80114-731 ERBE EN APC 3 V 1 1 X D140883 PDF

USER MANUAL
APC 3
V 1.1.x
PLASMASURGERY 80114-731 2018-09

USER MANUAL
APC 3
Registered trademarks of Erbe Elektromedizin GmbH: AUTO CUT®, AXUS®, BICISION®, BiClamp®, classicCOAG®, classicCUT®,
CLEVERCAP®, DeCo®, dryCUT®, endoCUT®, endoCOAG®, ERBE®, erbe power your performance.®, ERBECRYO®, ERBEFLO®,
ERBEFLO AeroRinse®, ERBEJET®, ERBELift®, ERBOKRYO®, FIAPC®, forcedCOAG®, Hybrid knife®, HybridKnife®, ICC 200®,
ICC 80®, KYRON®, NESSY®, NESSY Ω®, PLURA®, preciseAPC®, Preflow®, pulsedAPC®, ReMode®, REMODE®, softCOAG®,
sprayCOAG®, swiftCOAG®, The Color Blue®, thermoSEAL®, twinCOAG®, VIO®.
CE0124
User Manual Art. No. 80114-731
Device Art. No. 10135-000
All rights to this User Manual, in particular rights of duplication, dissemination and translation, are reserved. No part of this User
Manual may be reproduced in any form (by photocopying, microfilming or other methods) or processed, duplicated or dissemi-
nated by the use of electronic systems without the written consent of Erbe Elektromedizin GmbH.
The information contained in this User Manual can be changed or expanded without prior notice and without obligation on the
part of Erbe Elektromedizin GmbH.
The illustrations in this User Manual may differ in some details from your product.
Printed by Erbe Elektromedizin
Printed in Germany
Copyright © Erbe Elektromedizin GmbH, Tübingen 2018
Table of Contents
Table of Contents
1 Safety Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Normal use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Safety notations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Meaning of the note. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Who must read this User Manual? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Compliance with safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Structure of safety instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Operating errors and incorrect installation by persons without training . . . . . . . . . . 9
Risks due to the environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Fire / explosion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Burns. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Inadvertent tissue damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Risks due to incorrect use of the return electrode . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Defective unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Interference caused by the unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Damage to the unit and accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
2 Additional safety instructions for APC . . . . . . . . . . . . . . . . . . . . . . . 21

Fire / explosion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
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Burns. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
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Risks due to gas embolisms or excessive intraluminal gas pressure . . . . . . . . . . . . 22

Risk of infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Risks due to the pressure gas bottle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
APC 3 example accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Use of APC instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
4 Description of the Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Controls on the front panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Controls on the back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
5 Working with the APC 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Automatic purging of the APC instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Changing the argon flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Changing further APC settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
6 Description of socket hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Individual socket configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Purchasing further sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
APC socket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
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Table of Contents
7 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Ambient conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
State of the unit and accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Risks due to the pressure gas bottle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Installation of the VIO 3 on an APC 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Installation of the APC 3 on an overhead suspension arm system . . . . . . . . . . . . . .41
Installation of the APC 3 on an Erbe equipment cart . . . . . . . . . . . . . . . . . . . . . . . . .41
Installation of the rear of the APC 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
Fixing argon pressure cylinders, connection of the working cylinder,
detachment of the working cylinder on the VIO CART . . . . . . . . . . . . . . . . . . . . . . . .42
Refilling the working bottle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
8 Cleaning and Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Safety Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Wipe disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Instructions for cleaning and disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
9 Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
10 General Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
11 Information on electromagnetic compatibility (EMC) . . . . . . . . . . . 53

Guidelines for avoiding, recognizing and rectifying unwanted electromagnetic
effects on other equipment or systems, which are the result of operating the
VIO system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
12 Maintenance, Customer Service, Warranty, Disposal . . . . . . . . . . . . 59
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Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Customer service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
13 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
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1 • Safety Instructions
Chapter 1
Safety Instructions
Normal use
The Argon Plasma Coagulation (APC) Unit Model APC 3 is to be used with an Erbe Elec-
trosurgical Unit Model VIO 3 and argon gas. It can also be used in conjunction with oth-
er Erbe equipment (e.g. Erbe Water Jet Model ERBEJET 2, etc.) and associated instru-
ments.
The APC 3 may only be utilized in rooms for medical purposes. The APC 3 may only be
used by specified persons who have been trained on how to use the device or combi-
nation of devices properly in accordance with the APC 3 user manual.
Intended use
The Erbe APC 3 with accessories is intended to deliver argon gas for argon plasma co-
agulation and ablation of tissue as well as argon-assisted cutting of tissue when used
in conjunction with a compatible Erbe VIO Electrosurgical Generator (ESU) and appli-
cators or probes.
Safety notations
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DANGER
indicates an imminently hazardous situation which, if not avoided,
will result in death or serious injury.
WARNING
indicates a potentially hazardous situation which, if not avoided,
could result in death or serious injury.
CAUTION
indicates a potentially hazardous situation which, if not avoided, may
result in minor or moderate injury.
NOTICE
indicates a potentially hazardous situation which, if not avoided, may
result in property damage.
7 / 62
Meaning of the note

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

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

Working with medical equipment is associated with certain risks to patients, medical
personnel and the environment. Risks cannot be entirely eliminated by design mea-
sures alone.
Safety does not depend solely on the equipment. Safety depends to a large extent on
the training of medical personnel and correct operation of the equipment.
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The safety instructions in this chapter must be read, understood and applied by every-
2018-09
one who is working with the equipment.
Structure of safety instructions

APC can only be performed with an APC 3 and a VIO 3 electrosurgical unit. All the safe-
ty instructions for monopolar electrosurgery as well as additional safety instructions
for APC apply.
You will find the additional safety instructions for APC in Chapter 2.
The safety instructions are structured according to the following risks:
• Operating errors and incorrect installation by persons without training
• Risks due to the environment
• Fire / explosion
• Burns
• Inadvertent tissue damage
• Risks due to incorrect use of the return electrode
• Defective unit
• Interference caused by the unit
• Damage to the unit and accessories
• Notes
8 / 62
Operating errors and incorrect installation by persons without training
WARNING
Operating errors and incorrect installation by persons without
training
Persons without training can operate or install the unit incorrectly.
Risk of injury or death for patients and medical staff! Risk of damage
to property.
 The equipment may only be used and installed by persons who
have been trained on how to use and install it properly according
to this User Manual.
 Training may only be carried out by persons who are suitable on
the basis of their knowledge and practical experience.
 In the event of uncertainties or if you have any questions, please
contact Erbe Elektromedizin. You will find the addresses in the ad-
dress list at the end of this User Manual.
Risks due to the environment
NOTICE
Interference with the unit from portable and mobile HF telecom-
munications equipment (e.g. mobile phones, WLAN equipment)
Electromagnetic waves emitted by portable and mobile HF telecom-
munications equipment may affect the unit.
The unit may fail or not perform properly.
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 When using portable and mobile HF telecommunications devices,

2018-09
including their accessories, there must be a distance of at least

30 cm between them and the device and its cords.
NOTICE
Unsuitable temperature or level of humidity during operation
If you operate the equipment at an unsuitable temperature or level of
humidity, it may sustain damage, fail, or not perform properly.
 Operate the equipment at a suitable temperature and level of hu-
midity. You will find the tolerances for temperature and humidity
in the Technical Data.
 If other ambient conditions must be observed for operation of the
equipment, you will also find them in the Technical Data.
NOTICE
Unsuitable temperature or humidity in transit or storage
If you transport or store the equipment at an unsuitable temperature
or level of humidity, it may sustain damage and fail.
 Transport and store the equipment at a suitable temperature and
level of humidity. You will find the tolerances for temperature and
humidity in the Technical Data.
 If other ambient conditions must be observed for transport and
storage of the equipment, you will also find them in the Technical
Data.
9 / 62
NOTICE
Insufficient acclimatization time, unsuitable temperature during
acclimatization
If the device was stored or transported below or above a certain tem-
perature, it will take a certain time and temperature to acclimatize.
If you do not observe the rules, the device can sustain damage and
fail.
 Acclimatize the device according to the rules in the Technical Da-
ta.
NOTICE
Overheating of the device due to poor ventilation
If ventilation is poor, the device can overheat, sustain damage, and
fail.
 Install the device in such a way that there is an unobstructed cir-
culation of air around the housing. Installation in confined wall re-
cesses is prohibited.
NOTICE
Penetration of liquid into the device
The housing is not absolutely watertight. If liquid penetrates, the de-
vice can sustain damage and fail.
 Make sure no liquid can penetrate the device.
 Do not place vessels containing liquids on top of the device.
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Fire / explosion
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In electrosurgery electric sparks and arcs occur at the instrument. Flammable gases,
vapors, and liquids can be set alight or caused to explode.
DANGER
Flammable anesthetics
Risk of explosion to the patient and medical personnel! Risk of dam-
age to property.
 Do not use flammable anesthetics when an operation is being
performed on the head or thorax.
 If use is unavoidable, you must extract the anesthetics before per-
forming electrosurgery.
WARNING
Flammable gas mixture in TUR (Transurethral Resection) and TCR
(Transcervical Endometrial Resection)
Hydrogen and oxygen can ascend into the roof of the bladder, the up-
per part of the prostate, and the upper part of the uterus. If you resect
into this gas mixture, it could combust.
Risk of combustion to the patient!
 Allow the gas mixture to escape through the resectoscope sheath.
 Do not resect into the gas mixture.
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DANGER
Flammable endogenous gases in the gastrointestinal tract
Risk of explosion to the patient!
 Extract the gases before performing electrosurgery or irrigate
with CO2.
 Or scavenge with argon.
DANGER
Combustion-supporting gases, e.g. oxygen, nitrous oxide
The gases can accumulate in materials like cotton wool or gauze. The
materials become highly flammable.
Risk of fire to the patient and medical personnel! Risk of damage to
property.
 Do not use combustion-supporting gases when an operation is
being performed on the head or thorax.
 If use is unavoidable, you must extract the combustion-support-
ing gases before performing electrosurgery.
 Remove any jeopardized (e.g. cotton wool or gauze) materials be-
fore performing electrosurgery.
 Check the oxygen-carrying tubes and connections for leaks.
 Check the endotracheal tubes and their cuffs for leaks.
WARNING
Active or hot instruments in contact with combustible materials
Materials like gauze, swabs, and cloths can catch fire.
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Risk of fire to the patient and medical personnel! Risk of damage to

2018-09
property.
 Do not bring active or hot instruments into contact with combus-
tible materials.
 Put instruments down in a safe place: sterile, dry, non-conductive,
and easy to see. Instruments that have been put down must not
come into contact with the patient, medical personnel, or com-
bustible materials.
WARNING
Flammable detergents and disinfectants, flammable solvents in
adhesives used on the patient and on the device / equipment cart
Risk of fire and explosion to the patient and medical personnel! Risk
of damage to property.
 Use products that are not flammable.
If the use of flammable products is unavoidable, proceed as fol-
lows:
 Allow the products to evaporate completely before switching on
the device.
 Check whether flammable liquids have accumulated under the
patient, in body recesses such as the navel, or in body cavities
such as the vagina. Remove any liquids before performing elec-
trosurgery.
11 / 62
WARNING
Ignition of anesthetics, skin cleansers, and disinfectants in poten-
tially explosive atmospheres
If you place the device in a potentially explosive atmosphere, anes-
thetics, skin cleansers, and disinfectants can ignite.
 Do not place the device in potentially explosive atmospheres.
Burns
WARNING
Damaged device, damaged accessories, modified device, and
modified accessories
Risk of burns and injury to the patient and medical personnel! Risk of
damage to property.
 Check the device and accessories for damage every time before
using them (e.g. footswitch, cords of instruments and the return
electrode, equipment cart).
 You must not use damaged equipment or damaged accessories.
Replace defective accessories.
 If the equipment or equipment cart is damaged, please contact
our customer service.
 For your safety and that of the patient: Never attempt to perform
repairs or make modifications yourself. Any modification will in-
validate liability on the part of Erbe Elektromedizin GmbH.
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WARNING
HF leakage current flows through metal parts
The patient must not have contact with electrically conductive ob-
jects. That includes metal parts of the operating table, for example.
HF current can be discharged through points of contact accidentally
(HF leakage current).
Risk of burns to the patient!
 Position the patient on dry, antistatic drapes.
 If the drapes can become wet during the operation due to sweat,
blood, irrigation liquid, urine, etc., lay a waterproof plastic sheet
under the drapes.
WARNING
HF leakage current flows through monitoring electrodes
HF current can be discharged through points of contact between the
skin and monitoring electrodes accidentally (HF leakage current).
 Position monitoring electrodes as far away as possible from the
surgical field (area where electrosurgical instruments are used).
 Do not use needle electrodes for monitoring during electrosur-
gery.
 Where possible, use monitoring electrodes that contain devices to
limit high-frequency current.
12 / 62
WARNING
HF leakage current flows through skin-to-skin points of contact
HF current can be discharged through skin-to-skin points of contact
accidentally (HF leakage current).
 Prevent skin-to-skin points of contact. For example, lay dry gauze
between the patient's arms and body.
WARNING
Unintentional activation of the instrument
Risk of burns to the patient and medical personnel!
bustible materials.
 Instruments that have been put down must not come into contact
with the patient, not even indirectly. An instrument can come into
contact with the patient indirectly through electrically conductive
objects or wet drapes, for example.
CAUTION
Hot instruments
Even non-active instruments that are still hot can burn the patient or
medical personnel.
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bustible materials.
WARNING
Unintentional activation of the instrument during an endoscopic
application
If the instrument is activated and remains activated during an endo-
scopic application, the patient can suffer burns when the instrument
is removed.
All points that come into contact with the active part of the instru-
ment are at risk. The cause of unintentional activation can be a fault
in the footswitch or device for example.
You will recognize unintentional activation from the continuous acti-
vation signal, even though you have released the footswitch.
 Turn off the power switch on the electrosurgical unit immediately.
Only then should the instrument be removed from the patient’s
body.
13 / 62
WARNING
Capacitive coupling between the cords of two instruments
When one instrument is activated, current can be transferred to the
cord of another instrument (capacitive coupling).
The patient can suffer burns if the non-active, but still live instrument
has direct or indirect contact with the patient.
 Lay the cords of instruments so that they are as far apart as possible.
and easy to see.
with the patient, medical personnel, or combustible materials.
 In electrosurgical contact procedures: Touch the tissue before ac-
tivating the instrument.
 In electrosurgical non-contact procedures (APC, spray coagula-
tion): Place the instrument at the usual working distance from the
tissue before activating the instrument.
WARNING
Capacitive coupling between the instrument and the hybrid trocar
When an instrument is activated, current can be transferred to the
trocar without any contact (capacitive coupling).
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 Do not use hybrid trocars (i.e., a combination of metal and plastic)
if you are using monopolar instruments.
WARNING
Activation time too long, effects too high
The longer the activation time of the unit and the higher the effect,
the higher the risk of accidental tissue damage.
Risk of accidental tissue damage to the patient!
 Activate the unit for as short a time as possible relative to the re-
quired surgical effect.
 The temperature at the return electrode site increases during long
and continuous activations. Therefore, ensure that the cooling
phases between activations are sufficient.
 Set the effect as low as possible relative to the required surgical
effect. However, an effect level that is too low can be dangerous,
e.g. gas embolisms with the APC (Argon Plasma Coagulation), be-
cause the plasma does not ignite at an effect level that is too low.
 If you are unable to achieve a surgical effect with an activation time
/ effect level that is sufficient judging from experience, this can be
due to a problem with the electrosurgical unit or accessories:
 Check the instrument regularly for soiling with insulating tissue
remnants. Clean the instrument if it has become soiled.
 Check the return electrode to make sure it is secure.
 Check the connectors on all cords to make sure they are secure.
14 / 62
WARNING
Activation of the unit with no knowledge of active settings
If the user does not understand the active settings of the unit, he can
cause the patient accidental tissue damage.
 Check the active settings on the display of the unit, after: switch-
ing on the unit, connecting up an instrument, and changing the
program.
WARNING
The user was not informed of a change in maximum activation
time
 All users must be informed in good time of any change in maxi-
mum activation time. That is, before the user works with the mod-
ified maximum activation time for the first time.
 The temperature at the return electrode site increases during long
and continuous activations; therefore, ensure that the cooling
phases between activations are sufficient.
WARNING
Tissue structures / vessels with a cross-section that is small or
becoming smaller
If monopolar HF current flows through parts of the body with a rela-
tively small cross-section, there is a risk of unintentional coagulation
for the patient!
 If possible, use the bipolar coagulation technique.
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WARNING
Activation signal not audible
You do not hear the signal when the electrosurgical unit is activated.
 Adjust the activation signal so that it is clearly audible.
WARNING
Undesirable contact between the active instrument and metal
objects in the patient's body
Contact with metal hemostats, etc.
 Do not touch metal objects (e.g. implants) in the patient's body
with the active instrument.
CAUTION
A hand-held metal instrument is touched with the active instru-
ment (electrode)
Risk of hand burns!
 Such practice is not recommended. The risk of burns cannot be
ruled out.
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WARNING
The instrument is inserted into an adapter or cable that is plugged
into an activated socket
 Do not insert instruments into an adapter that is plugged into an
activated socket.
 Do not insert instruments into a cable that is plugged into an ac-
tivated socket.
CAUTION
Activation of the unit during cleaning of an instrument
Risk of burns for the medical personnel!
 Do not activate the unit while you are cleaning an instrument.
Inadvertent tissue damage
WARNING
Safety margin between the active instrument and sensitive tissue
structures too narrow
Adjacent structures can be damaged by the thermal effect of electro-
surgery.
 Ensure that there is a sufficient safety margin between the active
instrument and sensitive tissue structures (e.g. nerves, muscles).
CAUTION
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Electrically conductive implants can redirect or concentrate cur-
rent flow.
Risk of burns for the patient and possible damage to the implant.
 In the case of patients wearing electrically conductive implants,
consult the manufacturer of the implant or the relevant specialist
department of your hospital prior to surgery.
 Position the return electrode so that the implant is not located be-
tween the active electrode (monopolar instrument) and the return
electrode.
Risks due to incorrect use of the return electrode

Please read the safety instructions in the User Manual for the VIO 3 electrosurgical
unit.
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Defective unit
WARNING
Undesirable rise in output level due to failure of electrosurgical
unit
 The device shuts off independently.
 To guard against a possible failure of the electrosurgical unit,
have the device checked for safety at least once a year.
WARNING
Technical safety checks not being done
to property.
 Have the device checked for safety at least once a year.
 You must not use a device that is not safe.
WARNING
Failure of display elements
If display elements fail, you can no longer operate the device safely.
Risk of injury or death for patients and medical staff!
 You must not use the unit.
Interference caused by the unit

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WARNING
Interference with cardiac pacemakers, internal defibrillators, or
other active implants
Activation of the electrosurgical unit may affect the performance of
active implants or damage them.
Risk of injury or death for patients and medical staff!
 In the case of patients having active implants, consult the manu-
facturer of the implant or the competent department of your hos-
pital prior to performing surgery.
 Do not position the return electrode near cardiac pacemakers, in-
ternal defibrillators, or other active implants.
NOTICE
Interference with electronic equipment due to the electrosurgical
unit
The activated electrosurgical unit can affect the performance of elec-
tronic equipment by causing interference.
The equipment may fail or not perform properly.
 Position the electrosurgical unit, the cords of the instruments, and
the cord of the return electrode as far away as possible from elec-
tronic equipment.
 Position the cords as far away as possible from the cords of elec-
tronic equipment.
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WARNING
Low-frequency currents stimulate nerves and muscles (Neuro-
muscular Stimulation)
Low-frequency currents arise either due to low-frequency power
sources or partial rectification of the HF current. Spasms or muscle
contractions can occur.
Risk of injury to the patient.
 Set effect as low as possible relative to the required surgical ef-
fect.
NOTICE
Use of non-approved internal cables by Technical Service
This can result in the increased emission of electromagnetic waves or
reduce the immunity of the device.
 Technical Service may only use the internal cables that are listed
in the service manual for the device.
NOTICE
Stacked devices
If you place the device next to or stack it with other equipment, the
devices may affect each other.
The unit may fail or not function properly.
 The unit may only be placed next to or stacked with VIO-series de-
vices.
 If it is necessary to operate the device near or stacked together
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with non-VIO-series equipment, keep as much distance as possi-
2018-09
ble between the devices. Check whether the devices are affecting
each other: Are the devices behaving unusually? Are faults occur-
ring?
WARNING
Use of non-approved EMC-relevant accessories
This can result in the increased emission of electromagnetic interfer-
ence or reduce the electromagnetic immunity of the device.
 Only use cable that is specified in the table “EMC-relevant acces-
sories,” see chapter “Information on electromagnetic compatibil-
ity (EMC).”
 If you are using accessories from other manufacturers, check
whether the Erbe device is interfering with other devices or being
affected by interference itself. You cannot use the device if there
is any interference.
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Damage to the unit and accessories
NOTICE
Alcohol-based spray disinfectant for fast disinfection
In the case of elastic molded parts and paint surfaces, there is a risk
of formation of cracks. Propanol and ethanol will attack the surfaces.
 Do not use these substances.
NOTICE
Alternate use of disinfectant solutions based on different active
ingredients
A color reaction may occur with plastics.
 Do not use these substances alternately.
CAUTION
Electric load on instrument too high
The instrument can be damaged.
If the damaged area comes into contact with tissue, it can lead to un-
intentional coagulation.
 Determine the electrical capacity of the instrument. It is either
printed on the instrument or can be found in the user manual.
Compare the electrical capacity of the instrument with the maxi-
mum HF peak voltage of the required mode.
 Instructions are available in the "Accessories" chapter of the VIO
user manuals.
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Notes
Grounding Note: If necessary, the equipment can be connected to the external grounding system
of the room with the grounding pin on the back of the unit and/or Cart using a con-
necting cable designed for this purpose. Affects of low frequency leakage currents due
to a defective grounding system within the room may be eliminated through external
grounding.
Use of a defibrillator Note: All HF sockets and the return electrode socket (applied parts) meet Type CF re-
quirements and are protected against the effects of defibrillator discharge.
Measures against smoke during Note: Erbe recommends using a smoke extraction system, protective goggles, and a
electrosurgical procedures respirator.
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2 • Additional safety instructions for APC
Chapter 2
Additional safety instructions for APC
The safety instructions are structured according to the following risks:

• Fire / explosion
• Burns
• Risks due to gas embolisms or excessive intraluminal gas pressure
• Risk of infection
• Risks due to the environment
Fire / explosion
DANGER
Hot tissue, combustible materials, and oxygen in the tracheobron-
chial system
Due to APC the tissue can become so hot that it can ignite combusti-
ble materials in the vicinity, e.g. due to hot particles flying around.
Combustible materials are, for example, plastic insulation at the distal
end of the bronchoscope or a tracheal tube.
However, ignition is only possible if a fire-supporting gas, e.g. oxy-
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gen, is present at the same time. This particularly applies to highly

concentrated oxygen or pure oxygen.
 Do not admit any oxygen to the tracheobronchial system directly
before, and particularly during, APC. Do not admit any other com-
bustible or fire-supporting gases (e.g. nitrous oxide) or combus-
tible liquids either.
 If APC is used for a lengthy period of time: Administer the oxygen
required for patient ventilation and APC alternately.
 The distal end of the APC applicator must always be in the field of
view of the endoscope before and during activation of the argon
plasma. Never activate the argon plasma without visual control.
 Keep the argon plasma as far as possible away from combustible
materials.
DANGER
Combustible gas mixture in the tracheobronchial system
Hemostasis and devitalization of tissue produce smoke. In conjunc-
tion with oxygen a highly combustible gas mixture develops.
 Short activation pulses reduce development of the gas mixture.
 Extract the gas mixture.
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DANGER
Flammable endogenous gases in the gastrointestinal tract
Risk of explosion to the patient!
 Extract the gases before performing electrosurgery or irrigate
with CO2.
 Or scavenge with argon.
Burns
WARNING
An active APC electrode comes into contact with tissue during
coagulation
There is a cutting effect and uncontrolled coagulation!
 Do not touch tissue with an active APC electrode during coagula-
tion.
WARNING
The activated APC applicator presses into tissue or against the
organ wall
Risk of emphysemas / wall lesions!
 Do not press the activated APC applicator into tissue or against
the organ wall.
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Risks due to gas embolisms or excessive intraluminal gas pressure
2018-09
WARNING
The activated APC applicator is pointing at an open vessel, argon
flow is too high, the power setting is too low
Risk of gas embolisms!
 Do not point the APC applicator at open vessels.
 Set argon flow as low as possible.
 Do not press the activated APC applicator into tissue or against
the organ wall.
 Observe the settings for APC recommended by Erbe.
WARNING
The argon introduced can not escape from body cavities
Risk of intraluminal pressure rise and distension! Risk of gas embo-
lisms!
 Check intraluminal gas pressure regularly.
 Extract.
 Introduce a decompression catheter if required.
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Risk of infection
WARNING
Body fluid flows to the argon connector on the device, particles
are blown from the device to the patient
Risk of infection!
 Use an instrument with an integrated filter.
 Do not touch the argon connector.
Risks due to the pressure gas bottle
WARNING
Damage to the gas bottle or valve. Gas emerges at high pressure.
If the gas bottle has been weakened due to serious damage, this can
lead to cracks in the wall of the bottle. Considerable stresses and
strains occur at the cracks, causing the bottle to break open. Gas
emerges at high pressure. The gas bottle is propelled like a rocket.
to property.
 Do not apply force to gas bottles, bottle connectors, valves, or
pressure regulators.
 When transporting, storing, and using the gas bottle, prevent it
from falling over and dropping by securing it with chains, hoops,
or retaining straps.
 Only transport gas bottles with the valve guard fitted: bottle cap
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or bottle collar.
2018-09
 Prevent the argon pressure bottle from being heated by radiators

or naked flames. The surface temperature must not exceed 50 °C.
NOTICE
Incorrect pressure regulator, incorrect pressure lines
The device has a certain input pressure. You will find it in the Techni-
cal Data.
If you connect up the wrong pressure regulator or wrong pressure
lines, the device can be damaged.
 Only connect argon bottles to the device using the pressure reg-
ulator and pressure lines specified by Erbe.
DANGER
Wrong gas
The device may only be operated with argon.
to property.
 Check whether the gas bottle actually contains argon. Labels on
the gas bottle must not be damaged or removed.
 Use argon 4.8 (99.998% purity) or higher, e.g. argon 5.0.
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WARNING
Uncontrolled escape of argon
If the gas accumulates in air you are breathing, there is a risk of suf-
focation. Symptoms include drowsiness, rise in blood pressure, and
respiratory distress. In an atmosphere of pure argon a person would
fall unconscious immediately without any warning and suffocate.
 When bottle valves are opened, there is a brief hissing sound. If
the hiss continues for more than 2 seconds, there is a leak. The
gas bottle must be closed again immediately. The device may only
be used when the leak has been stopped by a competent techni-
cian.
 Make sure the connections of the pressure lines to the APC 3 are
gastight. The same applies to the connection of the pressure reg-
ulator to the gas bottle.
 Close the safety valves on the gas bottles after use,
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3 • Accessories
Chapter 3
Accessories
Introduction
The following offers an overview of example accessories for each accessory category.
A complete overview is available in the Erbe accessories catalog and on the Erbe web-
site. We recommend the use of Erbe accessories.
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3 • Accessories
APC 3 example accessories
Instruments for the APC Accessories for subsystems
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Accessories for the APC
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3 • Accessories
Use of APC instruments

You can only connect Erbe APC instruments with an integrated filter to the APC socket
of the APC 3. You can only set the mode, effect and argon flow within a specified range
with these instruments.
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3 • Accessories
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4 • Description of the Controls
Chapter 4
Description of the Controls
Controls on the front panel
Interconnections
Instrument
sockets
Icon: Read the User Manual Icon:

Defibrilator discharge
Fig. 4-1
Icon: Read the user manual

Read the user manual before switching on and using the unit.
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Icon: Defibrillator discharge

All HF sockets and the neutral electrode socket (applied parts) meet Type CF require-
ments and are protected against the effects of defibrillator discharge.
Instrument sockets
Connect HF instruments at these sockets. The APC 3 always has an APC socket for APC
instruments. The other socket cartridge slot can be configured with any socket from
the VIO 3 program.
Interconnections
The APC 3 is connected to the VIO 3 electrosurgical unit via the interconnections. See
chapter Installation.
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4 • Description of the Controls
Controls on the back
Purge pin Argon connector Pressure sensor Grounding terminal

terminal connection
Fig. 4-2
Purge pin
Serves to purge the residual argon from the pressure line when changing the gas bot-
tle.
Argon connector
Connection for the pressure line from the gas bottle or from the central gas supply.
Pressure sensor terminal
Connection for the high pressure sensor of the argon bottle.
Grounding terminal connection
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If necessary, connect the grounding pin of the unit to the grounding system of the op-
erating room using a grounding cable.
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5 • Working with the APC 3
Chapter 5
Working with the APC 3
The APC 3 can only be operated together with the VIO 3. For this reason, you must be
familiar with the VIO 3 User Manual in order to work with the APC 3.
You can only connect an APC instrument and one further HF instrument to the APC 3
instrument sockets. You call up the instruments on the VIO 3 touchscreen and set the
VIO 3 on the touchscreen.
You will find the workflows, windows, screens, controllers, etc. in the VIO 3 User Man-
ual. Therefore, only the special features for using an APC instrument are examined at
this point.
Automatic purging of the APC instrument

An APC instrument will be automatically purged if in the Further settings of the Menu
the Automatic irrigation setting for the APC argon plasma module is ON. Also see the
section “Changing further APC settings” at the end of this chapter.
Manual purging is not possible.
Changing the argon flow

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Besides the Mode and the Effect, you can also set the Argon flow for an APC instrument
(units: liters per minutes).
Usually instrument recognition for Erbe APC instruments takes care of this work step
for you: Certain values are preset on plugging the instrument into the unit’s socket.
Depending on the application, a lower argon flow may be appropriate (e.g. the risk of
blowing argon into body cavities, gas embolism) or also a higher flow.
1. If the instrument symbol for the required instrument is not highlighted, touch the
relevant instrument symbol.
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Fig. 5-1
2. Touch the CUT or COAG effect display.
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Fig. 5-2
The window with the effect display and the display for the Argon flow opens.
3. Touch the display for the Argon flow.
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Fig. 5-3
The window opens to set the argon flow

4. Select the required Argon flow with the + / - buttons.
5. Close the window.
The change is not stored in the program. After switching off the unit, it no longer ex-
ists.
You can only save modified programs if you have access to the unit’s Protected set-
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tings. See the VIO 3 User Manual.
Changing further APC settings

Using the Menu, you can change other special APC settings that rarely have to be mod-
ified in normal surgical practice.
1. Call up the Menu using the Menu button.
2. Touch the Further settings button in the left column.
The Further settings window is displayed.
3. Touch the menu item APC argon plasma module.
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Fig. 5-4
The APC argon plasma module window is displayed.

4. Select the setting you wish to change.
A different setting screen opens depending on the setting selected.
5. Carry out the required setting.
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6 • Description of socket hardware
Chapter 6
Description of socket hardware
Individual socket configuration

You can individually configure the sockets of your unit when ordering the unit.
The APC socket is installed as standard in the APC 3. You can combine the APC socket
with all the instrument sockets available for the VIO 3 electrosurgical unit. You can find
information about these sockets in the User Manual for the VIO 3.
Purchasing further sockets

After purchase, it is possible to add further sockets or to replace existing sockets with
others. Please contact Erbe Elektromedizin. You will find the addresses in this User
Manual.
APC socket
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Fig. 6-1
Erbe No. 30135-822
Connectors supported • FiAPC connector
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6 • Description of socket hardware
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7 • Installation
Chapter 7
Installation
Ambient conditions
WARNING
Ignition of anesthetics, skin cleansers, and disinfectants in poten-
tially explosive atmospheres
If you place the device in a potentially explosive atmosphere, anes-
thetics, skin cleansers, and disinfectants can ignite.
 Do not place the device in potentially explosive atmospheres.
NOTICE
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NOTICE
Unsuitable temperature or level of humidity during operation
If you operate the equipment at an unsuitable temperature or level of
humidity, it may sustain damage, fail, or not perform properly.
 Operate the equipment at a suitable temperature and level of hu-
midity. You will find the tolerances for temperature and humidity
in the Technical Data.
 If other ambient conditions must be observed for operation of the
equipment, you will also find them in the Technical Data.
NOTICE
Unsuitable temperature or humidity in transit or storage
If you transport or store the equipment at an unsuitable temperature
or level of humidity, it may sustain damage and fail.
 Transport and store the equipment at a suitable temperature and
level of humidity. You will find the tolerances for temperature and
humidity in the Technical Data.
 If other ambient conditions must be observed for transport and
storage of the equipment, you will also find them in the Technical
Data.
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7 • Installation
NOTICE
Insufficient acclimatization time, unsuitable temperature during
acclimatization
If the device was stored or transported below or above a certain tem-
perature, it will take a certain time and temperature to acclimatize.
If you do not observe the rules, the device can sustain damage and
fail.
 Acclimatize the device according to the rules in the Technical Da-
ta.
NOTICE
Overheating of the device due to poor ventilation
If ventilation is poor, the device can overheat, sustain damage, and
fail.
 Install the device in such a way that there is an unobstructed cir-
culation of air around the housing. Installation in confined wall re-
cesses is prohibited.
NOTICE
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State of the unit and accessories
2018-09
WARNING
Damaged device, damaged accessories, modified device, and
modified accessories
Risk of burns and injury to the patient and medical personnel! Risk of
damage to property.
 Check the device and accessories for damage every time before
using them (e.g. footswitch, cords of instruments and the return
electrode, equipment cart).
 You must not use damaged equipment or damaged accessories.
Replace defective accessories.
 If the equipment or equipment cart is damaged, please contact
our customer service.
 For your safety and that of the patient: Never attempt to perform
repairs or make modifications yourself. Any modification will in-
validate liability on the part of Erbe Elektromedizin GmbH.
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7 • Installation
Risks due to the pressure gas bottle
WARNING
Damage to the gas bottle or valve. Gas emerges at high pressure.
If the gas bottle has been weakened due to serious damage, this can
lead to cracks in the wall of the bottle. Considerable stresses and
strains occur at the cracks, causing the bottle to break open. Gas
emerges at high pressure. The gas bottle is propelled like a rocket.
to property.
 Do not apply force to gas bottles, bottle connectors, valves, or
pressure regulators.
 When transporting, storing, and using the gas bottle, prevent it
from falling over and dropping by securing it with chains, hoops,
or retaining straps.
 Only transport gas bottles with the valve guard fitted: bottle cap
or bottle collar.
 Prevent the argon pressure bottle from being heated by radiators
or naked flames. The surface temperature must not exceed 50 °C.
NOTICE
Incorrect pressure regulator, incorrect pressure lines
The device has a certain input pressure. You will find it in the Techni-
cal Data.
If you connect up the wrong pressure regulator or wrong pressure
lines, the device can be damaged.
 Only connect argon bottles to the device using the pressure reg-
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ulator and pressure lines specified by Erbe.
DANGER
Wrong gas
The device may only be operated with argon.
to property.
 Check whether the gas bottle actually contains argon. Labels on
the gas bottle must not be damaged or removed.
 Use argon 4.8 (99.998% purity) or higher, e.g. argon 5.0.
WARNING
Uncontrolled escape of argon
If the gas accumulates in air you are breathing, there is a risk of suf-
focation. Symptoms include drowsiness, rise in blood pressure, and
respiratory distress. In an atmosphere of pure argon a person would
fall unconscious immediately without any warning and suffocate.
 When bottle valves are opened, there is a brief hissing sound. If
the hiss continues for more than 2 seconds, there is a leak. The
gas bottle must be closed again immediately. The device may only
be used when the leak has been stopped by a competent techni-
cian.
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7 • Installation
 Make sure the connections of the pressure lines to the APC 3 are
gastight. The same applies to the connection of the pressure reg-
ulator to the gas bottle.
 Close the safety valves on the gas bottles after use,
Installation of the VIO 3 on an APC 3

For the installation you require the fastening set included with the APC 3.
Fig. 7-1
1. Screw the fixing bracket (1) to the rear of the VIO 3 (2.5 mm hex socket wrench).
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Fig. 7-2
2. Pull off the cap* (1) from the HF contacts on the base plate of the VIO 3. For this
purpose, use the removal tool (40135-004). You may only remove the cap if you
install the VIO 3 on an APC 3. When the unit is activated, the interconnections
carry HF voltage. Keep the cap in a safe place. If you disconnect the VIO 3 from the
APC 3, you must replace the cap on the interconnections.
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7 • Installation
Fig. 7-3
3. Place the VIO 3 on the cover of the APC 3.

4. Insert the contacts of the VIO 3 (1) into the interconnections (2) of the APC 3.
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Fig. 7-4
5. Screw the fixing bracket (1) to the rear of the APC 3 (2.5 mm hex socket wrench).
*Meaning of the symbols on the cap:
WARNING! Read the user manual before removing the cap.
WARNING! HF voltage when the unit is activated.
Installation of the APC 3 on an overhead suspension arm system

For the installation of the APC 3 on an overhead suspension arm system, you require
fastening set no. 20180-143. Installation instructions are included with the fastening
set. Install the APC 3 according to the installation instructions.
Installation of the APC 3 on an Erbe equipment cart

Please read the User Manual for the equipment cart concerned. There you will find in-
structions on how to secure the unit to the equipment cart.
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7 • Installation
Installation of the rear of the APC 3
Purge pin Argon connector Pressure sensor Grounding terminal

terminal connection
Fig. 7-5
Purge pin
Serves to purge the residual argon from the pressure line when changing the gas bot-
tle.
Argon connector
Connection for the pressure line from the gas bottle or from the central gas supply.
Pressure sensor terminal
Connection for the high pressure sensor of the argon bottle.
Grounding terminal connection
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If necessary, connect the grounding pin of the unit to the grounding system of the op-
erating room using a grounding cable.
Fixing argon pressure cylinders, connection of the working cylinder,

detachment of the working cylinder on the VIO CART
1. Attach bottle pad
Fig. 7-6
Press the bottle pad (1) into the left corner of the VIO CART. Should you wish to place
a reserve bottle in the right corner, install a bottle pad there too.
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7 • Installation
2. Threading through the fixing

strap
Fig. 7-7
Thread the fixing strap into the left eyelet of the VIO CART (1). The fluffy side of the
fixing strap has to face outwards. Should you wish to place a reserve bottle in the right
corner, thread a fixing strap there too.
3. Placing and fixing the argon

compressed gas bottle in the VIO
CART
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Fig. 7-8
Place the working bottle into the recess. Place the reserve bottle, if present, on the
right next to it.
Hook the fixing strap into the eyelet (1). Secure the fixing strap with the Velcro strip
(2). If you use a reserve bottle, secure this in the same way.
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7 • Installation
4. Connecting a pressure regulator

to the working bottle
Fig. 7-9
Input pressure (5 ±2) x 105 Pa / 5 ±2 bar / 72.5 ±29 psi.

For country-specific gas bottles, Erbe Elektromedizin offers the suitable pressure reg-
ulator, complete with high pressure sensor. You can obtain information from Erbe or
your distributor.
1. Twist off the protective cap from the bottle (not for French bottles - the bottle col-
lar remains fitted) Remove the valve locking nut. Only unscrew the retainer nut (1)
of the pressure regulator by hand (clockwise on the bottle). Do not use tools! To
avoid contamination of the valve connection, screw the pressure regulator onto
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the bottle immediately.
2. Route the pressure line and the high pressure sensor cable through the opening
(3) above the argon gas bottle.
5. Connecting the pressure line and

high pressure sensor cable
Fig. 7-10
1. Attach the connector on the pressure line (1) to the argon connector of the APC 3.
2. Attach the high pressure sensor cable (2) to the pressure sensor terminal of the
APC 3. Tighten the retainer nut by hand.
3. Open the bottle valve (2) smoothly by turning the handwheel counter-clockwise.
After one turn, the bottle valve is fully open (see Fig. 7-9).
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7 • Installation
6. Dismantling empty bottles 1. Close the bottle valve by turning the handwheel clockwise. The bottle valve may
be a little difficult to turn in some cases.
2. Pull off the pressure line from the argon bottle connector of the APC 3.
3. Place the opening of the pressure line on the drainage pin (3) of the APC 3 and
press. There is still residual argon in the line. This now escapes with a loud hissing
sound.
4. Turn the retainer nut of the pressure regulator counter-clockwise by hand and
take down the pressure regulator.
Refilling the working bottle

You can have argon compressed gas bottles refilled by your gas trader.
Give your argon compressed gas bottles back with low overpressure, i.e. not complete-
ly empty. This ensures that no extraneous substances can penetrate the bottle.
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7 • Installation
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8 • Cleaning and Disinfection
Chapter 8
Cleaning and Disinfection
Safety Instructions
WARNING
Connection of unit / equipment cart and power supply during
cleaning and disinfection
Risk of electric shock to the medical personnel!
 Switch off the device. Unplug the power cord of the device/equip-
ment cart.
WARNING
Flammable detergents and disinfectants, flammable solvents in
adhesives used on the patient and on the device / equipment cart
 Use products that are not flammable.
If the use of flammable products is unavoidable, proceed as fol-
lows:
 Allow the products to evaporate completely before switching on
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the device.
 Check whether flammable liquids have accumulated under the
patient, in body recesses such as the navel, or in body cavities
such as the vagina. Remove any liquids before performing elec-
trosurgery.
NOTICE
NOTICE
Alcohol-based spray disinfectant for fast disinfection
In the case of elastic molded parts and paint surfaces, there is a risk
of formation of cracks. Propanol and ethanol will attack the surfaces.
 Do not use these substances.
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8 • Cleaning and Disinfection
NOTICE
Alternate use of disinfectant solutions based on different active
ingredients
A color reaction may occur with plastics.
 Do not use these substances alternately.
Wipe disinfection
For cleaning and disinfecting the surfaces of the unit or of the equipment cart, Erbe
recommends a wipe disinfection. Use only disinfectant which complies with the rele-
vant national standards.
Instructions for cleaning and disinfection

Mix the disinfectant in the concentration specified by the manufacturer.
Clean surfaces contaminated with blood before using the disinfectant; otherwise it
may be less effective.
Wipe the surfaces. Make sure the surfaces are treated uniformly. Comply with the ac-
tion time of the disinfectant specified by the manufacturer.
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9 • Messages
Chapter 9
Messages
A message consists of a title, a message text and a code. The VIO system displays three
different types of messages:
a) Messages that prompt you to inform Technical Service, as the VIO 3 or a VIO module
(e.g. APC 3) cannot be used. These messages are not listed individually in the User
Manual, because the messages only differ in their code. The title and the message text
are all identical: Note: The unit cannot be used. Please contact the service department.
b) Status messages.
c) Messages that prompt you to take action.
Messages of categories b) and c) that concern APC 3 are found in the following table.
The messages are sorted alphabetically by their code.
Code Title Message text
APC-A-10 Argon - high input pressure The input pressure of the APC 3 argon plasma module is too high.
Check the pressure regulator and the gas bottle.
If you do not use gas bottles, check the pressure of the central gas
supply.
Please contact the service department.
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APC-A-11 Argon gas (Ar) Argon gas is required for the selected program, but no argon gas
pressure is detected.
Connect the gas hose at the rear of the APC 3 argon plasma module.
Connect the sensor cable of the pressure regulator to the APC 3
argon plasma module.
If you work with a central gas supply, switch to "Central gas supply"
under "Further settings".
APC-A-13 Argon gas flow blocked Ensure that the APC instrument is free from blockages.
APC-A-148 Gas bottle almost empty The supply in the argon gas bottle is almost used up.
Change the argon gas bottle at the next opportunity.
APC-A-150 Argon gas pressure regulator No signal is detected from the fill level sensor of the argon gas bottle.
Connect the sensor cable of the pressure regulator to the APC 3
argon plasma module.
If you work with a central gas supply, switch to "Central gas supply"
under "Further settings".
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9 • Messages
Code Title Message text
S-A-152 APC instrument Automatic argon gas filling of the instrument has been started.
S-A-166 APC 3 argon plasma module The argon plasma module APC 3 is not ready for operation.
Open the valve of the argon gas bottle.
Ensure that the gas hose and the sensor cable of the pressure regu-
lator are connected at the rear of the APC 3 argon plasma module.
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10 • General Technical Data
Chapter 10
General Technical Data
Connections
Low voltage Via VIO 3 electrosurgical unit
HF Via VIO 3 electrosurgical unit
Grounding terminal yes
Gas specification
Type of gas Argon
Argon minimum purity Argon 4.8 (99.998% purity) or higher, e.g. argon 5.0.
Density (relative; air = 1) 1.38
Critical temperature –122 °C
Color Colorless gas
Odor No warning by smell

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

2018-09
Special risks Heat/fire can result in an increase in pressure causing the

pressure gas bottle to explode! Gas in high concentrations
can be suffocating!
Gas-specific unit data
Input pressure (5 ±2) x 105 Pa 5 ±2 bar 72.5 ±29 psi
Max. output pressure 2 x 105 ±2 x 104 Pa 2 ±0.2 bar 29 ±2.9 psi
Adjustable gas flow 0.1 - 8 l/min limited by the respective instrument connected,
settable in 0.1 l steps
Tolerance of the nominal flow ±20% (in the range 0.1 - 8 l/min)
Purge flow Instrument-dependent (corresponds to the setpoint flow,

which is currently connected)
Purge time Factory setting: 3 sec.
If you use a compressed gas bottle, the residual volume dis- 25 x 105 Pa 25 bar 362.6 psi ±7.5 FS1
play is activated at
1Tolerance in relation to the entire measuring range of the
bottle pressure sensor
Residual volume display VIO display
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10 • General Technical Data
Gas-specific unit data
Residual pressure display Manometer on the gas bottle
The APC 3 switches off at an input pressure of < 3 x 105 Pa < 3 bar < 43.5 psi
Dimensions and weight
Width x height x depth 415 x 100 x 375 mm
Weight 5.3 kg
Ambient conditions for transport and storage of unit
Temperature -30°C to +70°C
Relative humidity 10% – 90%
Ambient conditions for operation of the unit
Temperature +10°C to +40°C
Relative humidity 15% - 80%, non-condensing
Acclimatizing
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If the unit has been stored or transported at temperatures below +10 °C or above +40 °C, the unit will require approx. 3 hours
2018-09
to acclimatize at room temperature.
Standards
Classification according to EC Directive 93/42/EEC II b
Type as per EN 60 601-1 CF
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11 • Information on electromagnetic compatibility (EMC)
Chapter 11
Information on electromagnetic
compatibility (EMC)
Where EMC is concerned, medical electrical equipment is subject to special safety

measures and must be installed and commissioned according to the EMC instructions
stated herein.
Guidelines for avoiding, recognizing and rectifying unwanted

electromagnetic effects on other equipment or systems, which are the
result of operating the VIO system.
When VIO electrosurgical units are activated, disturbance of other equipment or sys-
tems in the immediate vicinity can occur. This can be recognized as, for example, im-
age artifacts in imaging devices or unusual fluctuations in measured value displays.
Such disturbances from an activated electrosurgical unit can be reduced by placing it
further away and/or carrying out suitable shielding measures on the equipment or
system experiencing disturbance.
When the VIO electrosurgical unit is in the non-activated state, interference with other
equipment in the immediate vicinity does not occur.
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WARNING
Use of non-approved EMC-relevant accessories
This can result in the increased emission of electromagnetic interfer-
ence or reduce the electromagnetic immunity of the device.
 Only use cable that is specified in the table “EMC-relevant acces-
sories,” see chapter “Information on electromagnetic compatibil-
ity (EMC).”
 If you are using accessories from other manufacturers, check
whether the Erbe device is interfering with other devices or being
affected by interference itself. You cannot use the device if there
is any interference.
NOTICE
Stacked devices
If you place the device next to or stack it with other equipment, the
devices may affect each other.
 The unit may only be placed next to or stacked with VIO-series de-
vices.
53 / 62
 If it is necessary to operate the device near or stacked together

with non-VIO-series equipment, keep as much distance as possi-
ble between the devices. Check whether the devices are affecting
each other: Are the devices behaving unusually? Are faults occur-
ring?
NOTICE
NOTICE
Use of non-approved internal cables by Technical Service
This can result in the increased emission of electromagnetic waves or
reduce the immunity of the device.
 Technical Service may only use the internal cables that are listed
in the service manual for the device.
Guidance and manufacturer's declaration - electromagnetic emissions
The equipment is intended for use in the electromagnetic environment specified below. The customer or the user of the
equipment should ensure that it is used in such an environment.
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Emissions test Compliance Electromagnetic environment - guidance
HF emissions CISPR 11 Group 1 In stand-by operation, the equipment uses HF energy

only for its internal function.
Group 2 In the active state, the device emits HF energy to the

patient.
HF emissions CISPR 11 Class A The properties of this device in terms of its emissions
mean it can only be used in hospitals that are con-
Harmonic emissions IEC 61000-3-2 Class A nected to supply systems specifically provided for that
Voltage fluctuations/flicker emissions Complies purpose (usually supplied via isolating transformers).
IEC 61000-3-3 For domestic use (for which class B is usually required
as per CISPR 11), this device may not offer adequate
protection against radio services. The user may need
to take corrective measures such as relocating or
reorienting the device.
54 / 62
Guidance and manufacturer's declaration - electromagnetic immunity
The equipment is intended for use in the electromagnetic environment specified below. The customer or the user of the
equipment should ensure that it is used in such an environment.
Immunity test IEC 60601-1-2 test level Compliance level Electromagnetic environment
- guidance
Discharge of static ±8 kV contact discharge ±8 kV contact discharge The floor should be made from
electricity (ESD) in wood or concrete or be covered
accordance with ±15 kV air discharge ±15 kV air discharge with ceramic tiles. If the floor is
IEC 61000-4-2 covered with non-conductive
synthetic material, the relative
humidity must be at least 30%.
Electrical fast tran- ±2 kV for power supply lines ±2 kV for power supply lines Mains power quality should be
sient/burst IEC 61000- that of a typical commercial or
4-4 ±1 kV for input/output lines ±1 kV for input/output lines hospital environment.
Surge IEC 61000-4-5 ±1 kV differential mode ±1 kV differential mode Mains power quality should be
that of a typical commercial or
±2 kV common mode ±2 kV common mode hospital environment.
Voltage dips, short- 0% UT for 0.5 cycle, 0% UT for 0.5 cycle, Mains power quality should be
term interruptions and at 0, 45, 90, 135, 180, 225, at 0, 45, 90, 135, 180, 225, that of a typical commercial or
voltage fluctuations on 270 and 315 degrees 270 and 315 degrees hospital environment.
power supply input
lines as per 0% UT for 1 cycle, 0% UT for 1 cycle, If the user of the equipment
IEC 61000-4-11 single-phase at 0 degrees single-phase at 0 degrees requires continued operation
during power mains interrup-
70% UT for 25/30 cycles, 70% UT for 25/30 cycles, tions, it is recommended that
single-phase at 0 degrees single-phase at 0 degrees the equipment be powered
Voltage monitoring as 0% UT for 250/300 cycles 0% UT for 250/300 cycles from an uninterruptible power
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per IEC 61000-4-11 (50/60 Hz) (50/60 Hz) supply or a battery.

2018-09
Power frequency (50/ 30 A/m 30 A/m Power frequency magnetic

60 Hz) magnetic field fields should be at levels char-
as per IEC 61000-4-8 acteristic of a typical location in
a typical commercial or hospital
environment.
Note: UT is the a.c. mains voltage prior to application of the test level.
55 / 62
Guidance and manufacturer's declaration - electromagnetic immunity
The equipment is intended for use in the electromagnetic environment specified below. The user of the equipment should
ensure that it is used in such an environment.
Immunity test IEC 60601-1-2 test Compliance level Electromagnetic environment - guidance
level
Conducted HF distur- 3 Veff 3 Veff The field strengths of fixed transmitters, as deter-
bances as per 150 kHz to 80 MHz 150 kHz to 80 MHz mined by an electromagnetic site survey should be
IEC 61000-4-6 below the compliance level in each frequency
6 Veffa) in ISM fre- 6 Veffa) in ISM fre- range. b)
quency bands quency bands
150 kHz to 80 MHz 150 kHz to 80 MHz Interference may occur in the vicinity of equipment
marked with the following symbol.
Radiated high-fre- 3 V/m 3 V/m
quency electromag- 80 MHz to 2.7 GHz 80 MHz to 2.7 GHz
netic fields as per
IEC 61000-4-3
Note: These guidelines may not apply in all cases. Electromagnetic propagation is affected by absorption and reflection from
structures, objects and people.
a)
The ISM bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz, 13.553 MHz to 13.567 MHz, 26.957 MHz to
27.283 MHz and 40.66 MHz to 40.7 MHz.
b)
The field strengths of fixed transmitters, such as base stations for radio (cellular/cordless) telephones and terrestrial radio
equipment, amateur radio stations, AM and FM radio and TV channels cannot be predicted theoretically with accuracy. To
assess the electromagnetic environment with regard to fixed transmitters, a site inspection should be considered. If the field
strength measured at the site where the device is used exceeds the abovementioned compliance level, the device must be
monitored to ensure it is functioning properly. In the event of any unusual operating behavior, additional measures may be
required, such as changing the orientation or location of the device.
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Electromagnetic immunity against high-frequency wireless communication devices as per IEC 61000-4-3
Frequency band (MHz) Test frequency (MHz) Modulation Compliance level (V/m)
380 - 390 385 Pulse a) (18 Hz) 27
430 - 470 450 FM ± 5 kHz deviation or 28

pulse a) (18 Hz)
704 - 778 710, 745, 780 Pulse a) (217 Hz) 9
800 - 960 810, 870, 930 Pulse a) (18 Hz) 28
1700 - 1990 1720, 1845, 1970 Pulse a) (217 Hz) 28
2400 - 2570 2450 Pulse a) (217 Hz) 28
5100 - 5800 5240, 5500, 5785 Pulse a) (217 Hz) 9
56 / 62
Electromagnetic immunity against high-frequency wireless communication devices as per IEC 61000-4-3
Note: A minimum safety distance of 30 cm should be maintained between the device and portable HF telecommunications
equipment that transmits in the stated frequency band. This includes mobile phones, WLAN and RFID, and Bluetooth devices.
Failure to comply may lead to a reduction in the device’s performance features.
Interference may occur in the vicinity of equipment marked with the following symbol.
a) The pulse modulation is defined as a square-wave signal with a 50% duty factor.
The cables/cords used on the device must not exceed the lengths specified below.
EMC-relevant accessories a)
Name Maximum cable length
Grounding cable (POAG) 10 m
Monopolar connecting cable 5 m b)
Bipolar connecting cable 5 m b)
Multifunction cable 4 m b)
APC cable 6m
Pressure sensor cable 75 cm
a) EMC-relevant accessories refers to the cable specified. The cable can affect the device’s electromagnetic interference or
the electromagnetic immunity of the device.
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b) When connecting Erbe instruments, the overall cord length increases by max. 0.5 m.
Operating environment
For the intended use, the unit may only be operated in premises used for medical pur-
poses.
The device may be operated in the vicinity of an electrosurgical unit. The safety in-
structions for the device and the electrosurgical unit must be observed. Please read
the safety instructions on the following subjects in particular:
• distance between the device and the electrosurgical unit. In this user manual,
refer to the safety instruction Stacked devices.
• Distances between the device and the electrosurgical unit’s cords.
• Distances between the device's cords and the electrosurgical unit’s cords.
Position the devices and cords so that they are as far apart as possible.
Essential performance features
The device does not have any essential performance features within the meaning of
IEC 60601-2-2.
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12 • Maintenance, Customer Service, Warranty, Disposal
Chapter 12
Maintenance, Customer Service, Warranty,
Disposal
Maintenance
Modifications and repairs Modifications and repairs must not impair the safety of the equipment or equipment
cart and accessories for the patient, user and the environment. This condition is met
when changes to the structural and functional characteristics are not detrimental to
safety.
Authorized persons Modifications and repairs may only be undertaken by Erbe or by persons expressly au-
thorized by Erbe. Erbe accepts no liability if modifications and repairs to the unit or
accessories are made by unauthorized persons. This will also invalidate the warranty.
Technical safety checks The technical safety checks determine whether the safety and operational readiness
of the unit or the equipment cart and accessories conform to a defined technical re-
quired status. Technical safety checks must be performed at least once a year.
What technical safety checks must For this device the following technical safety checks have been stipulated:
be performed?
• Checking of labels and User Manual
• Visual inspection of unit and accessories for damage
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• Testing the grounded conductor as per EN 62353

• Leakage current testing as per EN 62353
• Performance test of all control elements on the unit
• Performance test pressures
• Checking sealing integrity (input pressure)
• Gas flow measurement
• Testing instrument detection
• Testing finger switch activation
• Establishing the argon plasma system
• Performance test of the optional HF socket module
The results of the safety checks must be documented.
If during the safety checks any defects are found which might endanger patients, staff
or third parties, the device may not be operated until the defects have been remedied
by competent service technicians.
Customer service
If you are interested in a maintenance contract, please contact Erbe Elektromedizin in
Germany, or your local contact in other countries. This may be an Erbe subsidiary, an
Erbe representative or a distributor.
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12 • Maintenance, Customer Service, Warranty, Disposal
Warranty
The General Terms and Conditions or the conditions of the purchase contract apply.
Disposal
Your product bears a crossed-out garbage can icon (see image). Meaning: In all EU
countries this product must be disposed of separately in accordance with the national
laws implementing EU Directive 2002/96/EC of January 27, 2003, WEEE.
In non-EU countries the local regulations must be observed.
If you have any questions about disposal of the product, please contact Erbe Elektro-
medizin or your local distributor.
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13 • Symbols
Chapter 13
Symbols
Individual details of the symbols in this chapter may deviate from your product. Not all
symbols may necessarily appear on your device or its packaging.
Symbol Explanation
Caution, consult accompanying documents
Catalogue number
Serial number
Manufacturer
Date of manufacture
Keep away from sunlight
Keep dry
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Temperature limit
Humidity limitation
Atmospheric pressure limitation
Quantity (x)
X
Follow instructions for use
Foot switch
ECB Erbe Communication Bus

Used to exchange data between Erbe units.
Equipotentiality
Refers to the grounding terminal.
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13 • Symbols
Symbol Explanation
Off, On
Defibrillation-proof type CF applied part

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

The danger of leakage currents and therefore the danger of burns
is substantially reduced for the patient.
Non-ionizing electromagnetic radiation

A unit that bears this symbol does not transmit ionizing electro-
magnetic radiation. Interference may occur in the vicinity of the
unit.
The product must be disposed of separately.
European conformity marking

CE
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USER MANUAL

PLASMASURGERY 80114-731 2018-09

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

Risks due to gas embolisms or excessive intraluminal gas pressure . . . . . . . . . . . . 22

4 Description of the Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

5 Working with the APC 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

6 Description of socket hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

8 Cleaning and Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

10 General Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

11 Information on electromagnetic compatibility (EMC) . . . . . . . . . . . 53

12 Maintenance, Customer Service, Warranty, Disposal . . . . . . . . . . . . 59

Meaning of the note

Who must read this User Manual?

Compliance with safety information

Structure of safety instructions

Operating errors and incorrect installation by persons without training

Risks due to the environment

 When using portable and mobile HF telecommunications devices,

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

Risk of fire to the patient and medical personnel! Risk of damage to

Inadvertent tissue damage

Risks due to incorrect use of the return electrode

Interference caused by the unit

Damage to the unit and accessories

The safety instructions are structured according to the following risks:

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

Risks due to the pressure gas bottle

 Prevent the argon pressure bottle from being heated by radiators

APC 3 example accessories

Instruments for the APC Accessories for subsystems

Accessories for the APC

Use of APC instruments

Controls on the front panel

Icon: Read the User Manual Icon:

Icon: Read the user manual

Icon: Defibrillator discharge

Controls on the back

Purge pin Argon connector Pressure sensor Grounding terminal

Automatic purging of the APC instrument

Changing the argon flow

2. Touch the CUT or COAG effect display.

The window opens to set the argon flow

tings. See the VIO 3 User Manual.

Changing further APC settings

The APC argon plasma module window is displayed.

Individual socket configuration

Purchasing further sockets

Erbe No. 30135-822

Connectors supported • FiAPC connector

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

Risks due to the pressure gas bottle

ulator and pressure lines specified by Erbe.

Installation of the VIO 3 on an APC 3

3. Place the VIO 3 on the cover of the APC 3.

WARNING! Read the user manual before removing the cap.

WARNING! HF voltage when the unit is activated.

Installation of the APC 3 on an overhead suspension arm system

Installation of the APC 3 on an Erbe equipment cart

Installation of the rear of the APC 3

Purge pin Argon connector Pressure sensor Grounding terminal

Fixing argon pressure cylinders, connection of the working cylinder,

1. Attach bottle pad

2. Threading through the fixing