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Electrosurgical Device Performance at Your Fingertips

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0% found this document useful (0 votes)
11 views8 pages

Electrosurgical Device Performance at Your Fingertips

ads

Uploaded by

babyos17
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

ARC 400

ELECTROSURGICAL DEVICE
PERFORMANCE at your fingertips

20153 08/11 Printed in Germany Subject to technical and constructive change Copyright by BOWA-electronic, Gomaringen

BOWA-electronic GmbH & Co. KG


Heinrich-Hertz-Strasse 4–10
72810 Gomaringen I Germany

Phone +49 (0) 7072-6002-0


Heart and soul for the OR
Fax +49 (0) 7072-6002-33
info@[Link] I [Link]
The best is never good enough, for beyond it lie new the ability to achieve outstanding accomplishments.
discoveries and new solutions. It is our shared Discover the new generation of electrosurgery
passion for a field in which we both excel, each in devices with the ARC 400. Discover true passion and
our own way. This same passion gives each of us the highest level of performance for the OR.
Figure: Scale 1:1
Our passion.
Your performance.
BOWA ARC 400 – the new generation of
electrosurgical devices for monopolar and
bipolar electrosurgery with sealing
technology. It supports every surgical
team thanks to its indication-related setup
options for specific surgical fields.

Ideal application areas for


the ARC 400 in HF surgery:

General, visceral, thoracic,


pediatric surgery
Gynecology

Urology

ENT

Plastic and aesthetic surgery

Orthopedic and trauma surgery

Oral and maxillofacial surgery


Neurosurgery

Cardiac surgery

Personalised configuration Intuitive handling Efficient operation


Every field has specific requirements, every team your requirements. Select the pre-configured Real performance is achieved by working intuitively. With the new Plug’n Cut and Plug’n Cut COMFORT Not only do ease of use and safe operation save Rapid communication with other system compo-
works differently, every procedure is unique. This is indication-oriented standard values or create your The interactive touchscreen fingertip operation and functions, the correct basic settings are automatical- valuable OR time, so do the special LIGATION nents or software updates take place easily via
why the ARC 400‘s interactive touchpad allows you own individual preferred settings for your field and clear relationship between controller and instrument ly selected for whichever BOWA COMFORT instru- function and the ability to connect up to five instru- USB and several standard connections, so that
to freely configure the user interface according to work style. give you a full overview – in every situation. ments are connected. ments to the ARC 400 simultaneously. you can continue to work efficiently in the future.
Intuitive handling –
Smart touchpad technology
Touchpad technology allows increased intuition Always work with the correct socket
in the OR The touchpad provides outstanding operating
With the ARC 400, you have fingertip control of all comfort with its underlying functions and the
device functions via the interactive touchpad, using display‘s innovative user logic. When adjustments
clearly designed symbols. Effects, favorites and are made to the display, the corresponding
individualized settings can be easily and clearly instrument socket flashes, offering just the right
selected. Menu depth is generally limited to only two support in the darkened environment of the OR.
levels, because you want to be working, not search-
ing. More than an interface: Videos on the display
To brief and train new employees, simply use the
A reasoned user interface touchpad display. Insert the USB drive with the
The large, high-definition display is divided into four introductory video, and a presenter begins demon-
quadrants that correspond to the four sockets on strating the functions of the ARC 400.
the sides: If you attach an instrument to the upper
right bipolar socket, for example, the upper right Smart – and hygienic – display
quadrant of the display is activated and you immedi- The ARC 400 display is made of flat, wipe-resistant,
ately know where you need to make your settings. shatter- and scratch-proof safety glass. Only the
mechancial mains switch protrudes from the front
What You See Is What You Get panel. The advantage: The touchpad technology
The icons behave according to the WYSIWYG (What eliminates seams and uneven surfaces. This
You See Is What You Get) principle. These clear ensures rapid and hygienic cleaning in the OR.
graphic symbols have a preview mode. If you adjust
the desired effect to your individual requirements,
the preview changes.

100% intuition Dr. Dongle – Your perfect settings in every OR


ARC 400 operation is intuitive and fast with the If a parameter is set, the socket for the corresponding Would you like to work with your own personal have your individual device settings available in your
touchpad. Each instrument socket is related to the instrument begins to flash. This provides security and device settings on every ARC 400 unit, in every OR, pocket at all times. Simply store the perfect settings
directly adjacent display quadrant. convenience. in every clinic? It‘s easy with Dr. Dongle. You can and use them with every ARC 400 unit.

Clarity: Every connected socket – in this picture, the upper left and lower right Help: The introductory film can be played directly on the device Dr. Dongle was awarded:
socket – is clearly assigned to one quadrant of the display
Intuitive handling – Individualized settings – Efficient work
Plug’n Cut and Plug’n Cut COMFORT Your experience is the best standard on a high-tech basis
Plug’n Cut Plug’n Cut COMFORT Choose your favorites Directly to your specific application Passion is nothing without the right technology
An innovative socket system
Plug’n Cut makes your work in the OR immediately Plug’n Cut is convenient, Plug’n Cut COMFORT offers Nothing can replace experience – especially in To help the OR team operating without losing time, Excellent results depend on the right technology. In addition
for all connections and up to
more convenient. As soon as you connect an even more. Thanks to the latest RFID technology, the surgery. This is why, in addition to its many indica- the ARC 400 offers a wide range of electrosurgical to the innovative socket design that allows up to two
five instruments:
instrument to a standard socket, the assigned menu ARC 400 and BOWA COMFORT instruments communi- tion-related pre-settings, the ARC 400 offers the standard or indication-oriented power formats. monopolar and three bipolar plugs to be attached simultane-
monopolar:
opens on the touchpad with the relevant input fields cate with one another. The latest generation of electro- possibility of optimizing standard values according ously and is compatible with all standard connections,
2 x 3-pin & Bovie
for this socket. This function is available at all four surgical devices identifies the instrument that was just to your own personal experience. Up to eight Select a power profile with a tap of your finger, and numerous hardware and software components can also
or
sockets and puts an end to searching down in plugged in, and immediately selects the corresponding personal favorite settings can be stored and called refine it if necessary using the effect settings. directly impact performance in the OR.
2 x 3-pin & Erbe
menus. Immediately select your required values and parameters. In this way, Plug’n Cut COMFORT offers not up with a tap of your finger in the favorites menu.
functions and begin the procedure. just the highest level of user convenience, but also Freedom of choice - ARC CONTROL spark regulation, for reproducible monopolar
bipolar:
maximum application security – illogical or inefficient If you want your favorites to travel with you every- Effects and foot switches can be freely assigned, no and bipolar cutting results
2 x 2-pin & 2 x Erbe
setting options are avoided from the start. Dangerous or where, we recommend our Dr. Dongle storage drive symbols are shown for unused sockets. - Up to nine effects per mode
contradictory settings are not possible. which can be easily inserted into any ARC 400 unit. - Easy Neutral electrode monitoring with contact monitor,
Alternatively, up to 400 device settings can be baby mode with automatic power limitation
loaded and stored. - Current leakage monitoring
- Short circuit detection
- ISSys Permanent system self-testing (Integrated Safety
System)
- Permanent initial cut support CCS (Cut Control System)
- Configurable socket design
- Information area for device messages
- Operating instructions available directly on the device
- CUT modes: e.g. standard, dry, cardiac, GastroCut snare
and knife, MetraLOOP, laparoscopy
- Micro-regulations and power forms for plastic and neurosur-
gery down to 0.1 W
- COAG modes: moderate, forced, spray, cardiac
- AUTOSTART function

Plug’n Cut: ARC 400 automatically recognizes when a standard instrument is con- Plug’n Cut COMFORT: The ARC 400 autopilot recognizes the specific instrument With a tap of the finger: Rapidly create and call up favorites Everything at a glance: Display of the expected effects Everything in the green? Neutral electrode monitoring, shown here in the setting for Efficient: The lower right bipolar connection socket can be extended to connect
nected and selects the corresponding setup parameters babies (50 watts max.), gives you continuous status information two standard plugs – this makes three bipolar connections available
Costs and benefits –
Close the gap
ARC 400: The specialist for vessel sealing NightKNIFE®
With ARC 400 and BOWA ligation instruments such - 360 and 200 mm
as TissueSeal®PLUS for open surgical applications - 10 mm diameter
- autoclavable
and NightKNIFE® also for laparoscopic use, large- - changeable knife
bore veins, arteries and tissue bundles of up to 7 mm - Plug’n Cut COMFORT
diameter can be sealed securely and permanently,
economically and without residue. Seal security up to
Ligator®
a pressure of 700 mmHg has been proven in studies. - 360 and 110 mm
- 5 mm diameter
- autoclavable
Optimal results based on outstanding ergonomics and
- Maryland and straight model
tactility are a plus for the surgical artist. And the - Plug’n Cut COMFORT
huge potential for saving OR time, suturing material
and clips, as well as instrument reusability, convince
TissueSeal® PLUS
the strictest cost controller. - 190, 230 and
280 mm
Two hundred times instead of once - autoclavable
- Plug’n Cut COMFORT
BOWA ligation instruments can be reused up to two
hundred times. As shown in the graph, even after just
50 uses there is an enormous cost advantage over TissueSeal®
disposable instruments. - 190, 230 and
280 mm
- base instrument
autoclavable
- variable disposable tips

Cost advantage of the Bowa NightKNIFE® compared


Literature:
to disposable instruments for 50 procedures Schuld J, Laschke MW, Rupertus K, Richter S, Menger MD,Schilling
MK: evaluation study: BOWA NightKNIFE® vs. Ligasure Atlas™.
16.000 € BOWA, Gomaringen 2008
14.000 € Schuld J, Richter S, Laschke MW, Sperling J, Menger MD, Schill-
12.000 € ing MK, Surgical Association for OR and Instrument Technology of
10.000 € the German Association for General and Visceral Surgery: evaluation
study: BOWA TissueSeal® vs. valleylab Ligasure™.
8.000 € BOWA, Gomaringen 2008
6.000 € Schuld MD, Sperling MD, Kollmar MD, Menger MD, Schilling MD,
4.000 € Richter MD, Laschke MD: The Nightknife®: Evaluation of Efficiency
2.000 € and Quality of Bipolar Vessel Sealing
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL
Disposable instruments BOWA NightKNIFE®
TECHNIQUES 2011

Sparing resources –
Ligation with the ARC 400
Rely on an established technique for the permanent patient, this method saves OR time, suturing material
sealing of vessels and tissue: ligation. Besides the and clips. Autoclavable BOWA ligation instruments
advantage of not introducing foreign bodies into the are the first choice for use with the ARC 400.

New: The selection of LIGATION offers new potential, all settings are done Cost-effective: No instrument change thanks to NightKNIFE® Seal’n Cut
­automatically
Special applications –
Four examples
Bipolar resection for urology Triple specialty: For gynecology: faster removal GastroCut for gastroenterology
Bipolar resection with the ARC 400 stands out for Functions for cardiac surgery In addition to the modes for vessel sealing and With the ARC 400 GastroCut modes, the gastroenter-
its extremely reliable initial cuts and a high For use in the field of cardiac surgery, monopolar and bipolar resection, a special ologist achieves the best results for polypectomy
resection speed. three highly specialized functions for effective work function is available in gynecology for laparo- and papillotomy and endoscopic resections with
are available: scopic supracervical removal of the uterus (LSH). loops or knife electrodes.
Reduced irritation of the obturator nerve and The gastroenterologist can adjust the haemostasis
bipolar technology hugely increase operating SimCOAG for simultaneous coagulation This mode offers more rapid cutting of the loop level of cutting and coagulation power to three
safety in this field. Using saline solution as a and preparation with two monopolar for uterus removal. Work can be accomplished speeds, slow, medium and fast, as required.
medium prevents the danger of TUR syndrome. handles. safely, rapidly and precisely, even with large The cut is optimized, the surgeon controls the cut‘s
loops. coagulation effect through the effect in nine steps.
In addition, monopolar transurethral resection of Cardiac mammary for forced coagulation This allows cautious work to avoid complications, as
the prostate (TUR-P), surgical treatment of bladder near the mammaries well as rapid intervention when the situation allows it.
tumors (TUR-BT) and vaporization of prostate
tissue (TUR-VAP) can also be carried out with the
ARC 400. Cardiac Thorax for forced coagulation
when opening the thorax
GastroCut power type

Dry cutting for strong hemostasis Voltage

200 Vp

Time
Cut Break Coagulation phase

Innovation: bipolar resection in urology with very high resection speed Support task distribution in cardiac surgery: selectable simultaneous activation Special gynecology effect: extremely safe and rapid uterus removal with the GastroCut: highly flexible with loops or knife electrodes
MetraLOOP function
ARC CART – Accessories made by BOWA –
More mobility Simply safe
One unit – Many options „Simply safe“ is more than just a promise. For us it is the commitment to
In the OR, ARC 400 and the ARC CART form a always think past the current standards. This approach leads us to solutions
high-performance unit that can be quickly placed just that open up new perspectives and support you optimally in your work. As a
where it needs to be. specialized HF surgery company, we offer you complete systems as well as
complementary individual products.
In the ARC CART, everything is in the right place and For a comprehensive overview of our range, visit us at [Link].
can be individually configured. The basic ARC CART
configuration offers four steerable rollers with
brakes, cable box, power cable detachment preven-
tion device, handle, foot switch holder and a cable
holder. The storage shelf of the cart is optimized for
the ARC generator.

Also available are shelves for e.g. SHE SHA smoke


evacuation system, drawers, gas bottle holders,
equipotential bonding connectors or baskets.
Mobility is thus greatly increased.

The foot switches are waterproof (IPX8) and explo-


Monopolar Bipolar Vessel sealing Argon accessories Neutralelektroden ARC accessories
sion-protected. Pedals are ergonomically arranged
accessories accessories
to allow for fatigue-free operation over long periods.
Open application Open application NightKNIFE® Open application Electrodes for single use Accessory set
Electrode handles Forceps LIGATOR® Flexible application Reusable rubber return plates ARC Option
Connecting cables Connecting cables TissueSeal® PLUS Power cable and equipotential
Electrodes Bipolar scissors TissueSeal ® bonding lines
Electrode containers Minimally invasive application Testing device
Electrode extensions ErgoLAP® BIPOLAR Foot switch
Accessories Adapters Communication interface
Arthroscopy electrodes Pressure reducer
Forceps Trolley ARC CART
Minimally invasive application SHE SHA Smoke evacuation
ErgoLAP system
Electrodes for laparoscopy
MetraLOOP
Adapters

Optimal: overview and operation Flexible: freely assignable pedals Space-saving: slim design
Made in Germany –
ARC 400 technical information
BOWA ARC 400 is designed for use in nearly every maintenance can be performed by hospital techni-
field of electrosurgery. The ARC generators can be cians, e.g. reading the device information or running
located on ceiling supply units or, for unlimited software updates that we supply on a USB drive. If
mobility, on the ARC CART. The device includes two you want to connect third-party devices, this is possi-
monopolar and two three bipolar outputs. Simple ble using special socket variants.

Overview of technical data


Maximum cutting power 400 watts
Maximum coag power 350 watts
Frequency 330 kHz / 1 MHz
Mains voltage 100 V – 120 V / 220 – 240 V ± 10 %
Mains frequency 50 / 60 Hz
Mains power max. 8 A / 4 A
Mains fuse T8A/T4A
Power consumption in standby mode 40 watts / 85 VA
Power consumption at max. 550 watts / 975 VA
Equipotential bonding connector Yes
Width x Height x Depth 430 x 180 x 475 mm
Weight 12,5 kg
Classification under EC guidelines 93/42/EWG II b
Protection class according to EN 60 601-1 I
Type according to EN 60 601-1 CF
CE marking CE0123
Safety system EASY with NE contact monitor
Program locations 400
Monopolar sockets 2 x international (configurable)
Bipolar sockets 2 x international, 2 x Erbe
Simultaneous activation 2 monopolar sockets
GastroCut 6 cut types with 9 effects
Micro-adjustments Included
Autostart Yes
Instrument recognition Plug’n Cut & Plug’n Cut COMFORT
Free foot switch assignment and socket switching Yes
Item number ARC 400 900-400
Option Bipolar resection 900-395
Option LIGATION 900-396

Accessories – More than the sum of the parts Update service – Simple with USB
ARC 400 is the new generation of electrosurgical accessories, ARC 400 forms a system with outstand- Take advantage of the latest developments of the with a USB drive. The many standard connections
devices. It offers the highest performance for all ing features, medical as well as economical. future. ARC 400 is ready. With our update service, guarantee future-proofing and an automated connection
standard instrument families. Together with BOWA you can update the ARC 400 software very simply to your system environment – even in tomorrow’s world.

Clear design vocabulary: compact design, ideally suited to the hygienic require- Communicative interfaces: with USB and network connections, fit for today and
ments of the OR tomorrow

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