............................................................................................................................30
4.1. Setting up the HF device...................................................................................................30
4.2. Switching on the HF device ..............................................................................................31
4.3. Connecting instruments ....................................................................................................32
4.3.1. Instruments for monopolar use..........................................................................33
4.3.2. Instruments for bipolar applications...................................................................33
4.3.3. Connecting a foot switch ...................................................................................33
4.4. Functional test...................................................................................................................34
4.4.1. Auto test function...............................................................................................34
4.4.2. Functional testing ..............................................................................................34
4.4.3. Actions in case of problems...............................................................................35
4.5. Neutral electrode monitoring.............................................................................................35
4.5.1. General information ...........................................................................................35
4.5.2. EASY neutral electrode monitoring (EASY
monitoring).........................................................................................................36
4.6. Turning the device off .......................................................................................................37
5. Operation.........................................................................................................................................38
5.1. Program overview .............................................................................................................38
5.1.1. Display...............................................................................................................38
5.1.2. Status bar ..........................................................................................................38
5.2. Activating and deactivating connectors ............................................................................39
5.3. Unlocking the screen ........................................................................................................40
5.4. Configuring output currents...............................................................................................41
5.4.1. Selecting the mode............................................................................................41
5.4.2. Specifying power limits ......................................................................................42
5.4.3. Selecting the effect............................................................................................43
5.4.4. Assigning the foot pedal ....................................................................................44
5.4.5. Selecting the neutral electrode..........................................................................47
5.4.6. Dr. Dongle®.......................................................................................................49
5.4.7. Plug’n Cut COMFORT.......................................................................................51
5.4.8. Playing videos ...................................................................................................52
5.4.9. Configuring the startup screen ..........................................................................53
5.5. Mode overview..................................................................................................................54
5.5.1. Monopolar modes..............................................................................................54

Contents
6Operating Manual ARC 400 BOWA-IFU-11779-ARC400-V2.1.0-S0-EN
5.5.2. Bipolar modes....................................................................................................56
5.6. Monopolar cutting modes..................................................................................................58
5.6.1. Standard ............................................................................................................58
5.6.2. Micro..................................................................................................................58
5.6.3. Dry .....................................................................................................................59
5.6.4. Argon .................................................................................................................59
5.6.5. Resection...........................................................................................................60
5.6.6. MetraLOOP .......................................................................................................60
5.6.7. Laparoscopy ......................................................................................................61
5.6.8. GastroLOOP 1...................................................................................................61
5.6.9. GastroLOOP 2...................................................................................................62
5.6.10. GastroLOOP 3...................................................................................................62
5.6.11. GastroKNIFE 1 ..................................................................................................63
5.6.12. GastroKNIFE 2 ..................................................................................................63
5.6.13. GastroKNIFE 3 ..................................................................................................64
5.7. Monopolar coagulation modes..........................................................................................64
5.7.1. Moderate............................................................................................................64
5.7.2. Forced non cutting.............................................................................................65
5.7.3. Forced mixed.....................................................................................................65
5.7.4. Forced cutting....................................................................................................66
5.7.5. Spray .................................................................................................................66
5.7.6. Argon .................................................................................................................67
5.7.7. Argon flexible.....................................................................................................67
5.7.8. Argon flex. pulse................................................................................................68
5.7.9. Resection...........................................................................................................68
5.7.10. Cardiac Mammary .............................................................................................69
5.7.11. Cardiac Thorax ..................................................................................................69
5.7.12. SimCoag............................................................................................................70
5.7.13. Gastro Coag ......................................................................................................70
5.7.14. Laparoscopy ......................................................................................................71
5.8. Bipolar cutting modes .......................................................................................................71
5.8.1. Standard ............................................................................................................71
5.8.2. Bipolar resection (optional)................................................................................72
5.8.3. Bipolar scissors .................................................................................................72
5.8.4. Vaporisation.......................................................................................................73
5.9. Bipolar coagulation modes................................................................................................73
5.9.1. Standard forceps ...............................................................................................73

Contents
BOWA-IFU-11779-ARC400-V2.1.0-S0-EN Operating Manual ARC 400 7
5.9.2. Standard forceps AUTO ....................................................................................74
5.9.3. Micro forceps .....................................................................................................74
5.9.4. Forceps forced...................................................................................................75
5.9.5. LIGATION (optional)..........................................................................................75
5.9.6. TissueSeal PLUS (optional) ..............................................................................76
5.9.7. Bipolar scissors .................................................................................................76
5.9.8. Laparoscopy ......................................................................................................77
5.9.9. Laparoscopy Micro ............................................................................................77
5.9.10. Bipolar resection (optional)................................................................................78
5.9.11. Vaporisation (optional).......................................................................................79
5.9.12. Bipolar SimCoag (optional)................................................................................79
5.10. Menu dialogs.....................................................................................................................80
5.10.1. Overview............................................................................................................80
5.10.2. "System Settings" dialog ...................................................................................81
5.10.3. "Volume" dialog .................................................................................................82
5.10.4. "Service" dialog .................................................................................................83
5.10.5. "System information" dialog...............................................................................85
5.10.6. "Select program" dialog.....................................................................................85
5.10.7. "Favourites" dialog.............................................................................................87
5.10.8. "Save Program" dialog ......................................................................................87
5.10.9. Socket extension ...............................................................................................88
5.10.10. ZAP Mode..........................................................................................................89
5.10.11. "System messages" dialog................................................................................92
5.10.12. "Argon" dialog....................................................................................................93
5.11.Basic programs.................................................................................................................94
6. Detecting and correcting faults ..................................................................................................100
6.1. System information .........................................................................................................100
6.2. Fault indications for EASY monitoring ............................................................................106
7. Preparation....................................................................................................................................107
7.1. Preparation of the accessories .......................................................................................107
7.2. Disinfection and cleaning................................................................................................107
8. Maintenance and repair ...............................................................................................................108
8.1. Maintenance ...................................................................................................................108
8.1.1. Safety inspection .............................................................................................108
8.2. Repairs............................................................................................................................109
9. Storage ..........................................................................................................................................110
9.1. Technical service ............................................................................................................110

Contents
8Operating Manual ARC 400 BOWA-IFU-11779-ARC400-V2.1.0-S0-EN
10. Technical specifications..............................................................................................................111
10.1. ARC 400 technical data (REF 900-400) .........................................................................111
10.2. Output, voltage and current diagrams ............................................................................121
11. Accessories and replacement parts...........................................................................................159
12. EMC................................................................................................................................................160
12.1. Guidelines and manufacturer’s declaration in
accordance with IEC 60601-1-2:2007 ............................................................................160
13. Disposal.........................................................................................................................................164

1 Using this operating manual
BOWA-IFU-11779-ARC400-V2.1.0-S0-EN Operating Manual ARC 400 9
1. Using this operating manual
This operating manual is part of the device.
BOWA-electronic GmbH & Co. KG, referred to in the following simply as
BOWA, assume no liability nor provide any warranty whatsoever for
damage and consequential damages that arise due to non-compliance with
the operating manual.
Read the operating manual carefully and thoroughly before using this
device.
Store the operating manual in a safe place throughout the service life of the
device.
Keep the operating manual accessible to operating room personnel.
Give the operating manual to each successive owner and/or user of this
device.
Always update the operating manual whenever you receive additional
information from the manufacturer.
1.1. Revision index
Unit version
Last revised
Valid from version 2.1.0
2016/05
1.2. Validity
This operating manual applies only to the devices designated in chapter
3.2.1 Nameplate (see page 24).
1.3. Other applicable documents
Comply with other applicable documents in the appendix or in the other
sections.
1.4. Icons and labeling
1.4.1. Structure of warning instructions
SIGNAL WORD
"Risk type, source and consequences there of" (Personal injury)!
Measure for risk prevention.
NOTE
"Risk type, source and consequences there of" (Property damage)!
Measure.

1Using this operating manual
10 Operating Manual ARC 400 BOWA-IFU-11779-ARC400-V2.1.0-S0-EN
1.4.2. Risk levels in warning instructions
Symbol
Risk level
Probability of
occurrence
Consequences of
non-compliance
DANGER
Immediate risk
Death, serious
injuries
WARNING
Possible risk
Death, serious
injuries
CAUTION
Possible risk
Minor injuries
NOTE
Possible risk
Property damage
1.4.3. Tips
Tips and additional information to facilitate tasks
1.4.4. Other symbols and marks
Symbol or mark
Meaning

Prerequisite for an activity
►
Activity with one step



Activity with several steps in a binding
sequence

Result of preceding activity

List (first level)

List (second level)
Emphasis
Emphasis
......, see Section xxx, page xxx
Cross reference

2 Safety
BOWA-IFU-11779-ARC400-V2.1.0-S0-EN Operating Manual ARC 400 11
2. Safety
2.1. Intended use
The HF device is intended exclusively for the generation of electrical power
for monopolar and bipolar cutting and coagulation on tissue structures in
surgical operations.
It is used in the following areas:
General surgery
Endoscopy (GastroCut mode)
Gynecology
Hand surgery
ENT
Cardiac surgery (including open-heart surgery)
Neurosurgery
Pediatric surgery
Plastic surgery and dermatology
Thoracic surgery
Orthopedics
Urology, including transurethral resection (TUR)
Do not use the HF device if, in the opinion of an experienced physician or
according to current professional literature, such use would endanger the
patient, due for example to the general condition of the patient, or if other
contraindications are present.
BOWA requires that the HF device is operated under the supervision of
qualified and authorized personnel. The surgeon and medical staff must be
trained in the fundamental principles, rules for use and risks of HF surgery
and must be familiar with these in order to safely and reliably prevent putting
patients, staff and equipment at risk.
Contact your BOWA distributor for trainings and training material.
Any other use is neither intended nor proper and must be effectively
prevented.
When setting up the HF device, ensure easy access to the power cable so it
can be disconnected from the device.
(IEC 60601-1:2012, Section 7.9.2.7)

2Safety
12 Operating Manual ARC 400 BOWA-IFU-11779-ARC400-V2.1.0-S0-EN
2.2. General safety instructions
►Ensure that no electronic devices that are subject to interference
from electromagnetic fields are set up in the vicinity of the HF device.
►Observe the instructions on electromagnetic compatibility provided in
section EMC, page 159.
►Always connect the HF device to a mains power system with a
protective earth lead in order to prevent electric shock.
Additional devices that are connected to electrical medical devices must
satisfy relevant IEC or ISO standards (e.g. IEC 60950 for data processing
devices). Furthermore, all configurations must comply with the
standardised requirements for medical systems (see IEC 60601-1-1 or
Section 16 of the 3rd edition of IEC 60601-1 as relevant). Anyone who
connects additional devices to electrical medical devices is automatically a
system configurator and thus responsible for meeting standardised system
requirements. Please note that local laws prevail over the aforementioned
standard requirements. In case of questions, please contact your local
dealer or Technical Service, see section Technical service, page 109.
To protect personnel, BOWA recommends the use of a smoke evacuator to
extract electrosurgical smoke, e.g. BOWA SHE SHA.
(IEC 60601-2-2:2009; section 201.7.9.2.15)

2 Safety
BOWA-IFU-11779-ARC400-V2.1.0-S0-EN Operating Manual ARC 400 13
2.3. Personal safety instructions
2.3.1. Ambient conditions
►Do not use the HF device in the immediate vicinity of the patient.
Observe the minimum distances recommended by BOWA, as shown
in the following figure.
2.3.2. Patients with pacemakers
Malfunction or destruction of the pacemaker can endanger the life of the
patient or result in irreversible injuries to the patient.
►In the case of patients with pacemakers, consult the cardiologist
before carrying out HF surgery.
►Use bipolar HF methods.
►Attach the HF neutral electrode close to the operating field.
►Set the demand pacemaker to a fixed frequency.
►Ensure that the pacemaker does not come into contact with the HF
electrode.
►Keep a fully operational defibrillator within reach.
►Carry out a postoperative pacemaker check.

2Safety
14 Operating Manual ARC 400 BOWA-IFU-11779-ARC400-V2.1.0-S0-EN
2.3.3. Hazard-free patient positioning
►Position patients so that they are not touching any metal parts that
are grounded or have considerable capacitance relative to ground
(e.g. operating table brackets). If necessary, place anti-static cloths
between the patient and the bedding.
►Ensure that the patient does not touch any wet clothes or bedding.
►Place anti-static cloths between areas with heavy sweating and skin-
to-skin contact areas on the patient’s torso.
►Ensure that the patient is resting on a suitable surface in order to
prevent pressure necrosis.
►Drain urine via a catheter.
2.3.4. Correct connection of the HF device
►Always ground the HF device to the equipotential rail.
Also observe the requirements in Section 8.6.7 of IEC 60601-1
regarding medical electrical systems.
►Do not use needle electrodes for monitoring.
►Attach electrodes of physiological monitoring devices without
protective resistors or HF chokes as far away from the HF electrodes
as possible.
►In all cases, monitoring systems containing devices to limit the high-
frequency current are recommended.
►Place lines from monitoring devices so that they do not lie on the
patient’s skin.
►Keep the leads to the HF electrodes as short as possible and
position them so that they do not touch the patient or other leads.
►Do not place any objects on the HF device.
2.3.5. Correct use of the HF device
Inadvertent activation of the HF device outside the user’s field of vision can
injure the patient.
►Activate the HF device only when the electrode is in your field of
vision and you can quickly deactivate the HF device at all times.
►If the HF device is activated inadvertently, switch it off immediately
using the on/off switch.
►Take particular care when using a foot switch or manual switch.
Improper preparation, user errors or faults in the HF device can cause
damage to the HF device.
►Use the automatic monitoring functions to ensure that the HF device
is working properly. See Section Functional testing, page 33 for
information on the auto test functions.
►Ensure that no conductive fluids (e.g. blood or amniotic fluid) have
penetrated the foot switch or the manual switch.
►Ensure that the cables for the foot switch and the manual switch are
free from short circuits and broken leads.

2 Safety
BOWA-IFU-11779-ARC400-V2.1.0-S0-EN Operating Manual ARC 400 15
For patient protection, avoid touching the patient and any of the following
parts at the same time:
exposed contacts of plug-and-socket connectors;
contacts of fuse holders that are accessible during fuse replacement;
contacts of lamp sockets that are accessible when the lamp is
removed;
parts inside an access cover,
•which can be opened without using tools or
•where a tool is necessary but the use instructions instruct any
operator who is not a member of maintenance staff to open the
cover concerned.
2.3.6. Configuring HF device settings and using
accessories
“An obviously low output value or functional failure of the HF surgical
device in normal operation may be caused by insufficient skin contact of
the neutral electrode or insufficient contact with its connecting cables.”
Therefore, before you increase the output power, ensure that:
the neutral electrode is attached properly;
the working electrodes are clean;
the plug connections are all correct.
Setting the HF device correctly
To prevent inadvertent (thermal) tissue damage during operations on
body parts with small cross sections and in areas with high resistance
(bones or joints), use the bipolar method in these areas.
Set the level of the acoustic signal that sounds when the electrode is
activated so that it is always clearly audible.
Risk of nerve or muscle excitation by low-frequency currents!
During HF surgical operations (especially when an arc is formed), part of
the HF current is converted into a low-frequency current. This current can
trigger muscle contractions in the patient.
To minimize the risk of injury to the patient, set the power and the
effect as low as possible.
Correct use of accessories
Use only insulated accessories.
Check all electrodes for sharp edges and projecting parts before use.
Use only electrodes that are free of defects and in good working order.
Never place active electrodes on or near the patient.
Do not remove hot electrodes from the patient’s body directly after
cutting or coagulation.
Ensure that there is sufficient distance between the patient cables and
the cables of the HF device.
Do not run the patient cable across the patient.

2Safety
16 Operating Manual ARC 400 BOWA-IFU-11779-ARC400-V2.1.0-S0-EN
2.4. Product-related safety instructions
Devices manufactured by BOWA are developed in accordance with the
current state of technology and generally accepted safety rules. Despite
this, using these products can lead to risks to the life and health of the user
or third parties and/or damage to the device or other objects.
Use only accessories approved by BOWA, see Accessories and
replacement parts, page 158.
Use the device only when it is in free of technical defects and in good
working order and only for the intended purpose, always remaining
aware of safety requirements and risks and complying with this
operating manual.
Have malfunctions that can adversely affect safety (e.g. deviations
from the permissible operating conditions) repaired without delay.
Wipe down the HF device only with cleaning agents and disinfectants
that are approved in the country of use for surface cleaning. See
Section Disinfection and cleaning, page 106.
Never immerse the device in water or cleaning agents.
Never boil the device and never disinfect it mechanically.
If any fluids penetrate the device, drain them immediately.
Damage to the device can lead to an undesirable increase in output power
due to improper operation of the device.
Certain units or accessories can cause danger in lower power settings. For
example, the risk of gas embolism in argon assisted coagulation rises, if
the hf-power is insufficient for the fast creation of an impenetrable eschar
layer on the target tissue.
2.5. Safe handling (general instructions)
Before each use of the device, check to ensure that it is functioning
properly and is in good working order and connected properly.
Observe the instructions on intended use in conformance with
standards (see Section Fault indications for EASY monitoring , page
105.
During use, always observe and comply with the acoustic signals
and/or error messages of the HF device (see Section Fault indications
for EASY monitoring , page 105).
The device and accessories may be operated and used only by people
who have the necessary training, knowledge and experience.
Regularly inspect the accessories, especially the electrode cables,
endoscopic accessories and neutral electrodes, for damage to the
insulation, proper operation and expiration date.
Instruments must not be laid upon the patient or devices.
Ensure that no instruments are being cleaned when AUTOSTART is
activated.
Wear suitable gloves during operations.

2 Safety
BOWA-IFU-11779-ARC400-V2.1.0-S0-EN Operating Manual ARC 400 17
2.5.1. Operation area: avoiding ignition and explosions
Sparks are generated when the HF device is used as intended.
Do not use the HF device in areas where there is a risk of explosion.
Do not use any flammable or explosive liquids.
If the display fails, do not use the HF device any longer.
During operations (e.g. in the head or thoracic regions), avoid using
ignitable anaesthetics and gases that support combustion (e.g. nitrous
oxide or oxygen) or extract them using a vacuum system.
Use exclusively non-flammable cleaning agents, disinfectants and
solvents (for adhesives). If you use flammable cleaning agents,
disinfectants or solvents, ensure that they have fully evaporated before
using HF surgical equipment.
Ensure that no flammable liquids collect beneath the patient or in body
cavities (e.g. the vagina). Suction and/or flush body cavities before
activating the device.
Wipe off all liquids before using the HF device.
Ensure that no ignitable endogenous gases are present.
Ensure that all materials saturated with oxygen (e.g. cotton or gauze)
are kept far enough away from the HF environment that they cannot
ignite.
2.5.2. Applying the neutral electrode
Observe the instructions on the use of the neutral electrode in the user guide
and the information on the package of the neutral electrode.
In the monopolar HF method, the neutral electrode feeds the current
introduced into the patient’s body at the surgical site back to the HF device.
To prevent a rise in temperature at the current exit point, the following
conditions must be ensured:
sufficiently large contact surface between the neutral
electrode and the patient’s body;
high electrical conductivity between the neutral electrode
and the patient’s body.

2Safety
18 Operating Manual ARC 400 BOWA-IFU-11779-ARC400-V2.1.0-S0-EN
To prevent the patient being burned by the neutral electrode, you must
comply with the following conditions:
Select the application point for the neutral electrode so that
the current paths between the active and neutral electrodes
are as short as possible and run longitudinally or diagonally
through the patient’s body (because muscles are more
conductive in the direction of the fibrils).
Figure 2-1: Application point of neutral electrode
For surgery in the thoracic region, do not run the current
path transversely across the patient’s body and ensure that
the patient’s heart is never in the current path.
Depending on the surgical site, apply the neutral electrode
to the nearest upper arm or thigh if possible, but never
closer than 20 cm.
In the case of self-adhesive disposable electrodes, comply
with any further manufacturer instructions regarding the
point of application.
Ensure that the application area is free of scar tissue, bony
protuberances, surface hair and ECG electrodes.
Ensure that there are no implants (e.g. bone nails, bone
plates or endoprostheses) in the current path.
Ensure that no short circuits can occur at the neutral
electrode connection.
Avoid areas where fluids may collect.
Use split neutral electrodes with a sufficiently large surface
area (patient age and max. output power during operation
have to be considered).
Before applying the neutral electrode
Shave the area where the neutral electrode will be applied.
Clean the application site, but do not use any alcohol, since it dries out
the skin and increases the contact resistance.
If the patient has poor circulation, massage or brush the application
site.

2 Safety
BOWA-IFU-11779-ARC400-V2.1.0-S0-EN Operating Manual ARC 400 19
Attach the neutral electrode over the entire contact surface evenly.
Secure reusable neutral electrodes with rubber bands or elastic straps
so that they do not loosen when the patient moves. Ensure that the
patient’s circulation is not impaired (risk of necrosis).
Never use wet clothes or conductive pastes.
Ensure that no liquids (e.g. cleaning fluids, disinfectants, blood or
urine) penetrate between the patient and the neutral electrode.
Do not place the neutral electrode under the patient’s buttocks or
back.
Ensure that there are no ECG electrodes in the current path of the HF
device.
Check the neutral electrode before and after use for damage and to
ensure that they are working properly.
Replace defective accessories immediately
Example application using a disposable electrode
Remove the protective film and attach the self-adhesive disposable
electrode to the patient. Ensure that the long edge of the disposable
electrode faces the operation site and the electrode is fully in contact
with the skin. This avoids excessive current concentration on the short
edge.
Using both hands, press the self-adhesive disposable electrode firmly
against the patient’s skin.
Clamp the electrode tab to the neutral electrode cable.
After the operation, remove the disposable electrode carefully to avoid
skin damage.
With a one-piece neutral electrode
Check the one-piece neutral electrode during surgery.
Ensure that the one-piece electrode is not blocked at the device.
With a split neutral electrode
Apply the split neutral electrode correctly and without any additional
objects, as otherwise the HF device may detect a path between the
two sections due to other objects.
See that the current flows equally to both parts of the split neutral
electrode.
When the EASY indicator is illuminated yellow, heating at the current
exit point may be present depending on the indication.
See Section EASY neutral electrode monitoring (EASY monitoring) , page 35
regarding monitoring of the neutral electrode.

3Description
20 Operating Manual ARC 400 BOWA-IFU-11779-ARC400-V2.1.0-S0-EN
3. Description
3.1. User interface components
3.1.1. Front panel user interface components
1 On/-Off button
2 "On/-Off button" icon
3 Neutral electrode isolated from ground for HF
4 Symbol "Defibrillation-proof type CF applied part”
5 Symbol "Observe instructions for use"
6 Touchscreen with mode selection buttons
7 Activation bar upper monopolar socket
8 Activation bar lower monopolar socket
9 Activation bar upper bipolar socket
10 Activation bar lower bipolar socket
While activating an instrument, the activation bar of the corresponding socket
illuminates yellow or blue.
3.1.2. Monopolar connector module (left)
11 Socket connector for monopolar instruments with hand or foot
switch*
12 Socket connector for monopolar instruments with hand or foot
switch*
13 Socket connector for neutral electrode *
* Applied part type CF according to IEC 60601-1
8
11
12
13
2
1
3
4
5
8
7
6
9
10
17
18