Related Manuals for Physiomed IONOSON-Jubilee
Summary of Contents for Physiomed IONOSON-Jubilee
- Page 1 O P E R A T I N G I N S T R U C T I O N S IONOSON-Jubilee Revision: 1.0 Valid for Software Version: 1.0 T E C H N O L O G Y F O R T H E R A P Y...
- Page 2 The technical data in this manual is as at the time of printing and subject to alteration. Copyright © 2003, 2004 by PHYSIOMED Elektromedizin AG ® All rights, including rights of translation, reproduction by printing, copying or similar methods, even of parts are reserved.
- Page 3 Instrument Overview Front Panel Rear Face Legend Mains Module Intensity Control Patient Lead Connector Upper Status Bar Pulse Indicator Ultrasonic Head Connector Display Dose Control Manual Release Key Socket Lower Status Bar Patient Current Indicator VAC Socket Data Selector Output Indicator Symbols CAUTION! Please refer to the operating instructions and consider the physiological effects!
-
Page 5: Table Of Contents
Contents Introduction........................1 Instrument Description..........................1 Application..............................1 Contraindications...........................2 Controls and Indicators ....................3 Function of Controls and Indicators ....................3 2.1.1 Mains Module <1>...........................3 2.1.2 Upper Status Bar<2>..........................4 2.1.3 Display <3>..............................4 2.1.4 Lower Status Bar<4> ..........................4 2.1.5 Data Selector <5>.............................4 2.1.6 Intensity Control <6> ..........................5 2.1.7 Pulse Indicator <7>... - Page 6 Introduction Diagnosis using Stimulation Current................34 Ultrasound Therapy....................... 36 General Information ..........................36 Therapy ..............................36 Simultaneous Therapy ....................37 General Information and Preparations....................37 Therapy ..............................38 Indications Menu ......................40 Treatment Procedures with Stimulation Current ................40 Treatment Procedures using Ultrasound ...................41 Individual Programs ...................... 43 Save individual therapy modes ......................43 Save Potpourri............................44 Call Program ............................45...
-
Page 7: Introduction
1 Introduction With your , you have acquired a high-quality and extremely versatile IONOSON-Jubilee combination unit for stimulation current and ultrasound therapy. The instrument will only show its true potential, however, if you are well informed about its functions. For this reason, carefully read the Operating Instructions and familiarise yourself with the use of the instrument. -
Page 8: Contraindications
Conditions following radiothorium treatments, X-ray therapy • Conditions following laminectomy • Skin lesions (infections, inflammatory processes, naevi) • Tumescences at all stages (pre-/postoperative) • Blood coagulation diseases. Warning Do not apply ultrasound or simultaneous therapy close to the brain, spinal cord and eyes! IONOSON-Jubilee... -
Page 9: Controls And Indicators
Controls and Indicators 2 Controls and Indicators As its LCD is divided in different function fields, allows for clear and IONOSON-Jubilee easy operation. The plastic housing and the front panel protect the electronic components and simplify cleaning. Safety-related components are continuously monitored by the microprocessor, errone- ously initiated operating steps are suppressed, a self-test routine is performed after switching on and possible malfunctions are displayed. -
Page 10: Upper Status Bar<2
You will then be able to select the parameters by turning the selector and confirm the selected value by pressing the selector again (cursor stops flashing). The modified values are displayed in the upper status bar <2> or at the respective position of the display <3>. IONOSON-Jubilee... -
Page 11: Intensity Control <6
<4>: Automatic output current switch-off disposes of an automatic output current switch-off activated in IONOSON-Jubilee case the current flow of the electrodes is interrupted (electrode falls off, plug is discon- nected from patient lead etc.). The message will appear in the CHECK ELECTRODES lower status bar<4>... -
Page 12: Patient Current Indicator <9
Colour of the female plug: red = anode (+), blue = cathode (-) Type BF component, not connected to protective ground wire. Warning Take care that the electrodes are by no means touched after the current is turned up! IONOSON-Jubilee... -
Page 13: Ultrasonic Transducer Connector <12
(Setup Menu). Warning The transducer contains a fragile ceramic piezo-resonator. Avoid shocks to the surface and take special care that the transducer is not dropped. Hand- ling malpractice can change the physical characteristics of the transducer! IONOSON-Jubilee... -
Page 14: Manual Release Key Socket <13
The transducer contains a fragile ceramic piezo-resonator! Avoid shoc the surface and take special care that the transducer is not dropped. Ha ling malpractice can change the physical characteristics of the resonato Connecting a Vacuum Unit on page 49). IONOSON-Jubilee... -
Page 15: Overview Of Parameters
2.2.2 Example Menu (2 level) Current mode current mode parameter therapy timers circuit I ultrasound therapy parameters circuit I back to previous menu electrodes display individual programs setup menu (plate electrodes/ (memory menu) vacuum electrodes) IONOSON-Jubilee... -
Page 16: Operation
Switching from galvanic current to medium-frequency interrupted direct current. The current setting is displayed in the upper status bar. Toggling intensity ranges (0 – 3.5 mA or 0 – 25 mA). The current setting is displayed in the up- per status bar (only for IONOSON-Jubilee... - Page 17 ) with different rise times. The current set- ting is displayed in the upper status bar. Current Mode Switching from monophase to biphase pulses. The current setting is displayed in the upper status bar. Acoustic signal, makes every current pulse audible. IONOSON-Jubilee...
- Page 18 ) with different rise times. The current set- ting is displayed in the upper status bar. Modulation frequency (selectable: 0 – 95 Hz) Pulse shape (sine, triangle, rectangle) Pulse length T (possible values: 2 ms, 4 ms, 6 ms, 8 ms, 10 ms, auto) IONOSON-Jubilee...
-
Page 19: Parameters For I/T-Diagnostics
(ultrasound therapy), you can set the fol- SONO lowing parameters: Intensity control (dose) from 0.1 to 3.0 W/cm in steps of 0.1 W/cm adjustable with dose control <8> Mode of treatment adjustable parameters are 1/10 cont. Simultaneous therapy ON/OFF Acoustic coupling confirmation ON/OFF IONOSON-Jubilee... -
Page 20: Characterisation Of The Individual Current Modes
0.1 mA/cm² of active electrode surface! (DF) Diadynamic Current Diphasé Fixe acc. to Bernard Fixed parameters Adjustable Pulse shape: sinusoidal half-waves Galvanic basis (5%) T = pulse time: 10 ms R = release time: 0 ms Frequency: 100 Hz Galvanic basis ON IONOSON-Jubilee... - Page 21 Bernard Fixed parameters Adjustable Pulse shape: sinusoidal half-waves Galvanic basis (5%) T = pulse time: 10 ms R = release time: 10 ms Frequency: 100 Hz/50 Hz alternating every second Galvanic basis ON Application: Pain treatment, resorption enhancement IONOSON-Jubilee...
- Page 22 Pains caused by hypertonic muscles, arthrosis and osteochondrosis. (HV) High-Voltage Current Fixed parameters Adjustable Pulse shape: twin triangular pulse Mono-/biphase T = pulse time: 0.1 ms or adjustable 40 – 400 µs Stimulation frequency: 2 Hz - 200 Hz (classic: 197 Hz) IONOSON-Jubilee...
- Page 23 (IG 30) P ulse Galvanisation 30 acc. to Jantsch Fixed parameters Adjustable Pulse shape: triangular Mono-/biphase T = pulse time: 30 ms R = release time: 50 ms Stimulation frequency: about 12 Hz monophase biphase Application: Circulatory stimulation, analgesia IONOSON-Jubilee...
- Page 24 T = pulse time: 1 ms R = release time: 70 – 142 ms Stimulation frequency: 7 - 14 Hz monophase biphase Application: Shiver-inducing frequency with automatically altered stimulation cy- cles for circulatory stimulation, relaxing muscle tensions, analgesia, sports physiotherapy with little sensitive strain IONOSON-Jubilee...
- Page 25 (manual release key) Pulse shape: triangular, rectangular R = Pause: 1 - 60 s Ramp (surge time): 4 settings monophase biphase Application: Treatment of muscle atrophies, intentional exercises according to För- ster, electrogymnastics, muscle training in sports, co-ordination exer- cises IONOSON-Jubilee...
- Page 26 T = pulse time: 0.1 - 1000 ms R = release time: 1 ms - 7 s, manual triggering (manual release key). The pulse time cannot exceed the release time. Pulse shapes: Square , 3 trapezoidal, triangular, exponential pulse IONOSON-Jubilee...
-
Page 27: Medium-Frequency Currents
0.1 - 1 Hz, 1 - 25 Hz, 1 - 50 Hz, 1 - 250 Hz, 100 - 250 Hz or any other Select: fixed frequency: 0 – 250 Hz Application: According to choice of parameters: pain therapy, circulatory stimula- tion, detonisation a. o. IONOSON-Jubilee... -
Page 28: Current Modes Of The Diagnostics Menu
Sine Triangle Rectangle Application: Muscle training 2.4.3 Current Modes of the Diagnostics Menu I/T Curve Diagnosis Pulse shape: square, triangular Pulse time T: 0.1 – 1000 ms Release time R: 2 s, 3 s, 4 s, 5 s, manual IONOSON-Jubilee... -
Page 29: Notes On Operation
The instrument will carry out an automatic self-test routine during which all functions and output values are checked and the transducer is calibrated. An acoustic signal is issued. (3) The instrument is ready now. You are in the start menu. IONOSON-Jubilee... -
Page 30: Checking The Coupling Control Of The Ultrasonic Transducer
Switch off the instrument and switch it on again. If the error code is still displayed after several runs through the self-test routine, contact your service partner. Note Random instrument errors may conceivably occur as the result of harmless spikes in the power line. IONOSON-Jubilee... -
Page 31: Stimulation Current Therapy
Moreover, both peculiarities and operating steps are de- scribed for different modes of treatment with using low-frequency IONOSON-Jubilee currents (page 28) and medium-frequency currents (page 32). Warning Always switch on the equipment BEFORE you attach the electrodes to the... - Page 32 5 mA EF 100 12,0 x 9,0 10 mA EF 200 17,5 x 11,0 20 mA 4.3.1.2 Vacuum Electrodes Type Diameter of electrode Area (cm Maximum intensity for (cm) currents with high galvanic component 0.7 mA 2 mA 4 mA IONOSON-Jubilee...
-
Page 33: Preparations And Attaching The Electrodes
Preferably used when treating small areas, e.g. nerve and muscle stimulation points, espe- cially on the hands or in the face. This therapy mode includes using two electrodes of different size, with the bigger (indif- ferent) one being fixed proximally in most cases. The size of the indifferent electrode IONOSON-Jubilee... -
Page 34: Therapy Using Low-Frequency Current Modes
Ions migrate as follows: cations to cathode anions to anode. Thus, the particles are named after the pole to which they migrate. The electric charge of the active agents in the medicaments is always named by the manufacturer. IONOSON-Jubilee... -
Page 35: Pain Therapy, Hyperaemisation, Detonisation
Treatment Procedure (1) Attach the electrodes to the respective stimulation points . (2) Select one of the above-mentioned current modes from the display <3>, e.g. STOCH (3) Select the variable parameters (e.g. frequency, biphase, etc.). (4) Set the therapy time. IONOSON-Jubilee... -
Page 36: Muscle Stimulation Using Low-Frequency Currents
(7) Select the ramp of the current rise (for FaS and HVS) or the mode of pulse (for T/R). (8) Set the therapy time. (9) If necessary, plug in the manual release key as therapy pause button. (10) Slowly turn up the intensity with intensity control <6>. The therapy time elapses. IONOSON-Jubilee... - Page 37 Pressing the button for T/R will trigger a current pulse of the time T previously se- lected. (11) Signs of fatigue should stop the treatment (they may already occur after a few mus- cle contractions)! (12) After treatment, an acoustic signal will be issued. Turn the intensity down to 0. (13) Remove the electrodes. IONOSON-Jubilee...
-
Page 38: Therapy Using Medium-Frequency Current Modes
(7) Slowly turn up the intensity with intensity control <6>). The therapy time elapses. Warning Take care that the electrodes are by no means touched after the current is turned up! (8) After treatment, an acoustic signal will be issued. Turn the intensity down to 0. (9) Remove the electrodes. IONOSON-Jubilee... -
Page 39: Muscle Stimulation Using Medium-Frequency Surge Currents
(1) Plug the manual release key into the manual release key socket <13> at the rear face of the instrument. (2) Attach the electrodes to the respective stimulation points. The position of the patient must enable a free movement of the stimulation area. (3) Depending on the indication, select one of the current modes KOTS IONOSON-Jubilee... -
Page 40: Diagnosis Using Stimulation Current
5 Diagnosis using Stimulation Current Creating an intensity-time diagram based on IT diagnosis enables you to make statements on the degree of damage of degenerate muscles as well as suitable parameters for the therapy. IONOSON-Jubilee... - Page 41 (5) Slowly turn up the intensity again until the muscles show signs of tension. Press the button to confirm the intensity value again. REACTION (6) Repeat this cycle until all pulse times T or only the desired ones have elapsed. (7) Turn the intensity down to 0. IONOSON-Jubilee...
-
Page 42: Ultrasound Therapy
Select the bin symbol to delete the stored values, for example, to make a new measurement. 6 Ultrasound Therapy 6.1 General Information offers you three possibilities to start ultrasound therapy: IONOSON-Jubilee • direct start via the ultrasound menu, • start via the indications menu with its proposals for treatment for a multitude of applications (page 46), •... -
Page 43: Simultaneous Therapy
No.1 (anode) of the patient lead (page 6). Make sure that there is enough space between the plate electrode and the transducer. If there is too little room, an error might be issued. IONOSON-Jubilee... -
Page 44: Therapy
If the ultrasonic waves are badly absorbed by the tissue of the patient, the light at the transducer will start flashing. Now you can choose between counting the effective therapy time or running the timer independently from the coupling (setup menu). IONOSON-Jubilee... - Page 45 - are always applied simultaneously. As soon as the transducer is put on again the stimulation current will also rise again automatically. For additional information on the ultrasound dose and other treatment parameters see the supplied therapy booklet Instructions for ultrasound therapy. IONOSON-Jubilee...
-
Page 46: Indications Menu
(3) Select the button Graphics An illustration will be displayed which shows you the parts of the body where you can at- tach the electrodes. This illustration, however, is only a suggestion. IONOSON-Jubilee... -
Page 47: Treatment Procedures Using Ultrasound
(1) Select the function from the display <3>. IND. (2) Select the desired indication from the indications menu. All forms of ultrasound therapy generally contain the abbreviation (US), e.g. Lumbar spine syndrome (US) The selected indication appears on the display. IONOSON-Jubilee... - Page 48 Warning Make sure you constantly keep moving the transducer on the skin of the patient (dynamic treatment)! Avoid using the transducer at one spot for a longer time (static treatment); this form of treatment might lead to damages on the patient’s tissue! IONOSON-Jubilee...
-
Page 49: Individual Programs
(5) Press the data selector. The cursor moves to the line below. (6) Select the symbol Save therapy form and confirm. (7) The cursor moves to the vacant position 1. Confirm again. (8) Exit the menu. The selected settings are saved in the respective program and can now be accessed. IONOSON-Jubilee... -
Page 50: Save Potpourri
The current settings are saved. Proceed in the same way to save the settings for the third position. (13) Exit the menu. The selected settings are saved in the respective program and can now be accessed. Note To keep track of things you may enter the program settings in the supplied sheet. IONOSON-Jubilee... -
Page 51: Call Program
<5> and confirm. (4) Select the symbol delete programs. The bin symbol starts flashing. (5) Select the program to be deleted and confirm. (6) Exit the menu. Now the program is deleted and can be newly assigned. IONOSON-Jubilee... -
Page 52: Basic Settings
Please consider that a current mode is stored only after two complete therapy cycles. Biphase current: Either a break between two half waves or two half waves immediately one after the other Proceed to basic settings for ultrasound Quit basic settings IONOSON-Jubilee... -
Page 53: Ultrasound
(3) Select the desired parameter with the data selector <5> and confirm. (4) Set the desired value of the parameter. The modification will be confirmed visually and by an acoustic signal. (5) Quit the basic setup. The selected settings are immediately valid. IONOSON-Jubilee... -
Page 54: Setup Menu
(2) Select the desired parameter with the data selector <5> and confirm. (3) Set the desired value of the parameter. Modifications can be recognised immediately by means of acoustic or visual signals. (4) Exit the setup menu. The selected settings are immediately valid. IONOSON-Jubilee... -
Page 55: General Notes
When defective, components affecting the safe operation of the instrument must be re- placed by manufacturer’s original parts. Upon request, service documents can be made available to qualified technical personnel employed by the customer. IONOSON-Jubilee... -
Page 56: Cleaning And Disinfection
If the vacuum application unit is connected and switched on, the current is re- leased automatically via the vacuum electrodes. By any means, always refer to the operat- ing instructions of the vacuum unit! The following vacuum units can be used in combination with IONOSON-Jubilee • PHYSIOVAC-Expert •... -
Page 57: Technical Data
- 1 / 5 100 Hz - 1 / 3 100 Hz - 2 / 5 100 Hz Ambient temperature + 10°C ... + 40°C Dimensions 345 x 133 x 348 mm (W x H x D) Weight 5.5 kg IONOSON-Jubilee... -
Page 58: Accessories
Instructions for Ultrasound Therapy *For safety reasons, is to be used exclusively with original accessories. The IONOSON-Jubilee use of other manufacturers' accessories is at the user's risk. Warning An effective current density of 2 mA/cm² must not be exceeded! For this reason you should always use electrodes of a sufficient size and be especially attentive when attach- ing them. -
Page 59: Additional Accessories
*Adhesive electrode ∅=3,2cm (round); 4 pieces 00586 00587 * Adhesive electrode 5x5cm; 4 pieces 00588 * Adhesive electrode 5x9cm; 4 pieces 00585 * Adhesive electrode 8x13cm; 2 pieces 00580 *Set Connection lead for PHYSIOPADS 1x plug red, 1 x plug blue IONOSON-Jubilee... - Page 60 * Bergony mask 00136 Iontophoresis foil 180x120mm (1000 pieces) 00331 * Manual release key 00179 Accessory tray 00570 Soft carrying bag 00139 * Connection lead for Physiovac-Jubilee 00167 * Power connection lead 00776 * Power lead with spark plug IONOSON-Jubilee...
-
Page 61: Manufacturer's Recommendations
Medical Devices Directive UNIT: IONOSON-Jubilee MANUFACTURER: PHYSIOMED Elektromedizin AG Instrument has to undergo a safety regulation control every 18 months. E X T E N T : Visual inspection of the instrument, extras and accompanying papers Function of controls and indicators... -
Page 62: Test Certificate
Test Certificate 18 Test Certificate C E - C E R T I F I C A T E O F C O N F O R M I T Y MANUFACTURER: PHYSIOMED Elektromedizin AG Hutweide 10 D-91220 Schnaittach Germany... -
Page 63: Index
32, 33, 41, 52 patient current, 6 electrogymnastics, 19, 20 patient lead, 5, 6, 25 exponential pulse, 12 plate electrodes, 6, 25, 50 faradic surge current, 19 polarity, 10, 13, 26, 27 fixed frequency, 11, 12, 17, 21, 31 potpourri, 43 IONOSON-Jubilee... - Page 64 26 status bar, 11 upper status bar, 4 stimulation current, 2, 19, 25, 34, 38, 39, 40 VAC socket, 8 stimulation current diagnosis, 1 vacuum application unit, 8 stimulation current therapy, 25, 26, 35 viscose covers, 25, 27, 52 IONOSON-Jubilee...