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Physiomed Jubilee Operating Instructions Manual

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O P E R A T I N G I N S T R U C T I O N S
PHYSIOMED-Jubilee
00946 GB

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  • Page 1 O P E R A T I N G I N S T R U C T I O N S PHYSIOMED-Jubilee 00946 GB...
  • Page 2 The technical data in this manual is as at the time of printing and subject to alteration. Copyright © 2003 - 2010 by PHYSIOMED ELEKTROMEDIZIN AG All rights, including rights of translation, reproduction by printing, copying or similar methods, even of parts are reserved.

  • Page 3: Front Panel

    Instrument Overview Front Panel Rear Face Legend Mains Module Intensity Control Manual Release Key Socket Upper Status Bar Pulse Indicator SIM Socket Display Patient Current Indicator VAC Socket Lower Status Bar Output Indicator Data Selector Patient Lead Connector Symbols CAUTION! Please refer to the operating instructions and consider the physiological effects! Type BF component, not connected to protective ground wire!

  • 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>...
  • Page 6 Introduction Diagnosis using Stimulation Current ................35 Simultaneous Therapy ....................37 Indications Menu ......................37 Individual Programs ..................... 39 Save individual therapy modes .....................39 Save Potpourri ........................40 Call Program ..........................41 Delete program ........................41 Basic Settings ........................ 42 Setup Menu ..........................43 10 Appendix ........................

  • Page 7: Introduction

    Introduction 1 Introduction With your , you have acquired a high-quality and extremely ver- PHYSIOMED-Jubilee satile stimulation current therapy instrument. The instrument will only show its true potential, however, if you are well informed Operating Instructions about its functions. For this reason, carefully read the 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! PHYSIOMED-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 PHYSIOMED-Jubilee and easy operation. The plastic housing and the front panel protect the electronic components and sim- plify cleaning. Safety-related components are continuously monitored by the microprocessor, erro- neously initiated operating steps are suppressed, a self-test routine is performed af- ter switching on and possible malfunctions are displayed.

  • Page 10: Upper Status Bar<2

    (cursor stops flashing). The modified values are displayed in the upper status bar <2> or at the respective position of the display <3>. PHYSIOMED-Jubilee...

  • Page 11: Intensity Control <6

    <4>: Automatic output current switch-off disposes of an automatic output current switch-off acti- PHYSIOMED-Jubilee vated in case the current flow of the electrodes is interrupted (electrode falls off, plug is disconnected from patient lead etc.). The message...

  • Page 12: Output 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 cur- rent is turned up! PHYSIOMED-Jubilee...

  • Page 13: Manual Release Key Socket <11

    The SIM socket <12> serves to connect to an ultrasound ther- Simultaneous Therapy apy unit (see also PHYSIOSON-Expert page 37). 2.1.13 VAC Socket <13> The VAC socket <13> serves to connect to a vacuum applica- tion unit (also see PHYSIOVAC-Jubilee PHYSIOVAC-Expert Connecting a Vacuum Unit on page 43). PHYSIOMED-Jubilee...

  • Page 14: Overview Of Parameters

    (direct access) lower status bar<4> setup menu 2.2.2 Example Menu (2 level) Current mode current mode parameters therapy timer circuit I parameters circuit I back to previous menu electrodes display individual programs setup menu (plate electrodes/ (memory menu) vacuum electrodes) PHYSIOMED-Jubilee...

  • Page 15: Operation

    . The current setting is displayed in the up- per status bar. Toggling intensity ranges (0 – 3.5 mA or 0 – 25 mA). The current setting is displayed in the upper status bar (only for PHYSIOMED-Jubilee...
  • Page 16 ) with different rise times. The current setting 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. PHYSIOMED-Jubilee...
  • Page 17 ) with different rise times. The current setting 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) PHYSIOMED-Jubilee...

  • Page 18: Parameters For I/T-Diagnostics

    Select between rectangular pulse r1 and triangular pulse d1 Pulse time: Selecting the pulse time (steps from 1000 ms – 0,1 ms) Pause time: Selecting the time between the pulses (steps from 2-5 s) Trigger pulses with manual release key Confirm muscular reaction Delete stored values PHYSIOMED-Jubilee...

  • Page 19: Characterisation Of The Individual Current Modes

    0.1 mA/cm² of active electrode surface! (DF) Diphasé Fix e Diadynamic Current 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 PHYSIOMED-Jubilee...
  • Page 20 Bernard Fixed parameters Adjustable Pulse shape: sinusoidal half- Galvanic basis (5%) waves 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 PHYSIOMED-Jubilee...
  • Page 21 Ultrastimulation Current acc. to Träbert Fixed parameters Adjustable Pulse shape: square Mono-/biphase T = pulse time: 2 ms R = release time: 5 ms Stimulation frequency: about 143 Hz monophase biphase Application: Pains caused by hypertonic muscles, arthrosis and osteochondrosis. PHYSIOMED-Jubilee...
  • Page 22 Transcutaneous Electric Nerve Stimulation Fixed parameters Adjustable Pulse shape: square Mono-/biphase T = pulse time: 80…400 µs Bursts: 0-10 Hz Frequency bands: 1-150 Hz, 70-150 Hz Fixed frequency: 1-200 Hz monophase biphase Application: Pain therapy for chronic neuralgia and myalgia. PHYSIOMED-Jubilee...
  • Page 23 T = pulse time: 1 ms R = release time: 20 ms Surge time: 50 ms Surge pause: 70 ms Stimulation frequency: about 8 Hz monophase biphase Application: Shiver-inducing frequency for circulatory stimulation, analgesia, relaxing muscle tension, hematoma reduction. PHYSIOMED-Jubilee...
  • Page 24 Pulse shape: triangular Mono-/biphase T = pulse time: 1 ms R = release time: 10 – 100 ms Stimulation frequency: 10 - 100 monophase biphase Application: Stimulation current with random pulse triggering. For circulatory stimulation and analgesia with minimal stimulus adaptation. PHYSIOMED-Jubilee...
  • Page 25 Contraction: 1 - 60 s; manual triggering (manual re- lease key) Pause: 1 - 60 s Ramp (surge time): 4 settings monophase biphase Application: Treatment of muscle atrophies, intentional exercises according to Förster, electrogymnastics, muscle training in sports, co-ordination exercises PHYSIOMED-Jubilee...

  • Page 26: 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 stimulation, detonisation a. o. PHYSIOMED-Jubilee...

  • Page 27: 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 PHYSIOMED-Jubilee...

  • Page 28: Notes On Operation

    (2) Switch the device off and on with the mains switch (mains module <1>). The instrument will carry out an automatic self-test routine during which all functions and output values are checked. An acoustic signal is issued. (3) The instrument is ready now. You are in the start menu. PHYSIOMED-Jubilee...

  • Page 29: Instrument Errors

    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. Random instrument errors may conceivably occur as the result of harm- Note less spikes in the power line. PHYSIOMED-Jubilee...

  • Page 30: Stimulation Current Therapy

    Only switch off the equipment off AFTER you have removed the electrodes from the patient! Take care that the electrodes are by no means touched after the current is turned up! 4.1 General Information Jubilee offers you three possibilities to start a stimulation current ther- PHYSIOMED- apy: •...

  • Page 31: Safety Precautions For Stimulation Current Intensity

    12.0 x 9.0 (14.0 x 12,0) 10 mA EF 200 17.0 x 11.0 (20.0 x 15,0) 20 mA 4.3.1.2 Vacuum Electrodes Type Diameter of electrode Effective Maximum intensity for (cm) Area (cm currents with high gal- vanic component 0.7 mA 2 mA 4 mA PHYSIOMED-Jubilee...

  • Page 32: Preparations And Attaching The Electrodes

    Warning The automatic output current switch-off (intensity control <6>) is not active when working with a second pair of electrodes. For additional information on type, size and application of the electrodes, see the Short Introduction to Electrotherapy supplied therapy booklet PHYSIOMED-Jubilee...

  • Page 33: Modes Of Attaching The Electrodes

    It is important for the treatment to know the relation of ions of the respective me- dicament. Depending on the combination of the active agent molecules and their cations anions separation in positive and negative particles we speak of . Ions migrate as follows: cations cathode anions anode PHYSIOMED-Jubilee...
  • Page 34 During galvani- sation the maximum current intensity is 0.1 mA on 1 cm² of active electrode area. The time of each treatment must always be chosen according to medicament and size of electrodes; one treatment typically lasts 10-30 minutes. PHYSIOMED-Jubilee...

  • Page 35: Pain Therapy, Hyperaemisation, Detonisation

    NOT be stimulated successfully any more, it is advisable to treat the beginning atro- phy of the paralysed muscle with triangular pulses of the T/R. This way, the den- erved muscles can be retained until reinnervation by stimulation according to the principle of selective muscle stimulation. PHYSIOMED-Jubilee...
  • Page 36 (7) When applying FaS or HVS, set the release time R to 1s and the tension time T to the left to the manual release key position (turn the release time R to the rightmost position when applying T/R). (8) Set the therapy time. PHYSIOMED-Jubilee...
  • Page 37 If the intensity (intensity control <6> ) is turned up during the time of release, the following message will appear in the lower status bar <4>: Slowly turn down the intensity then. The message will disappear as soon as the previously set value is reached again. PHYSIOMED-Jubilee...

  • Page 38: Therapy Using Medium-Frequency Current Modes

    Turn the intensity down to 0. (9) Remove the electrodes. 4.6.2 Muscle Stimulation using Medium-frequency Surge Currents The medium-frequency surge currents intended for the surge current therapy is . Both current modes are usually applied to faradic excitable nerve-muscle KOTS units. PHYSIOMED-Jubilee...
  • Page 39 (7) If necessary, alter the basic frequency. (8) Activate the acoustic signal, if desired. (9) Set the therapy time. (10) Slowly turn up the intensity with manual release key pressed (intensity con- trol <6>) until the muscle contraction is sufficient. The therapy time elapses. PHYSIOMED-Jubilee...
  • Page 40 If the intensity (intensity control <6>) is turned up during the time of release, the following message will appear in the lower status bar <4>: Slowly turn down the intensity then. The message will disappear as soon as the previously set value is reached again. PHYSIOMED-Jubilee...

  • Page 41: Diagnosis Using Stimulation Current

    (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. PHYSIOMED-Jubilee...
  • Page 42 For additional information on how to interpret the I/T curve see the supplied therapy Introduction to Electrotherapy booklet . There you will also find a copy form for the I/T curve sheet. Select the bin symbol to delete the stored values, for example, to Note make a new measurement. PHYSIOMED-Jubilee...

  • Page 43: Simultaneous Therapy

    The ultrasonic transducer is one pole of the stimulation current circuit, a plate electrode the other one. may be used for simultaneous therapy in combination with ul- PHYSIOMED-Jubilee trasound therapy unit . Please refer to the operating instructions...
  • Page 44 Warning Take care that the electrodes are by no means touched after the cur- rent is turned up! (9) After treatment, an acoustic signal will be issued. Turn the intensity down to 0. (10) Remove the electrodes. PHYSIOMED-Jubilee...

  • Page 45: 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. PHYSIOMED-Jubilee...

  • Page 46: Save Potpourri

    The current settings are saved. Proceed in the same way to save the settings for the third position. (15) 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. PHYSIOMED-Jubilee...

  • Page 47: Call Program

    (3) Select one of the programs (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. PHYSIOMED-Jubilee...

  • Page 48: Basic Settings

    (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 visu- ally and by an acoustic signal. (5) Quit the basic setup. The selected settings are immediately valid. PHYSIOMED-Jubilee...

  • Page 49: Setup Menu

    Applying the electrodes near the thorax can increase the risk of ventricular fibrillation. The instrument may only be operated in dry rooms designed for medical purposes, in ac- cordance with VDE 0107, User Class 1 (rooms with patient beds, physical therapy rooms and practice rooms). PHYSIOMED-Jubilee...

  • Page 50: Service, Repairs, Maintenance

    Regularly check your accessories and replace any sponges and sponge bags which are contaminated, damaged or worn out through use, and which are no longer sufficiently thick. PHYSIOMED-Jubilee...

  • Page 51: Service Life And Disposal

    After instructions and reading of the user manual, training on the instrument is not absolutely essential. If there however is a need, continued training can be provided. Please contact the PHYSIOMED ELECTROMEDIZIN GmbH. 10.7 Connecting a Vacuum Unit You can also attach vacuum electrodes instead of plate electrodes with viscose cov- ers or adhesive electrodes.

  • Page 52: Technical Data

    Ambient temperature +10°C ... +40°C Relative humidity 30% … 75% 800 hPa … 1.060 hPa Air pressure 10.9.2 Environment Conditions (Transport and Storage) -10°C ... +50°C Ambient temperature 20% … 80% Relative humidity Air pressure 500 hPa … 1.060 hPa PHYSIOMED-Jubilee...

  • Page 53: Accessories

    Warning For safety reasons, has to be used exclusively with original ac- PHYSIOMED-Jubilee cessories. The use of other manufacturers' accessories is at the user's risk. Warning Plate electrodes are subject to wear and tear. The degree of wearout depends on the current mode, the frequency of use, and the intensity.

  • Page 54: Additional Accessories

    Plate electrode EF 100 (1x red/1x blue) length of cable 1,5 m 00534 Plate electrode EF 100 (blue/blue) 00564 Plate electrode EF 100 (blue/blue) 1,5 m 00657 Plate electrode EF 100 (blue/red) 00656 Plate electrode EF 100 (red/blue) 00535 Plate electrode EF 100 (red/red) PHYSIOMED-Jubilee...
  • Page 55 Set of punctiform electrodes incl. grip handle and viscose covers 02568 Set of punctiform electrodes incl. viscose covers 00404 Sponge layer for glove electrode 00570 Transportation bag 00104 Trolley Jubilee 01001 Trolley Universal 01003 Trolley Universal II 01005 Trolley Universal III 00541...

  • Page 56: Manufacturer's Recommendations

    Medical Devices Directive UNIT: PHYSIOMED-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 57: Index

    10, 11, 13, 14, 15, 17, 18, 20, 21, frequency-modulated current 18 30, 33 Frequenz 12 resorption enhancement 14 fuse 3 RIC 35 galvanisation 13, 28 setup menu 9, 42, 43 ground wire 22 SIM socket 7 hematoma reduction 17 simultaneous therapy 1 PHYSIOMED-Jubilee...
  • Page 58 15, 16, 17, 18, 19 unipolar 27 stochastic current 18 upper status bar 4 surge current 32, 33 VAC socket 7 surge pause 17 vacuum application unit 7 surge time 17 viscose covers 26, 28, 47 therapy dose 5 PHYSIOMED-Jubilee...

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