1. Argon Enhanced Electrosurgery

2. Characteristics of argon gas (helium, neon, freon etc. also possible, but.....) inertnon-explosive heavier than air not expensive

3. Why Argon gas ? Argon gas combined with an activated high-voltage electrode ionises and becomes a conductor of energy Argon gas creates an oxygen free environment reducing tissue necrosis and generating less smoke

4. Argon Features Creates uniform conductive plasma bridge between electrode and tissue Conventional electrosurgeryArgon-enhanced electrosurgery

5. Argon cutting improved spark rain dry cutting edge less smoke

6. Argon cutting conventional cutting argon enhanced cutting

7. Clinical Benefits Reduced smoke Improved visualization Conventional electrosurgery Argon-enhanced electrosurgery

8. Argon fulguration direct coagulation to exposed tissue better identification of bleeders cooling of tissue

9. Argon fulguration via controlled spark rain conventional fulguration Argon fulguration

10. Clinical Benefits Flexible, thinner eschar –Less charring of tissue –Less rebleeding Conventional electrosurgery Argon-enhanced electrosurgery

11. Clinical Benefits Directable flow of argon gas which clears surgical site of fluids and smokeDirectable flow of argon gas which clears surgical site of fluids and smoke –Establish direct coagulation effect onto exposed tissue Not on top of blood –Reduced blood loss Rapid identification of bleeders

12. Conventionalelectrosurgery Argon enhanced electrosurgery

13. Argon gas faster visualisation of bleeders better tissue selective dehydration Reduction in blood loss: less necrosis improved vessel sealing Reduction in post-operative infections:

14. Less necrosis: spray coagulation: more superficial better control on size of coagulation area less tissue adhesion to electrode less smoke

15. Clinical Benefits Efficient noncontact coagulation –Less tissue adhesion to electrode –Ability to coagulate directly to bone surface –Ability to better coagulate adipose tissue

16. Clinical Benefits Time saving –Reduced blood loss –Coagulate large areas much faster –More controlled delivery of energy

17. Hardware & Accessories

18. ES Generator Force Argon ll Cable / Interface connections Gas Regulator Interface Cable Argon to Generator (5 & 4 pin) Serial Port connection from Argon regulator (2 if 2 bottles used)

19. Peritoneal Pressure Tubing –Introducing argon into the peritoneal cavity will increase the intra- peritoneal pressure. –The intra-peritoneal pressure can be monitored by the V ALLEYLAB F ORCE A RGON ™ II System when operated in its low flow (laparoscopic) setting. –E2520PT – sterile, single use peritoneal pressure tubing, 10/case

20. Included with F ORCE A RGON ™ II Unit –One V ALLEYLAB F ORCE A RGON ™ II Unit –One Gas Regulator –One E0502-12 Adapter –One ESU Cable (to connect F ORCE A RGON ™ II to a V ALLEYLAB Generator) –One 110V Power Cord –One 230V Power Cord –One User’s Guide (English) –One Service Manual (English)