BOWA ARC 350 Quick Guide V2.1 Aug 2019

IMPORTANT INFORMATION This quick guide is a brief summary of the most important working steps and information. It does not replace the instructions for use. For detailed information, please read the instructions for use for the ARC 350 generator carefully.

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CONTENTS

1. Using the ARC 350 1.1 Areas of application of HF surgery 1.2 Required for operation 

4. Operation 4 5

2. Display and control elements 2.1 Front of the generator 2.2 Connection sockets for instruments  2.3 Back of the generator

6 8 10

3. Start-up 3.1 Switching on the device 3.2. Monopolar mode 3.3 Bipolar mode 3.4 Plug & Cut COMFORT 3.5 Selecting the neutral electrode

4.1 Operation 16 4.2 Switching sockets on and off 18 4.3 Selecting modes 19 4.4 Selecting the power limit and effects26 4.5 Assigning the foot switch 27

5. Disinfection and cleaning

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6. Technical data

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11 12 13 14 15

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1.1 | AREAS OF APPLICATION OF HF SURGERY

HF surgery employs alternating currents with a frequency of at least 200 kHz, with the thermal effect dominating. HF surgery can be utilized to coagulate and dissect tissue. Areas of application: - - General surgery - - Gastroenterology - - Gynaecology - - Hand surgery - - ENT - - Cardiac surgery (including open heart surgery) 4

-- Neurosurgery -- Pediatric surgery -- Plastic surgery/dermatology -- Thoracic surgery -- Orthopedics -- Urology, including transurethral resection (TUR)

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

1.2 | REQUIRED FOR OPERATION

With cable holder

Neutral electrode for monopolar applications

Foot switch

Mains cable

Instruments (monopolar and bipolar) + connecting cable

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

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2.1 | FRONT OF THE GENERATOR

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1 On / off button 2 Monopolar activation indicator 3 Monopolar “Effect” button 4 Monopolar “Maximum output power” button 5 Monopolar sockets 6 Neutral electrode connection

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5

1 6

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1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

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7 8 10 5

Bipolar activation indicator Bipolar “Maximum output power” button 9 Bipolar “Effect” button 10 Bipolar sockets

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

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2.2 | CONNECTION SOCKETS FOR INSTRUMENTS

Monopolar sockets 3-pin international

Erbe 5 mm*

Bovie*

4 mm socket

Neutral electrode connection International * Depending on configuration 8

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

Bipolar sockets

Erbe configuration

2-pin international* (28.58 mm)

Erbe VIO / ICC*

Bovie configuration 2-pin international* (28.58 mm)

* Depending on configuration 1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

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2.3 | BACK OF THE GENERATOR

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2 3

5 1 2 3 4 5 6 7 8 10

Connection socket 1 for foot switch Connection socket 2 for foot switch Connection for equipotential bonding Mains power supply Fiber optic cable signal input socket Fiber optic cable signal output socket Ethernet connection Mains power switch

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9 10 11 The following connections should only be used by service technicians and for training: 9 USB port 10 Not assigned 11 UART communication interface

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

3.1 | SWITCHING ON THE DEVICE

Switching on the HF device: 1. Mains power switch on the back of the device 2. On / off button on the front panel

The HF device runs a self test. The main display screen appears. A message appears explaining how to operate the device. The ARC 350 is ready for operation. The parameters of the last saved program are shown on the display.

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

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3.2 | MONOPOLAR APPLICATION

Monopolar: - Insert the neutral electrode cable in the corresponding socket. - Connect the electrode handpiece up to one of the two monopolar sockets. 12

- The foot switch must be connected when instruments without a finger switch are used.

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

3.3 | BIPOLAR APPLICATION

Bipolar: - Insert an instrument with a bipolar connecting cable into one of the two bipolar sockets. - Connect the foot switch. 1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

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3.4 | PLUG & CUT COMFORT

Insert the COMFORT instrument into one of the sockets on the ARC 350. - - The instrument’s data are read. - - The parameter selection for the recognized instrument is displayed. - - Confirm the selection of the preferred parameter. - - BOWA COMFORT instruments are available in monopolar and bipolar versions.

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BOWA COMFORT function is available for: -- BOWA COMFORT instruments with adjustable ­parameters. Preset values are available and can be individually ­adjusted. -- BOWA COMFORT instruments without adjustable ­p arameters, e.g., vessel sealing instruments. The ideal s­ etting for the instrument is loaded and cannot be adjusted.

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

3.5 | SELECTING THE NEUTRAL ELECTRODE 1 1

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3

Neutral electrode application Select the application site for the neutral electrode in such a way that the current paths between the active and neutral electrodes are as short as possible and run lengthways or diagonal to the body (as muscles boast higher conductivity in the direction of the fibrils).

1 Display of neutral electrode contact quality 2 Type of neutral electrode: EASY, BABY, MONO

3 Selected neutral electrode is highlighted in white Display of contact quality Good

- EASY: For monitoring of split neutral electrodes - BABY: For monitoring of split pediatric electrodes - MONO: For selection of one-piece neutral electrodes

EASY, BABY

MONO

When pediatric electrodes are selected, the maximum power of the monopolar current type is reduced to 50 watts.

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

Sufficient Insufficient Not connected

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4.1 | OPERATION

1 The monopolar activation indicator lights up yellow or blue as soon as an instrument is activated in the respective socket. If an instrument is connected but not activated, the indicator lights up white. The indicator starts to flash when settings are changed. 2 Effect The effect of the electrosurgical dissection or coagulation can be set using the “Effect” button. 3 Max. Watt Press “max. Watt” to adjust the maximum output power. 4 Program name 5 The basic settings can be adjusted in the menu.

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1

Key lock

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1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

6 9 10 7 11 8

6 Display Control of the menu 7 Socket menu For setting the type of current and foot switch for the four sockets. 8 On / off button 9 EASY neutral electrode Selection of neutral electrode used. Information about patient contact. 10 Programs Calling up of stored program selection. 11 The bipolar activation indicator lights up yellow or blue as soon as an ­instrument is activated in the ­respective socket. If an instrument is connected but not activated, the indicator lights up white. The ­ indicator starts to flash when settings are changed.

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

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4.2 | SWITCHING SOCKETS ON AND OFF

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1 Deactivated socket To activate sockets which are ­d eactivated, insert a connecting cable or press the activation indicator for the assigned socket. - - A selection field appears. The ­corresponding socket lights up white.

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3

2 Unused socket If there is no instrument connected to the socket or an instrument is pulled out, it is shown in grey. - - To hide sockets, press the a ­ ctivation indicator for the corresponding ­s ocket. - - The effect and maximum power ­o utput parameters are shown darker.

3 Activated socket If an instrument is inserted, the activation indicator lights up white. When the active socket is used, the current type is displayed in the activation indicator in blue and yellow.

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

4.3 | SELECTING THE MODE - The current type is selected by pressing the relevant socket menu. - The available modes and an overview for selection of the foot switch allocation appear. - The current mode is selected by pressing the “Mode” button. - If no parameters have been set for the desired socket yet, press the corresponding “Maximum output power” button or “Effect” button to enter the mode selection directly.

Monopolar cutting modes NAME

APPLICATION

SUITABLE INSTRUMENT

Standard

- Cutting with low electrical tissue resistance - Cutting or preparation of fine structures

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Micro

Dry

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Pediatric surgery Neurosurgery Plastic surgery Cardiac surgery Hemostasis of receding blood vessels in the area of the sternum

Needle electrodes Knife electrodes Spatula electrodes Snare electrodes

- Micro needle electrodes

- Knife electrodes

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA

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NAME

APPLICATION

SUITABLE INSTRUMENT

MetraLOOP

- - Gynaecology: Laparoscopic removal of the uterus

-- Gynaecological snares

- - Hysteroscopy - - Transurethral resection of the prostate (TURP) - - Transurethral Resection of the Bladder (TURB) - - Vaporization of prostate tissue (TUR-VAP) - - Laparoscopy - - Arthroscopy

-- Resectoscope (monopolar) -- Resection snare -- Rollerblade electrode

Resection

Laparoscopy Argon* GastroLOOP 1G GastroLOOP 2G

GastroLOOP 3G

GastroKNIFE 1G

GastroKNIFE 2G

GastroKNIFE 3G

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- - Visceral surgery -- Removal of polyps with polypectomy snares via flexible ­endoscopes -- Removal of polyps with polypectomy snares via flexible ­endoscopes -- Dynamic pulse sequence for practiced users -- Removal of polyps with polypectomy snares via flexible ­endoscopes -- Dynamic pulse sequence for seasoned users -- Incision of papillae with a papillotome via flexible ­endoscopes -- Resection with needle knives -- Slow pulse sequence for cautious work -- Incision of papillae with a papillotome via flexible ­endoscopes -- Resection with needle knives -- Dynamic pulse sequence for practiced users -- Incision of papillae with a papillotome via flexible ­endoscopes -- Resection with needle knives -- Dynamic pulse sequence for seasoned users

-- Arthroscopy electrodes -- Laparoscopy electrodes -- Rigid argon electrodes -- Argon handle -- Polypectomy snares -- Polypectomy snares

-- Polypectomy snares

-- Papillotomes -- Needle knives

-- Papillotomes -- Needle knives

-- Papillotomes -- Needle knives

1. USING THE ARC 350 | 2. DISPLAY AND CONTROL ELEMENTS | 3. START-UP | 4. OPERATION | 5. DISINFECTION AND CLEANING | 6. TECHNICAL DATA