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gbo Medizintechnik ULTRATHERM 1008 Instructions For Use Manual

Short-wave therapy unit
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Instructions for use
ULTRATHERM 1008 short-wave therapy unit

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Summary of Contents for gbo Medizintechnik ULTRATHERM 1008

  • Page 1 Instructions for use ULTRATHERM 1008 short-wave therapy unit...
  • Page 2 ULTRATHERM 1008 The gbo Medizintechnik AG has taken care in preparation of this manual, but makes no expressed or implied warranty of any kind and assumes no responsibility for er- rors or omissions. All rights reserved. No part of this manual may be reproduced in any form or by any means (electronic, mechanical, or otherwise) without the prior written permission of the gbo Medizintechnik AG.

  • Page 3: Table Of Contents

    Short-wave therapy in the capacitor (dielectric) field Short-wave therapy in the coil (induction) field Program description Display and control elements Main menu Indications menu Programming menu Basic settings menu Putting the unit into operation Preparing the unit for operation © gbo Medizintechnik AG Version 1.7...
  • Page 4 Indications table Important information Dosage levels according to Schliephake Indications Orthopedics – Surgery / Neurology Dermatological Indications Gynecology ENT / dentistry and oral medicine Internal medicine, urology Contraindications Absolute contraindications Local contraindications Of particular importance © gbo Medizintechnik AG Version 1.7...

  • Page 5: Introduction

    ULTRATHERM 1008 short-wave therapy unit from gbo Medizintechnik AG. Intended use The ULTRATHERM 1008 short-wave therapy unit may be used only for the in- tended purposed – short-wave therapy in the medical treatment of human beings! Any other use is deemed not authorized and can cause personal injury or damage to property! ©...

  • Page 6: Guarantee

    ULTRATHERM 1008 Guarantee The ULTRATHERM 1008 short-wave therapy unit is guaranteed for 2 years from the date of delivery by gbo Medizintechnik AG. The unit is covered by the guarantee policy of gbo Medizintechnik AG. Repair of the unit may be performed only by the manufacturer or a per-...

  • Page 7: Symbols Used In The Documentation

    Device of type BF (insulated (non-earthed) application element). Non ionizing radiation CE – Conformity sign This product complies with WEEE Directive 2002/96/EG (waste electrical and electronic equipment). Separate collection for electrical and electronic equipment. © gbo Medizintechnik AG Version 1.7...

  • Page 8: Safety Instructions

    ULTRATHERM 1008 Safety instructions General information The ULTRATHERM 1008 short-wave therapy unit and the accompanying components and individual elements fulfill singly and as a unit the currently valid safety standards and comply with the stipulations of EN 60601 and the medical device directive.

  • Page 9: Personal Safety

    – there is no danger of unwanted local warming due to electrode con- strictions and – no other persons are located within 2 meters of the unit! © gbo Medizintechnik AG Version 1.7...
  • Page 10 Particular care is to be taken with patients who have a re- duced capacity for heat perception! ( A.2 Dosage levels according to Schliephake) During service and maintenance work it is not allowed to treat a patient! © gbo Medizintechnik AG Version 1.7...

  • Page 11: Protection Of Unit

    Never operate the unit with open outputs (i.e. without electrodes)! The device should neither be placed in front of heating radiators nor should it be covered by pillows or blankets while in operation. The device is not made for outdoor operation. © gbo Medizintechnik AG Version 1.7...
  • Page 12 During service and maintenance work it is not allowed to treat a patient!  The device must not be used as a step or a seat! © gbo Medizintechnik AG Version 1.7...

  • Page 13: Installation

    In the event of subsequent transport of the unit, the dealer or the operator is responsible for the unit and for compliance with the safety and accident pre- vention regulations. © gbo Medizintechnik AG Version 1.7...

  • Page 14: Unpacking The Unit

    When returning the unit, include the following information: – Name and address of the sender and receiver – Type and serial number of the unit – Description of the defect (damage report) – Date and signature © gbo Medizintechnik AG Version 1.7...

  • Page 15: Description Of Unit

    Plastic plate electrode Electrode connection cable with sponge rubber covering Self-locking plastic electrode arm, extractable Control panel with graphic display Metal housing Locking castor Power switch Fig. 4 - 1 Front view of ULTRATHERM 1008 © gbo Medizintechnik AG Version 1.7...

  • Page 16: Patient Side

    Voltage selector High-load non-heating appliance plug Rating plate Female end of the electrode connection cable Adjusting element for electrode-skin distance Locking screw on electrode arm Fig. 4 - 2 Back view of ULTRATHERM 1008 © gbo Medizintechnik AG Version 1.7...

  • Page 17: Accessories

    Eddy-current electrode (Diplode) with cable Eddy-current electrode (Monode) with cable Fig. 4 - 5 Plastic eddy-current elec- trodes, coil (induction) field Use only original accessories to ensure the safe operation of the appli- ance! © gbo Medizintechnik AG Version 1.7...

  • Page 18: Description Of Functions

    The pulsed mode is advantageous in the treatment of acute conditions. gbo Medizintechnik AG short-wave therapy units are therefore used for a wide range of applications in hospitals and in private practices by doctors and phys- iotherapists.

  • Page 19: Short-Wave Therapy In The Capacitor (Dielectric) Field

    The ESD must be small for surface warming and large for depth warming! A larger ESD is necessary for patients with a thick layer of subcutaneous fat in order to achieve the necessary warming of deep-lying tissue! © gbo Medizintechnik AG Version 1.7...

  • Page 20: Short-Wave Therapy In The Coil (Induction) Field

    For maximum depth effectiveness, the inductive field electrodes should be in direct contact with the body. Induction field electrodes that are operated without a patient could be de- stroyed due to overheating! © gbo Medizintechnik AG Version 1.7...

  • Page 21: Program Description

    ULTRATHERM 1008 Program description Display and control elements ULTRATHERM 1008 operating element Graphic display Multi-function keys Stop-key (power output shut-off) Multi-function rotary switch with push-button function (Enter) Fig. 6 - 1 ULTRATHERM 1008 operating element © gbo Medizintechnik AG Version 1.7...

  • Page 22: Main Menu

    Matching display field Effective power display field (patient effective power) Fig. 6 - 2 ULTRATHERM 1008 main menu Parameters can be set in three ways: 1. Direct input of parameter with the function keys (5 through 8) 2. Selection of a disorder in the indications menu (9) 3.
  • Page 23 Matching display field (optimum effect in full display) Effective power display field (patient effective power) Fig. 6 - 3 ULTRATHERM 1008 main menu – The information in the text output field varies depending on the selected program or indication and disappears after changing the parameter for these preset values.

  • Page 24: Indications Menu

    Function key for calling up further information (application of electrodes, com- ments on therapy) Fig. 6 - 4 Indications menu; ULTRATHERM 1008 main page © gbo Medizintechnik AG Version 1.7...
  • Page 25 Function key for confirming the selected medical field (Enter); alternatively, the push-button function of the multi-function rotary switch can be used Function key for return to main page Fig. 6 - 5 Indications menu; ULTRATHERM 1008 index page © gbo Medizintechnik AG Version 1.7...
  • Page 26 Function key for confirming the parameters from the display field (1); alternatively, the push-button function of the multi-function rotary switch can be used Fig. 6 - 6 Indications menu; ULTRATHERM 1008 info page * PE = plate electrode (the number in parentheses indicates the electrode diameter)

  • Page 27: Programming Menu

    (1) for the next treatment. Function key for saving the values displayed in the parameters display field in the selected program position. In this case, already saved parameters are overwritten. Fig. 6 - 7 ULTRATHERM 1008 programming menu © gbo Medizintechnik AG Version 1.7...

  • Page 28: Basic Settings Menu

    Graphic display brightness display field Graphic display contrast display field Function key for return to main menu Fig. 6 - 8 ULTRATHERM 1008 basic settings menu Opening the basic settings menu: ( 7.9 Changing basic settings) © gbo Medizintechnik AG...

  • Page 29: Putting The Unit Into Operation Preparing The Unit For Operation

    Also make sure that the cables have been routed correctly.  To avoid the risk of electric shock, ULTRATHERM 1008 must only be connected to the mains with protective earth.  The mains connector is used as separation measure to the mains ...

  • Page 30: Positioning The Electrodes

    Local overheating can occur in the electric field due to one-sided application of electrodes or the presence of metal objects (e.g. earrings, metal implants). incorrect incorrect Fig. 7 - 2 Positioning of electrodes – edge effect and metal objects © gbo Medizintechnik AG Version 1.7...
  • Page 31 Monode is recommended for local applications. It is also possible to achieve this, however, by using different electrode sizes and varying the posi- tions. Below you will find several examples for correct placement of electrodes: © gbo Medizintechnik AG Version 1.7...
  • Page 32 Uneven irradiation by the use of different electrodes Even irradiation of areas of the trunk, the head or the extremities with a large electrode-skin distance. Positioning of electrodes – normal cases Fig. 7 - 4 © gbo Medizintechnik AG Version 1.7...

  • Page 33: Setting The Electrode-Skin Distance

     Set the electrode-skin distance according to the information in the indications table. CAUTION: Make sure that the adjusting pins are screwed safely during the treatment! © gbo Medizintechnik AG Version 1.7...

  • Page 34: Switching On The Unit

    1. Select desired parameter by pressing the corresponding function key (min., Mode, Hz) in the main menu. 2. Set the selected parameter by turning the multi-function rotary switch to the appropriate position. Accept the set value by pressing the multi-function rotary switch © gbo Medizintechnik AG Version 1.7...
  • Page 35 1. Select the programming menu by pressing the function key (Prog.) in the main menu. 2. Set the desired program by turning the multi-function rotary switch. 3. Accept the parameter values saved in the program by pressing the multi-function rotary switch or the Select key. © gbo Medizintechnik AG Version 1.7...

  • Page 36: Beginning The Treatment

    Observe the matching display and the well-being of the patient (verbal response) 5. Adjust the parameter setting during the treatment, if necessary During active treatment it is not possible to switch directly from continuous mode (CW mode) to pulsed mode and vice versa. © gbo Medizintechnik AG Version 1.7...

  • Page 37: Interrupting/Ending Treatment

    LCD contrast 70 % 0 - 100 % 7.11 Placing out of operation In order to disconnect the device just disconnect it from the mains power supply. No other measures are to be taken © gbo Medizintechnik AG Version 1.7...

  • Page 38: Maintenance And Repairs

    Never clean the unit with abrasives, disinfectants or solvents that could scratch the housing or damage the unit.  Wait until the unit is completely dry before operating it again. © gbo Medizintechnik AG Version 1.7...

  • Page 39: Safety Inspections

    If the unit is not safe for operation, then it must be repaired by the authorized service personnel and the operators must be informed of the dangers posed by the unit! © gbo Medizintechnik AG Version 1.7...

  • Page 40: Error Messages

    This is also indi- cated by the WEEE sign (crossed out waste container). The device and also the accessories must be cleaned before the disposal. © gbo Medizintechnik AG Version 1.7...

  • Page 41: Technical Specifications

    IIb acc. to MDD without electrodes, electrode arms and electrode cables If the unit is operated after cooling to below the freezing point, mal- functions or defects may occur due to formation of condensation water ! © gbo Medizintechnik AG Version 1.7...
  • Page 42 The product’s duration of life as scheduled by the manu- facturer is 10 years. ULTRATHERM 1008 is an electronic device. For its disposal the according regula- tions for electronic devices have to be observed. On request, the manufacturer will provide you with further technical descriptions for...
  • Page 43 IEC 61000-4-8 typical location in a typical commer- cial or hospital environment. Note: U is the a.c. mains voltage prior to application of the test level.  © gbo Medizintechnik AG Version 1.7...
  • Page 44 Separation distance according to the tranmission frequency (m) transmitter (W) 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2,5 GHz d=1,2P d=1,2P d=2,3P 0,01 0,12 0,12 0,23 0,38 0,38 0,73 © gbo Medizintechnik AG Version 1.7...
  • Page 45 ULTRATHERM 1008 © gbo Medizintechnik AG Version 1.7...
  • Page 46 ULTRATHERM 1008 Annex A Indications table © gbo Medizintechnik AG Version 1.7...
  • Page 47 ENT / dentistry and oral medicine A.7.1 Laryngitis A.7.2 Otitis media (chronic) A.7.3 Sinusitis max. Internal medicine, urology A.8.1 Bronchitis (chronic) A.8.2 Cholelithiasis A.8.3 Hepatitis A.8.4 Constipation A.8.5 Unspecific exudative pleurisy (chronic) A.8.6 Prostatitis and vesiculitis © gbo Medizintechnik AG Version 1.7...

  • Page 48: A Indications Table

    (active side) and a large distance on the opposite (passive) side. – For depth therapy (inner organs, joints), a large electrode-skin distance is required on both sides. © gbo Medizintechnik AG Version 1.7...

  • Page 49: Dosage Levels According To Schliephake

    On the following pages you will find a list of disorders that can be treated with short-wave therapy; the list is arranged according to medical fields and is also analogous to the unit software. © gbo Medizintechnik AG Version 1.7...

  • Page 50: Orthopedics - Surgery / Neurology

    10 – 15 treatments Treatment interval Every other day Notes Short-wave treatment relieves tension in muscles and connective tissue Apply treatment in pain-free joint positions Important! Use heat therapy only if tolerable for patient! © gbo Medizintechnik AG Version 1.7...

  • Page 51: Chronic Polyarthritis Of The Hip And Shoulder Joints

    Short-wave treatment relieves tension in muscles and connective tissue. At dosage of 1, can also be applied for 2 – 3 minutes in inflammatory condition. Bechterew’s disease A.4.4 Definition: Inflammatory, stiffening disorder of the spine and of the major joints © gbo Medizintechnik AG Version 1.7...

  • Page 52: Bursitis

    Subacut:e 10 min – 15 min Duration of treatment Dosage: 2 – 3 Subacute: Dosage: 1 Treatment dosage 12 Watt middle power 8 – 12 treatments Every other day Treatment interval Coil method (Monode) in subacute phase Notes © gbo Medizintechnik AG Version 1.7...

  • Page 53: Distorsions, Dislocations, Contusions

    10 min – 15 min Duration of treatment Dosage: 2 – 3 Treatment dosage Subacute: Dosage: 1 16 Watt middle power 5 – 10 treatments Treatment interval Daily Important! Contraindication: Heat therapy in all acute phases! © gbo Medizintechnik AG Version 1.7...

  • Page 54: Facial Paralysis (Peripheral)

    10 treatments Notes The short-wave therapy accelerates and improves callus formation. Additional segmental application, dosage 1, 3 min., is always favorable. Important! Do not apply short-wave treatment in case of fresh hema- toma or nailing! © gbo Medizintechnik AG Version 1.7...

  • Page 55: A.4.10 Intercostal Neuralgia

    At dosage of 1, can also be applied for 2 – 3 minutes in inflammatory condition. The use of coil (induction-field) electrodes rather than capacitor (dielec- tric-field) electrodes is recommended. Important! Apply heat treatment only if it is bearable for the patient! © gbo Medizintechnik AG Version 1.7...

  • Page 56: A.4.11 Contracture

    Every other day Min. 6 treatments in series Notes Treatment in supported prone position Important! A further diagnosis is necessary if there is no improve- ment after the first treatments! A.4.13 Myalgia Definition: Muscle pain © gbo Medizintechnik AG Version 1.7...

  • Page 57: A.4.14 Neuralgia / Neuritis

    Short-wave treatment relieves tension in muscles and connective tissue. At dosage of 1, can also be applied for 2 – 3 minutes in inflammatory condition. The use of coil (induction-field) electrodes rather than capacitor (dielec- tric-field) electrodes is recommended. © gbo Medizintechnik AG Version 1.7...

  • Page 58: A.4.15 Frozen Shoulder

    Active: 2 cm Passive: 2 cm 5 min – 10 min Duration of treatment Dosage: 2 – 3 Treatment dosage 10 – 15 treatments Treatment interval Daily Important! Contraindication: Heat therapy in all acute phases! © gbo Medizintechnik AG Version 1.7...

  • Page 59: A.4.17 Spondylosis / Osteochondrosis

    3 min – 6 min Duration of treatment Dosage: 1 – 2 Treatment dosage 10 – 12 treatments Treatment interval 3 times per week Important! Heat therapy only if bearable and never in acute phase! © gbo Medizintechnik AG Version 1.7...

  • Page 60: A.4.19 Tendovaginitis

    Dosage: 2 – 3 Treatment dosage 5 – 10 treatments Treatment interval Every other day Notes Short-wave treatment relieves tension in muscles and connective tissue. Important! Apply heat treatment only if it is bearable for the patient! © gbo Medizintechnik AG Version 1.7...

  • Page 61: Dermatological Indications

    3 cm with larger electrode Important! Higher and longer dosages involve the danger of spread- ing! With open furuncles the wound must be dry; other- wise there is danger of being burned. Manual manipula- tions are contraindicated! © gbo Medizintechnik AG Version 1.7...

  • Page 62: Frostbite

    1 cm 10 min – 15 min Duration of treatment Treatment dosage Dosage: 1 10 W – 20 W effective power Treatment interval Daily 10 treatments Notes Upon improvement, continue treatment until wound is closed © gbo Medizintechnik AG Version 1.7...

  • Page 63: Hidradenitis

    5 min – 10 min Duration of treatment Dosage: 1 – 2 Treatment dosage 5 – 12 treatments Treatment interval Daily Notes The use of coil (induction-field) electrodes rather than capacitor (dielectric-field) electrodes is recommended © gbo Medizintechnik AG Version 1.7...

  • Page 64: Gynecology

    Duration of treatment Dosage: 1 – 3 Treatment dosage 5 – 10 treatments Treatment interval Every other day – Notes Important! No local treatment during pregnancy or menstrual phase! Special attention required during pregnancy! © gbo Medizintechnik AG Version 1.7...

  • Page 65: Amenorrhea, Dysmenorrhea, Ovarian Insufficiency

    5 – 10 min (to stimulate colliquation in chronic afflictions) Treatment dosage Dosage: 1 (for resorption of fresh infiltrates) Dosage: 2 (to stimulate colliquation in chronic afflictions) 5 – 10 treatments Treatment interval Daily – Notes © gbo Medizintechnik AG Version 1.7...

  • Page 66: Myometritis (Chronic)

    5 min – 10 min Duration of treatment Treatment dosage Dosage: 2 5 – 10 treatments Treatment interval 3 times per week – Notes No local treatment during pregnancy or menstrual phase! Important! Special attention required during pregnancy! © gbo Medizintechnik AG Version 1.7...

  • Page 67: Ent / Dentistry And Oral Medicine

    Passive: 5 cm 1 min – 3 min Duration of treatment Treatment dosage Dosage: 1 Treatment interval Daily 6 treatments Notes heat therapy in acute stage Important! Allow voice to recover fully, no whispering! © gbo Medizintechnik AG Version 1.7...

  • Page 68: Otitis Media (Chronic)

    Short-wave is more effective than light box. Short-wave treatment is recommended for polypous conditions. Em- pyemas, however, should not be treated in this way! Important! Allow decongestion of mucous membranes before apply- ing treatment! © gbo Medizintechnik AG Version 1.7...

  • Page 69: Internal Medicine, Urology

    If possible, combine with simultaneous aerosol inhalation in case of chronic bronchitis Important! As long as purulent mucus is present, treat only with dosage 1; later with dosage 2! Do not apply short waves during fever attacks! © gbo Medizintechnik AG Version 1.7...

  • Page 70: Cholelithiasis

    (not vertical) condition. Important! Never irradiate acute hepatitis conditions (danger of life- threatening exacerbation)! No hot full baths (this results in significant reduction of perfusion of the liver)! © gbo Medizintechnik AG Version 1.7...

  • Page 71: Constipation

    Notes Increased effectiveness in combination with spasmoly- sant, which should be applied intravenously or rectally before treatment. Important! Exact diagnosis necessary before beginning treatment! Omit specific disorders due to danger of colliquation of tissue! © gbo Medizintechnik AG Version 1.7...

  • Page 72: Unspecific Exudative Pleurisy (Chronic)

    Dosage: 1 – 3 Treatment dosage 2 – 3 times per week 10 – 15 treatments Treatment interval Genitals should be kept outside of the capacitor (dielec- Notes tric) field Important! Acute: No short-wave therapy! © gbo Medizintechnik AG Version 1.7...
  • Page 73 ULTRATHERM 1008 © gbo Medizintechnik AG Version 1.7...
  • Page 74 ULTRATHERM 1008 Annex B Contraindications © gbo Medizintechnik AG Version 1.7...
  • Page 75 ULTRATHERM 1008 © gbo Medizintechnik AG Version 1.7...

  • Page 76: B Contraindications

    The same applies in the case of malignant tumorous conditions. Heat application in the case of a tumorous disease can only be regarded as mal- practice. Moreover, cardiac congestions must be removed prior to any heat application. © gbo Medizintechnik AG Version 1.7...

  • Page 77: Local Contraindications

    Therefore, caution is also necessary in case of long-existing metal inclu- sions, such as shell fragments. Further contraindications relating to gynecological disorders include (see Möbius, Gynecological University Clinic, Jena): genital tuberculosis, endometriosis, pyosalpinx or pyo-ovarium, tubal carcinoma. © gbo Medizintechnik AG Version 1.7...

  • Page 78: Of Particular Importance

    (e.g. short-wave therapy) is applied. Moreover, a distance of at least 6 meters must be maintained between the unit and any low-frequency therapy that is being carried out at the same time! © gbo Medizintechnik AG Version 1.7...
  • Page 79 ULTRATHERM 1008 © gbo Medizintechnik AG Version 1.7...

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