APC operating principle

Argon plasma coagulation, APC for short, is an electrosurgical, monopolar procedure for superficial hemostasis, devitalization and ablation using ionized argon gas.
Argon is an inert gas and can be easily ionized.

Work with argon plasma coagulation

Argonplasma Coagulation

Using APC

The most effective location for APC ignition is close to tissue. The distance between the applicator tip and tissue during use is approx. 5-15 mm. The coagulation is directly visible on the tissue; movement can be used to determine and easily control the surface distribution and the intensity of the coagulation surface. In literature, usage is sometimes compared to using a paintbrush.

Only use where there is good visibility

APC should only be applied where there is good visibility

Penetration depth and dosage

The penetration depth of APC depends on various factors such as mode, effect and duration of application. In the case of conventional usage, a penetration depth of approx. 2-3 mm can be assumed.

Avoid tissue contact

Do not place the APCapplicator tip on tissue while activated. Do not allow the gas to enter the vessels or organs.

Distance to metal and surgical suture

To prevent unintended coagulation, do not apply APC to metal clips or surgical suture.

The APCapplicator

The APCapplicator is an electrosurgical multi-talent. In addition to “straight” non-contact argon plasma
coagulation, other electrosurgical options are integrated in the handle: cutting and coagulation with spatula
or needle electrode. With or without argon support as desired.

APCapplicator Product picture

Shaft tube

Electrode length can be infinitely adjusted (0–14 mm) with the working distance remaining unchanged

Shaft rotation

The spatula electrode can be rotated for use at any angle

Rotary wheel

The shaft can be extended and retracted

CUT/COAG Buttons

ReMode Button

Enables convenient toggling between program settings

Instrument detection

Insert the APCapplicator and start working; preset values can be modified

Integrated filter

Patented safety*

Flexible connecting cable

You work “virtually without a cable” (to quote some users)

A varied program

20132-250 APCapplicator 20132-250 - APCapplicator, 35-mm shaft Spatula electrode
20132-251 APCapplicator 20132-251 - APCapplicator, 35-mm shaft Needle electrode
20132-252 APCapplicator 20132-252 - APCapplicator, 100-mm shaft Spatula electrode
20132-253 APCapplicator 20132-253 - APCapplicator, 100-mm shaft Needle electrode
20132-254 APCapplicator 20132-254 - APCapplicator, 350-mm shaft for laparoscopy, spatula electrode
20132-255 APCapplicator 20132-255 - APCapplicator, 350-mm shaft for laparoscopy, needle electrode
20132-249 APCapplicator Adapter 20132-249 - Adapter for connection to APC 2 with standard APC socket
93%

OF USERS
WOULD RECOMMEND
THE PRODUCT TO A
COLLEAGUE

73%

OF USERS SAY THAT
ONE-HAND OPERATION
IS AN ADVANTAGE

Based on the records of a user acceptance test (3/2016)

The 5 application options

Application with APC

Argon plasma coagulation, non-contact

efficient, homogenous coagulation with limited penetration

Argon-assisted cutting

Argon-assisted cutting

in chemically inert argon gas

Argon-assisted coagulation

Argon-assisted coagulation

in chemically inert argon gas

Electrosurgical cutting

Electrosurgical cutting

without argon gas

Electrosurgical coagulation

Electrosurgical coagulation

without argon gas

The great advantages of the APCapplicator

  • Convenient activation of all functions with one hand
  • Light-weight practical handle with excellent haptics*
  • ReMode function: users can switch between programs in succession from the operating table
  • Instrument detection: insert the APCapplicator and start working (plug and operate)
  • Sterile single-use product: immediate OR availability, no reprocessing effort required
  • Gas filter is integrated into the connection plug*

VIO / APC Workstation

The modules of the VIO/APC workstation are optimally matched and ideally suited to both argon plasma coagulation and argon-assisted electrosurgery. The APC and electrosurgery modes are selected and activated via the VIO display. The stored start settings are based on user experience and can be configured to your specific requirements.

Erbe Workstation VIO 3 / APC 3

*Patented: EP 1 515 659 B, US 7,311,707 B, JP 4435680 B, CN 1665451A
Design Patents: EP 436274, CN ZL200630006257.4, US D577,671S, JP 1287552
Design Patents: EP 2249672, CN ZL201330438131.4KR 30-790653
Design patents pending: US 29/475,689.

Applications with APCapplicator

The APCapplicator with its functions can be used for many surgical procedures, whether open or
laparoscopic. From incision to mobilization of the target organ, from tissue ablation to homogenous
coagulation. With the APCapplicator you can switch quickly from surgical step to surgical step
without having to change instruments.

Settings from the experience in the user acceptance test with VIO 300 D / APC 2 in the period from 01.12.2015 to 03.03.2016.

APCapplicator in mamma surgery

APCapplicator in mamma surgery

Mode forced APC
Electrosurgery Power 80 W
Plasmasurgery Flow 2.0 L/min
Laparoscopic cholecystectomy with APCapplicator

Laparoscopic cholecystectomy with APCapplicator

Mode forced APC
Electrosurgery Power 80 W
Plasmasurgery Flow 2.0 L/min
Partial liver resection with APCapplicator and Applicator monopolar

Partial liver resection with APCapplicator and Applicator monopolar

Mode forced APC
Electrosurgery Power 80 W
Plasmasurgery Flow 2.0 L/min
Lobectomy of the lung with APCapplicator

Lobectomy of the lung with APCapplicator

Mode forced APC
Electrosurgery Power 70 W
Plasmasurgery Flow 1.8 L/min
Thymus resection with APCapplicator

Thymus resection with APCapplicator

Mode forced APC
Electrosurgery Power 80 W
Plasmasurgery Flow 2.0 L/min
Hemostasis after partial liver resection with APCapplicator

Hemostasis after partial liver resection with APCapplicator

Mode forced APC
Electrosurgery Power 80 W
Plasmasurgery Flow 2.0 L/min
Peritoneal carcinomatosis with APCapplicator

Peritoneal carcinomatosis with APCapplicator

Mode forced APC
Electrosurgery Power 80 W
Plasmasurgery Flow 2.0 L/min

Publications

Partial kidney resection

Retrospective study with 97 patients regarding the effectiveness of organ-preserving treatment of renal cell carcinoma. The kidney parenchyma was bluntly removed and then the base of the tumor was removed using argon plasma coagulation as well as in part using laser treatment. According to the authors, this method is easy to perform as well as safe. more...


Liver surgery

Case series with 6 patients investigating the laparoscopic treatment of liver cysts. The cysts were removed using the Harmonie scalpel and argon plasma coagulation. According to the authors, argon plasma coagulation is a safe and effective complementary procedure in liver cyst resection. more...


Downloads

Product Leaflet APCapplicator

APCapplicator

Product leaflet
Notes on use APCapplicator

APCapplicator

Notes on use
Product Leaflet VIO Product family

VIO

Product family leaflet
Product Leaflet APC 2

APC 2

Product leaflet
New products Catalogue APCapplicator

APCapplicator

New Products Catalogue
medical-video.com

medical-video.com

Argon Plasma Coagulation Videos

Contact us for further information
about APC and APCapplicator

Erbe Elektromedizin GmbH
Waldhoernlestraße 17
72072 Tuebingen
Phone +49 7071 755-0
www.erbe-med.com