UNITS 13 2.

0 06/2017-E

AUTOCON® III 400 –

Innovative, Intelligent, Intuitive
 AUTOCON® III 400 –
Everything at a glance for unipolar and bipolar applications in HF surgery

Maximum User Comfort Neutral Electrode Monitoring

• High-resolution, color touch display 2 types of neutral electrodes are
• Intuitive use through signs and symbols monitored:

• Stored presettings for standard procedures Split neutral electrode

• User is able to create and save individual procedures
• Favorites list possible Split baby neutral
• Best hygiene conditions thanks to wipe-, impact- and electrode
scratch-resistant safety glass The EASY neutral electrode
• Integration into OR1™ monitoring function measures
changes in the resistance between
the patient and the HF unit and
requests intervention.
RFID (radio-frequency identification)
• System coding allows clear identification of the instrument
and application with suitable cable connection
• Generator creates automatic program configuration
• Select cables are equipped with a RFID chip, e.g. cable
for bipolar resection UH 801

Additional Information
• Product dimensions (h x w x d) 177 x 447 x 457 mm
• Net weight 12.5 kg
• Line frequency 220-240 V 50/60 Hz (UH 400/UH 401)
• Line frequency 100-127 V 50/60 Hz (UH 400U/UH 401U)
• Maximum unipolar and bipolar power 400 W
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

2
 Provides all functions with improved properties for diverse applications
• 18 unipolar and bipolar cutting modes such as, for example, bipolar resection
• 25 unipolar and bipolar coagulation modes such as ROBI® and the BIVASCULARSAFE
mode

Various models
• UH 400 High-End
Generator, suitable for
universal use
• UH 401 High-End
Generator, also suitable
for vessel sealing

Generator Applications
The AUTOCON® III 400 is a multidisciplinary HF unit that can be used
in practically all surgical disciplines:
• Neurosurgery
• Otorhinolaryngology
• Thorax
• Gastroenterology
• Laparoscopy
• Gynecology
• Urology
• Arthroscopy and Sports Medicine
• Spine Surgery
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

New technologies have been integrated into the current generation of the
AUTOCON® family
• For bipolar resection, the energy output has been enhanced and expanded
• For the ROBI® mode, a performance setting has been defined so that the
instruments are not overtaxed with incorrect settings
• The BIVASCULARSAFE mode for sealing arteries, veins and tissue has been
integrated into version UH 401

3
 AUTOCON® III 400
The new high-frequency generator with perfected settings

The introduction of the new AUTOCON® III 400 marks a new era in HF surgery for
KARL STORZ. The experience and know-how accumulated over many years was incorporated
into the development of this unit in order to provide new, optimized modes for bipolar
resection, ROBI® instruments and vessel sealing. The AUTOCON® III 400 series features two
different models. The difference between UH 400 / UH 400U and UH 401 / UH 401U is that
the UH 401 model is equipped with the additional BIVASCULARSAFE mode for vessel sealing.

AUTOCON® III 400 – Innovative, Intelligent and Intuitive

with a maximum output of 400 Watt

Innovations and enhancements were added to the technology,

particularly with regard to modes.
1. Bipolar Resection
Mode for the bipolar removal of tissue

The new HF generator from KARL STORZ has been further enhanced and optimized,
particularly with regard to the performance of bipolar applications. It therefore ideally
complements the KARL STORZ systems for bipolar resection. Precise initial cutting and
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

exactly coordinated power regulation enables the unit to deliver optimal energy for bipolar
resection and thus leads to perfect results.

2. ROBI®
Mode for rotating bipolar instruments ROBI®

The ROBI® mode is used with bipolar laparoscopic instruments for coagulation. In contrast
to the previous generation, the peak voltage of the AUTOCON® III 400 has been limited to
110 Vp to avoid causing damage to the sensitive bipolar instruments.

4
 3. BIVASCULARSAFE
Mode for the bipolar sealing of vessels
The BIVASCULARSAFE mode is used for the permanent sealing of veins, arteries and tissue
bundles and is integrated in the UH 401 model. Conventional instruments cannot be used in
this mode.

How intelligent is the AUTOCON® III 400?

Automatic instrument recognition and assignment is just one factor that reflects the
intelligence of the HF generator. The unipolar and bipolar sockets flash to clearly indicate
to the user that the connection is correct. Once the socket and cable are connected
successfully, the socket light goes out and the selection panel of the socket lights up on
the touch display. The user-friendly signs and symbols can be used to access the required
setting. If the socket is connected to a RFID cable, e.g., for bipolar resection, the settings
are transmitted automatically without touching the user surface. The unit recognizes the
connecting cable used and automatically selects the correct parameters for the connected
instruments. In addition, the tiny RFID chip in the cable informs the user about the number
of times the cable can be used and provides an explanation of the application. The
AUTOCON® III 400 can be easily integrated into the OR1™ operating room. Consequently, the
unit can be controlled directly from the sterile area and the settings can be adjusted swiftly
and smoothly as required.

How intuitive is the AUTOCON® III 400?

The high-resolution touch display of the HF generator allows intuitive use and is therefore
very user-friendly. In addition to standard procedures, which are already stored in the unit,
the user is able to create and save individual procedures. The informative symbols of the
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

AUTOCON® III 400 allow an intuitive selection of modes and programs. Furthermore, the user-
friendly quick access function allows the required settings to be activated with a maximum of
two clicks.

5
 Bipolar Resection

With the bipolar resectoscope and the new loop design, KARL STORZ has revolutionized
resection in saline in the fields of urology and gynecology.

Bipolar Treatment Methods in Urology

Although technical progress has been made in recent years in the various non-ablative
treatment options, transurethral resection (TUR) remains the gold standard in the treatment of
benign prostatic syndrome (BPS) and in the resection of bladder tumors.
The new bipolar concept from KARL STORZ sets new standards in terms of effectiveness,
economic efficiency, patient safety, and system reliability and therefore revolutionizes the
treatment of BPS and bladder tumors.

Real bipolar system

Current returned via the electrode and not the resectoscope sheath
Maximum tissue ablation with minimal current flow
Controlled tissue penetration; significantly reduced obturator nerve stimulation
Precise cutting
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

Controlled initial cutting and application of energy to the tissue with pinpoint accuracy
Use of saline solution
Reduced risk of TUR syndrome; significantly longer operating time possible
Improved hemostasis
Enables resection of patients with anticoagulants and antiaggregants
Additional bipolar techniques
Bipolar enucleation and vaporization

6
 Testimonials

While previous experiences with other bipolar

resection systems did not convince us to change our
resection approach, the new KARL STORZ bipolar
system features such impressive intraoperative
handling and cutting and coagulation behavior that
bipolar resection has become our standard procedure
for specialists and senior physicians as well as in the
training of residents and fellows.

Thomas R. W. Herrmann, M.D.,

Clinic for Urology and Urological Oncology,
Medizinische Hochschule Hannover (MHH),
Hanover, Germany
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

7
 Bipolar Resection in Urology – System Overview

AUTOCON® III 400

UH 400

Two-Pedal Footswitch Bipolar High Frequency

Cord

UF 902 UH 801

Electrotome, bipolar

27040 EBH

Cutting Loop, Cutting Loop, Vaporization Electrode, VapoEnucleation

24/26 Fr., prostate 24/26 Fr., bladder 24/26 Fr. Electrode

27040 GP1 27040 GP130 27040 NB 27040 VE

© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

Cutting Loop,
24/26 Fr., bladder

27040 JB130

Cutting Loop,
24/26 Fr., bladder

27040 JBE130

8
 Bipolar Treatment Methods in Gynecology

In addition to applications in urology, the bipolar resection mode can also be used in
gynecology.

Bipolar Resection Unipolar Resection

Limited current flow through tissue Current flows through several layers of
• Restricted to the area between the tissue
electrode’s loop • Current flows uncontrolled through
• In the operating surgeon’s field of vision the body of the patient via neutral
electrodes placed on the patient’s skin
• Less risk of thermal damage to distant before returning to the generator
organs due to direct contact with the
instruments

Less risk of interference with other Increased risk of interference with other
electronic equipment, e.g. ECG, which electronic equipment
are connected to the patient • Voltage in unipolar resection is always
higher as the current has to travel longer
through the body

Less stimulation of nerves With this technique, there is more

stimulation of the nerves as the current
flows through the entire body

Advantage: Concern:
Physiological saline solution as distension Fluid absorption of non-physiological
medium irrigation fluid
• Result: Easily processed by the body, • Result: Hyponatremia, hypervolemia,
non-toxic, more cost-efficient glycine intoxication
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

Testimonial

In our experience and also in the analysis of published data,

it appears very clear that the bipolar resectoscope offers
considerable advantages in comparison to a unipolar one. The
bipolar system is technically superior, more cost-effective and safer
in comparison to the unipolar system.

Prof. Dr. Luca MENCAGLIA,

Scientific Director
Centro Oncologico Fiorentino,
Florence, Italy

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 Bipolar Resection in Gynecology – System Overview

AUTOCON® III 400

UH 400

Two-Pedal Footswitch Bipolar High Frequency Cord

UF 902 UH 801

Working Element Set, bipolar, 26 Fr. Working Element Set, bipolar, 22 Fr.

26040 EBH 26055 EBH

Cutting Loop, bipolar Cutting Loop, bipolar

26040 GP1 26055 GP1

Coagulation Electrode, bipolar Coagulation Electrode, bipolar

© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

26040 NB 26055 NB

Cutting Electrode, bipolar Cutting Electrode, bipolar

26040 BL1 26055 BL1

Cutting Loop, bipolar

26040 JB1

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 ROBI® Mode for Rotating Bipolar Instruments

By limiting the maximum power setting in the ROBI® mode, KARL STORZ has significantly
reduced the risk of damage to bipolar instruments during use. Consequently, the user can
now select all possible performance settings to achieve the desired surgical outcome without
the risk of overloading the instrument with too much power.
With the rotating, bipolar instruments for minimally invasive surgery in 3.5 mm and 5 mm in
conjunction with the AUTOCON® III 400 generator and components for an optimal imaging
chain, KARL STORZ offers a modular system that provides safety, stability and precision. All
instruments in the ROBI® range feature a modular construction and can be rotated 360°. They
are easy to use, easy to clean, and autoclavable.
Combining the ROBI® instruments with the ROBI® mode of the HF generator allows
the optimization of minimally invasive laparoscopic interventions to make them more
straightforward, faster and safer. As the adjustable maximum voltage is limited in the ROBI®
mode, damage caused by too high a voltage can be prevented. This leads to significantly
lower repair costs.
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

11
 ROBI® 3.5 mm for Minimally Invasive, Laparoscopic Surgery –
System Overview

AUTOCON® III 400

UH 400

Two-Pedal Footswitch Bipolar High Frequency Cord Bipolar High Frequency Cord

UF 902 26176 LE 26176 LV

ROBI® Plastic Handle ROBI® KELLY Grasping Forceps,

length 20/36 cm

38151 38851 MD, 38951 MD

ROBI® Outer Sheath with

Forceps Insert, length 20/36 cm ROBI® Grasping Forceps, length
20/36 cm

38810 MD, 38910 MD

© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

ROBI® Outer Sheath with 38851 ON, 38951 ON

Forceps Insert, length 20/36 cm

ROBI® Scissors, length 20/36 cm

38810 ON, 38910 ON

ROBI® Outer Sheath with

Scissors Insert, length 20/36 cm
38851 MW, 38951 MW

38810 MW, 38910 MW

12
 ROBI® 3.5 mm for Minimally Invasive, Laparoscopic Surgery –
System Overview

AUTOCON® III 400

UH 400

Two-Pedal Footswitch Bipolar High Frequency Cord Bipolar High Frequency Cord

UF 902 26176 LE 26176 LV

ROBI® Metal Outer Sheath, ROBI® Plastic Handle

length 36/43 cm

38600, 38700
38151

ROBI® Grasping Forceps,

ROBI® Forceps Insert, length 36/43 cm
length 36/43 cm
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

38610 CS, 38710 CS

38651 CS, 38751 CS

For further inserts and instruments please see the following pages

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 Inserts and Complete Instruments with Single Action Jaws

ROBI® Grasping Forceps,

ROBI® Forceps Insert, length 36/43 cm
length 36/43 cm

38610 CS, 38710 CS

38651 CS, 38751 CS

ROBI® Grasping Forceps,

ROBI® Forceps Insert, length 36 cm
length 36 cm

38610 CL
38651 CL

ROBI® Grasping Forceps,

ROBI® Forceps Insert, length 36 cm
length 36 cm

38610 KF
38651 KF

ROBI® Dissecting and Grasping

ROBI® Forceps Insert, Forceps, length 36/43 cm
length 36/43 cm

38610 KL, 38710 KL

38651 KL, 38751 KL

ROBI® Scissors,
ROBI® Scissors Insert, length 36 cm
length 36 cm © KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

38610 MT
38651 MT

ROBI® Scissors,
ROBI® Scissors Insert, length 36 cm
length 36 cm

38610 MZ
38651 MZ

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 Inserts and Complete Instruments with Double Action Jaws

ROBI® Dissecting and Grasping

ROBI® Forceps Insert, Forceps, length 36/43 cm
length 36/43 cm

38610 ON, 387ON

38651 ON, 38751 ON

ROBI® Grasping Forceps,

ROBI® Forceps Insert, length 36 cm
length 36 cm

38610 OM
38651 OM

ROBI® Grasping Forceps,

ROBI® Forceps Insert, length 36/43 cm
length 36/43 cm

38610 MD, 38710 MD

38651 MD, 38751 MD

ROBI® Dissecting and Grasping

ROBI® Forceps Insert, Forceps, length 36 cm
length 36 cm

38610 ML
38651 ML

ROBI® Grasping Forceps,

ROBI® Forceps Insert, length 36/43 cm
length 36/43 cm

38610 MA, 38710 MA

38651 MA, 38751 MA
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

ROBI® Grasping Forceps,

ROBI® Forceps Insert, length 36 cm
length 36 cm

38610 WA
38651 WA

ROBI® Scissors,
ROBI® Scissors Insert, length 36/43 cm
length 36/43 cm

38610 MW, 38710 MW

38651 MW, 38751 MW

15
 The mode for permanent vessel sealing –
BIVASCULARSAFE
During the development of the AUTOCON® III product family, the optimization of HF
coagulation led to the creation of a further discipline, the so-called vessel sealing. This
process allows a high-frequency current to flow through the vessel in combination with
optimal pressure delivery. The heat generated by the energy input in the tissue changes the
structure of the collagen and elastin fibers. These then re-form to create a plastic-like sealing
zone. Vessel sealing enables the sealing of larger vessels that can withstand high burst
pressure.
Vessel sealing produces the same effects as coagulation. With the energy input into tissue,
the intra- and extracellular fluids slowly begin to vaporize and the collagen fibers denature.
The heat-resistant elastin fibers also denature with rising temperatures. Sealing prevents a
rapid increase in vaporization as well as carbonization so that the tissue structure is largely
maintained during sealing. The pressure exerted compresses the vessel walls until the
collagen and elastin fibers fuse with the remaining tissue to form a seal zone.

The technology of the future –

Benefits of permanent vessel sealing –
BIVASCULARSAFE
• Shorter OR times as compared to conventional technologies such as, for example, sealing
with clips or sutures
• Shorter surgery times and faster recovery means less costs
• High-frequency procedures eliminate the need for foreign materials so these do not remain
behind in the body
• Less mechanical stress on the surrounding tissue © KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

Hug B, Haag R
(3. Auflage) Medizintechnik (Medical Technology)
Offprint of the chapter
“Hochfrequenzchiurgie (High Frequency Surgery)”
28: 533-538

16
 Combination with Other Units
High-frequency units have now become indispensable tools in modern medicine. Numerous
interventions are performed every day that require the use of energy application systems.
Thermal energy from HF units generates surgical smoke and unpleasant odors which can
cause the OR staff to suffer headaches and nausea. Furthermore, the generated smoke
disturbs endoscopic visualization and presents a further risk of hindering surgeons in their
work. The S-PILOT™ from KARL STORZ, with corresponding smoke evacuation filters,
provides excellent visibility through effective smoke evacuation and protects personnel from
exposure to unpleasant odors.

UP 501 S-PILOT™, pinch valve, with integrated SCB module,

incl. mains cord, power supply 100-240 VAC, 50/60 Hz,
System requirements:
SCB control NEO system with integrated SCB control NEO
Software Release 20090001-46 or higher
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

UP 004 S-PILOT™ Connecting Cable, diameter 3.5 mm,

length 300 cm, for use with AUTOCON® III 400,
ConMed System 2450 or 5000

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 As smoke evacuation often leads to a loss in pressure, a reliable unit is required to restore
gas loss safely and securely and to ensure that a stable cavity is maintained. The new
insufflators ENDOFLATOR® 40 and ENDOFLATOR® 50 offer this reliability. The S-PILOT™ is
always connected to a vacuum source, e.g., the UNIMAT® 30. This forms an interface which is
able to control the underpressure generated in the tube and the suction container. Thus, the
UNIMAT® 30 is used as a vacuum source and container and allows fluid suction and smoke
evacuation in parallel. As an alternative to the UNIMAT® 30, an on-site central vacuum can be
connected to the suction container.

25 3200 01 UNIMAT® 30, Suction Pump Set, power supply 230 VAC,
50/60 Hz
including:
Bacterial Filter
Secretion Bottle
Bottle Cap
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

Connecting Tube, short

Patient Tube
Overflow Case
Mains Cord, length 300 cm

UI 500 S1 ENDOFLATOR® 50 SCB, with integrated SCB module,

power supply 100-240 VAC, 50/60 Hz
including:
SCB Connecting Cable, length 100 cm
Universal Wrench
Heated Insufflation Tubing Set, with gas filter, sterile,
for single use, package of 3
HICAP® Trocar, size 11 mm

18
 AUTOCON® III 400

UH 400 AUTOCON® III 400 High-End, UH 401 AUTOCON® III 400 High-End,
power supply 220-240 VAC, BIVASCULARSAFE,
50/60 Hz power supply 220–240 VAC,
including: 50/60 Hz
Mains Cord including:
Mains Cord

UH 400U AUTOCON® III 400 High-End, UH 401U AUTOCON® III 400 High-End,
power supply 100-127 VAC, BIVASCULARSAFE,
50/60 Hz power supply 100–127 VAC,
including: 50/60 Hz
Mains Cord including:
Mains Cord

Specifications:
Insulation Type / Classification
EMC IEC 60601-1-2
Degree of protection provided by the housing IP 21
Protection class according to EN 60601-1 I
Applied part type according to EN 60601-1 CF
Classification according to EU Directive 93/42/EEC Ilb

Mains Connection
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

Power consumption in standby mode 40 W / 85 VA

Power frequency 50/60 Hz
Max. power consumption at max. HF power output of
550 W / 975 VA
400 Watt
Connection for potential equalization yes

Voltage Range 230 V

Input voltage range 198 V to 264 V
Mains fuse 2 x 5A slow blow

Voltage Range 100 V, 115 V

Input voltage range 100 V to 130 V
Mains fuse 2 x 10A slow blow

19
 Accessories for AUTOCON® III 400

Art. No. Description

One-Pedal Footswitch, with button for switchover function,

UF 901 for use with HF generators

Two-Pedal Footswitch, with button for switchover function,

UF 902 for use with HF generators

Bipolar High Frequency Cord, 400 cm with coding system,

UH 801 for use with KARL STORZ bipolar resectoscopes, and
AUTOCON® III 400 units

Neutral Electrode, of conductive silicone with 2 rubber

27805 ties for fastening, contact surface A = 500 cm², for use with
Connecting Cable 27806 UR

Connecting Cable, for connecting Neutral Electrodes

27806 UR 27805 and 860021 E, length 300 cm

Neutral Electrode, for single use, contact surface divided

27802 into two, A = 169 cm², package of 50, Connecting Cable
27806 US required

Connecting Cable, for connecting single-use Neutral

27806 US Electrode 27802, length 500 cm

Electrode Handle, with 2 buttons for activating the unipolar

generator,
26 5200 43 yellow button: unipolar cutting,
blue button: unipolar coagulation
(High Frequency Cord 26 5200 45 required).

High Frequency Cable, for Electrode Handle 26 5200 43,

26 5200 45 length 500 cm
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

Electrode Handle, without buttons, with integrated

26 5200 46 connecting cable, length 300 cm; activation of the high
frequency surgical unit via footswitch

20
 © KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

Notes

21
22
Notes

© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

 Notes
© KARL STORZ 96212021 UNITS 13 2.0 06/2017/EW

It is recommended to check the suitability of the product for the intended procedure prior to use.

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 96212021 UNITS 13 2.0 06/2017/EW-E

KARL STORZ GmbH & Co. KG

Mittelstraße 8, 78532 Tuttlingen, Germany
Postbox 230, 78503 Tuttlingen, Germany
Phone: +49 (0)7461 708-0
Fax: +49 (0)7461 708-105
E-Mail: info@karlstorz.com
www.karlstorz.com