Bowa ARC 300, Operating Manual

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2 Safety
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ARC 300 / ARC 350 Operating manual 900-350_IFU_V2.6_10296-S13-20100111-EN
2.3. Personal safety instructions
2.3.1. Patients with pacemakers
Malfunctions or destruction of the pacemaker can endanger the life of
the patient or result in irreversible injuries to the patient.
X
In cases of patients with pacemakers, consult the cardiologist
before carrying out HF surgery.
X Use bipolar HF methods.
X
Move the HF neutral electrode close to the operating field.
X Set the demand pacemaker to a fixed frequency.
X Ensure that the pacemaker does not come into contact with the HF
electrode.
X Keep a fully operational defibrillator handy.
X Carry out a postoperative pacemaker check.
2.3.2. Safe positioning of the patient
X Position the patient so that he is not touching any metal parts that
are grounded or have considerable capacity against ground (e.g.
operating table brackets). Lay anti-static towels between the patient
and the bedding.
X
Ensure that the patient does not touch any wet towels or bedding.
X Place anti-static towels between areas of heavy sweating and skin-
to-skin contact on the patient's trunk.
X
Ensure that you are using a suitable support surface in order to
prevent pressure necrosis.
X Drain urine via the catheter.
2.3.3. Correct connection of the HF device
X Always ground the HF device via the equipotential bonding.
X Do not use any needle electrodes for monitoring.
X
Attach electrodes of physiological monitoring devices without
protective resistors or HF regulators as far as possible from the HF
electrodes.
X Attach lines from monitoring devices so that they do not lie on the
patient's skin.
X
Keep the lines to the HF electrodes as short as possible and
position them so that they do not touch the patient or other lines.
X Do not place any objects on the HF device.