2 Safety
900-001_IFU_V1.0_11270-S0-20130118-EN
ARC PLUS Operating Manual
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2.3.2. Patients with pacemakers
Malfunction or destruction of the pacemaker can endanger the life of the patient or
result in irreversible injuries to the patient.
In the case of patients with pacemakers, consult the cardiologist before
carrying out HF surgery.
This applies in particular to surgery in the thorax region.
Observe the corresponding instructions in the operating manual for the HF
device.
Attach the HF neutral electrode close to the operating field.
Set the demand pacemaker to a fixed frequency.
Ensure that the pacemaker does not come into contact with the HF electrode.
Keep a fully operational defibrillator within reach.
Carry out a postoperative pacemaker check.
2.3.3. Patient preparation
To avoid emphysemas, do not insert the electrodes into tissue or open
vessels, or apply them directly to tissue or open vessels.
Always keep the distal end of the electrode visible during surgery.
Due to the monopolar operating mode, the HF current flows through the
patient’s body to the neutral electrode. For this reason, always ensure that no
thermal damage occurs to nearby tissue structures with a tendency to
increased local current density.
In the case of gastrointestinal surgery, the endogenous gases must be
securely removed by purging before and during surgery.
Position the patient so that the patient is not touching any metal parts that are
grounded or have considerable capacitance relative to ground (e.g. operating
table brackets). If necessary, place anti-static towels between the patient and
the bedding.
Ensure that the patient does not touch any wet towels or bedding.
Avoid skin-to-skin contact.
Place anti-static towels between areas of heavy sweating and skin-to-skin
contact on the patient's trunk.
Ensure a suitable support surface in order to prevent pressure necrosis.
Drain urine via a catheter.
Summary of Contents for ARC PLUS
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