Physiomed PHYSIOTHERM-S Operating Instructions Manual

Physiomed PHYSIOTHERM-S 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
PHYSIOTHERM-S
00916 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 PHYSIOTHERM-S 00916 GB...
  • Page 2 The technical data in this manual is as at the time of printing and subject to alteration. Copyright © 2001 - 2009 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 Operator side Legend Power switch Electrode connection cable Graphic display Extractable electrode arm Data selector Metal housing Stop button Locking castor Plastic plate electrode...
  • Page 4 Patient side 10 Male end of electrode cable 14 Female end of electrode cable 11 Fuses 15 Adjusting element for electrode-skin distance 12 High-load non-heating appliance plug 16 Locking screw 13 Rating plate 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 1.3.1 Absolute contraindications ......................2 1.3.2 Local contraindications ........................2 1.3.3 Of particular importance......................3 Controls and Indicators....................4 Function of Controls and Indicators..................4 2.1.1 Display <2> ..........................4 2.1.2 Data Selector <3>........................4 2.1.3 Stop Button <4>..........................5 Overview of Parameters ......................5 2.2.1...
  • Page 6 7.1.4 Bechterew's disease........................21 7.1.5 Bursitis............................21 7.1.6 Distortions, dislocations, contusions ..................22 7.1.7 Epicondylitis..........................22 7.1.8 Facial paralysis (peripheral)......................23 7.1.9 Fracture ............................ 23 7.1.10 Intercostal neuralgia ......................... 24 7.1.11 Ischialgia........................... 24 7.1.12 Contracture ..........................25 7.1.13 Lumbago ..........................25 7.1.14 Myalgia ............................
  • Page 7 12 Cleaning and Disinfections.................... 49 13 Technical Data ........................ 50 14 Accessories........................51 14.1 Standard ..........................51 14.2 Special Accessories ........................ 51 15 Manufacturer’s Recommendations ................52 16 Index ..........................53...
  • Page 9: Introduction

    Introduction 1 Introduction With your , you have acquired a high-quality and extremely versatile PHYSIOTHERM-S unit for short wave therapy. 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 10: Contraindications

    (such as tuberculosis), however, are activated by heat. Accordingly, they represent a contrain- dication. The same applies in the case of malignant tumorous conditions. Heat application in the case of a tumorous disease can only be regarded as malpractice. Moreover, cardiac congestions must be removed prior to any heat appli- cation. PHYSIOTHERM-S...
  • Page 11: Of Particular Importance

    This in turn can cause excessive local heat, leading to (irreparable) third-degree burns. Therefore, caution is also necessary in case of long-existing metal inclusions, such as shell fragments. Further contraindications relating to gynaecological disorders include (see Möbius, Gynaecological University Clinic, Jena): genital tuberculosis, endometriosis, pyosalpinx or pyo-ovarium, tubal carcinoma. PHYSIOTHERM-S...
  • Page 12: Controls And Indicators

    Controls and Indicators 2 Controls and Indicators As its LCD is divided in different function fields, allows for clear PHYSIOTHERM-S and easy operation. The metal housing protects the electronic components and simplifies cleaning. Safety-related components are continuously monitored by the microprocessor, erroneously initiated operating steps are suppressed, a self-test routine is performed after switching on and possible malfunctions are displayed.
  • Page 13: Stop Button <4

    The stop button <4> is used to interrupt a therapy session. Press the stop button <4> if you want to stop treatment before the selected therapy time has elapsed. 2.2 Overview of Parameters 2.2.1 Start Menu effective power transmission programming mode indications therapy parameters menu PHYSIOTHERM-S...
  • Page 14: 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 prevention regulations. PHYSIOTHERM-S...
  • Page 15: Unpacking The Unit

    Prepare a damage report at once and send it to the carrier and to the dealer. 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 PHYSIOTHERM-S...
  • Page 16: Notes On Operation

    The instrument is equipped with a line voltage selector on the rear side (next to the line fuses). Use this selector to switch the line voltage of the instrument to 230 VAC or 115 VAC. It is not necessary to change the line fuses T16A. PHYSIOTHERM-S...
  • Page 17: Instrument Errors

    In case of display failure or other obvious defects, switch the unit off immediately by means of the power switch <1> and notify your authorized service partner! PHYSIOTHERM-S...
  • Page 18: Short Wave Therapy

    Positioning of electrodes – edge effect 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 Positioning of electrodes – edge effect and metal objects PHYSIOTHERM-S...
  • Page 19 Even irradiation of extremities in the transverse field longitudinal field Uneven irradiation by the use of different Even irradiation of areas of the trunk, the head electrodes or the extremities with a large electrode-skin distance Positioning of electrodes – normal cases PHYSIOTHERM-S...
  • Page 20: Setting The Intensity

    Plate electrode ∅ 80 mm 80 Watt Plate electrode ∅ 120 mm 200 Watt Plate electrode ∅ 165 mm 400 Watt Rubber capacitor electrode 120 x 180 mm 250 Watt Rubber capacitor electrode 145 x 250 mm 400 Watt PHYSIOTHERM-S...
  • Page 21: General Information On Starting A Short Wave Therapy

    Short Wave Therapy 5.3 General information on starting a short wave therapy offers you the following possibilities to start short wave therapy: PHYSIOTHERM-S • direct access (as described here) • starting via the indications menu with its treatment proposals for a multitude of applications (refer to page 15).
  • Page 22 (CW mode) to pulsed mode and vice versa. (6) Press the stop button <4> to interrupt the treatment or wait until the treatment duration has elapsed (signal tone). (7) Remove the electrodes and ask the patient how he feels. PHYSIOTHERM-S...
  • Page 23: Indications Menu

    (refer to medical field on page 17). (4) If required, get additional information on the selected indication (refer to Information on the selected treatment on page 16). (5) Select the desired (e.g. 400 W) OUTPUT POWER PHYSIOTHERM-S...
  • Page 24: Information On The Selected Treatment

    An illustration will be displayed resuming the main features of the applied treatment for you (e.g. dosage, duration etc., as well as the suggested parts of the body where you can attach the electrodes). (3) Select the function to return to the main menu. Select PHYSIOTHERM-S...
  • Page 25: Selecting A Medical Field

    The index page showing a list of medical fields will be displayed. (3) Select by the function the desired medical field from the index, Select e.g. Gynaecology. The indications of the recently selected medical field can now be selected. PHYSIOTHERM-S...
  • Page 26: Indications

    The duration of treatment (e.g. 5 – 20 minutes) should be short and with a small dosage at the beginning and can be gradually increased – depending on the tolerance patient. In case of severe reactions, the treatment should be interrupted and then reduced to a smaller dosage and a shorter duration. PHYSIOTHERM-S...
  • Page 27: Orthopaedics - Surgery / Neurology

    Treatment dosage Dosage: 2 – 3 Treatment interval Every other day 10 – 15 treatments 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! PHYSIOTHERM-S...
  • Page 28: Chronic Polyarthritis Of The Hip And Shoulder Joints

    Dosage: 2 – 3 Treatment interval Every other day 12 – 15 treatments Short-wave treatment relieves tension in muscles and connective tissue. At dosage of 1, it can also be applied for 2 – 3 minutes in inflammatory condition. PHYSIOTHERM-S...
  • Page 29: Bechterew's Disease

    3 min – 10 min Subacute: 10 min – 15 min Treatment dosage Dosage: 2 – 3 Subacute: Dosage: 1 12 Watt middle power Treatment interval Every other day 8 – 12 treatments Notes Coil method (diode) in subacute phase PHYSIOTHERM-S...
  • Page 30: Distortions, Dislocations, Contusions

    Electrode in contact with skin Duration of treatment 10 min – 15 min Treatment dosage Dosage: 2 – 3 Subacute: Dosage: 1 16 Watt middle power Treatment interval Daily 5 – 10 treatments Important! Contraindication: Heat therapy in all acute phases! PHYSIOTHERM-S...
  • Page 31: Facial Paralysis (Peripheral)

    Dosage: 1 – 2 Treatment interval Daily 10 treatments Notes The short-wave therapy accelerates and improves callus formation. Additional segmental application, dosage 1, 3 min., is always favourable. Important! Do not apply short-wave treatment in case of fresh haematoma or nailing! PHYSIOTHERM-S...
  • Page 32: Intercostal Neuralgia

    – longitudinal stimulation Electrode-skin distance 2 cm – 3 cm Duration of treatment 10 min – 15 min Treatment dosage Dosage: 2 – 3 Treatment interval Every other day At least 10 treatments in series Notes Treatment in supported prone position PHYSIOTHERM-S...
  • Page 33: Contracture

    Electrode-skin distance Apply diode or diplode directly to skin Duration of treatment 10 min – 15 min Treatment dosage Dosage: 2 – 3 Treatment interval Every other day Min. 6 treatments in series Notes Treatment in supported prone position PHYSIOTHERM-S...
  • Page 34: Myalgia

    12 treatments 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 (dielectric-field) electrodes is recommended. PHYSIOTHERM-S...
  • Page 35: Frozen Shoulder

    On both sides of the bone Electrode-skin distance Active: 2 cm Passive: 2 cm Duration of treatment 5 min – 10 min Treatment dosage Dosage: 2 – 3 Treatment interval Daily 10 – 15 treatments Important! Contraindication: Heat therapy in all acute phases! PHYSIOTHERM-S...
  • Page 36: Raynaud´s Disease

    Above the spine Electrode-skin distance Active: 3 cm – 4 cm Passive: 3 cm – 4 cm Duration of treatment 10 min – 15 min Treatment dosage Dosage: 2 – 3 Treatment interval Every other day 15 – 20 treatments PHYSIOTHERM-S...
  • Page 37: Sudeck´s Dystrophy

    Active: 1 cm – 2 cm Passive: large rubber electrode (small plate electrode) under the arm / hand Duration of treatment 10 min – 15 min Treatment dosage Dosage: 2 – 3 Treatment interval Daily 15 – 20 treatments PHYSIOTHERM-S...
  • Page 38: Cervical Syndrome

    5 min – 10 min Treatment dosage Dosage: 2 – 3 Treatment interval Every other day 5 – 10 treatments Notes Short-wave treatment relieves tension in muscles and connective tissue. Important! Apply heat treatment only if it is bearable for the patient! PHYSIOTHERM-S...
  • Page 39: Dermatological Indications

    ESD afflicted ear: 1.5 cm, press against auricle ESD healthy ear: 3 cm with larger electrode Important! Higher and longer dosages involve the danger of spreading! With open furuncles the wound must be dry; otherwise there is danger of being burned. Manual manipulations are contraindicated! PHYSIOTHERM-S...
  • Page 40: Frostbite

    Mode Pulsed mode Applicator diode Location of treatment Above affected areas Electrode-skin distance 1 cm Duration of treatment 10 min – 15 min Treatment dosage Dosage: 1 10 W – 20 W effective power Treatment interval Daily 10 treatments PHYSIOTHERM-S...
  • Page 41: Hidradenitis

    Above inflammation – Passive rubber electrode under the hand Electrode-skin distance Active: 2 – 3 cm (small plate Passive: 3 cm with rubber electrode above the electrode inflammation focus) Duration of treatment 5 min – 10 min Treatment dosage Dosage: 1 – 2 PHYSIOTHERM-S...
  • Page 42: Gynaecology

    Duration of treatment 5 min – 10 min Treatment dosage Dosage: 1 – 3 Treatment interval Every other day 5 – 10 treatments Notes – Important! No local treatment during pregnancy or menstrual phase! Special attention required during pregnancy! PHYSIOTHERM-S...
  • Page 43: Amenorrhoea, Dysmenorrhoea, Ovarian Insufficiency

    (for resorption of fresh infiltrates) 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) Treatment interval Daily 5 – 10 treatments PHYSIOTHERM-S...
  • Page 44: Myometritis (Chronic)

    Duration of treatment 5 min – 10 min Treatment dosage Dosage: 2 Treatment interval 3 times per week 5 – 10 treatments Important! No local treatment during pregnancy or menstrual phase! Special attention required during pregnancy! PHYSIOTHERM-S...
  • Page 45: Ent / Dentistry And Oral Medicine

    Active: 1 cm – 4 cm Passive: 5 cm Duration of treatment 1 min – 3 min Treatment dosage Dosage: 1 Treatment interval Daily 6 treatments Notes Heat therapy in acute stage Important! Allow voice to recover fully, no whispering! PHYSIOTHERM-S...
  • Page 46: Otitis Media (Chronic)

    Chronic: 10 – 12 treatments Acute: 6 treatments Notes Short-wave is more effective than light box. Short-wave treatment is recommended for polypous conditions. Empyemas, however, should not be treated in this way! Important! Allow decongestion of mucous membranes before applying treatment! PHYSIOTHERM-S...
  • Page 47: Internal Medicine, Urology

    Purulent: 6 treatments Notes 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! PHYSIOTHERM-S...
  • Page 48: Cholelithiasis

    (not vertical) position. 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)! PHYSIOTHERM-S...
  • Page 49: Constipation

    2 times per week 10 treatments Notes Heat therapy after the inflammatory exudate has decreased. Heat therapy accelerates the resorption and reduces shrinkage and thickening. In cases of dry pleurisy, the treatment is used with various degrees of success. PHYSIOTHERM-S...
  • Page 50: Prostatitis And Vesiculitis

    5 min – 10 min Treatment dosage Dosage: 1 – 3 Treatment interval 2 – 3 times per week 10 – 15 treatments Notes Genitals should be kept outside of the capacitor (dielectric) field Important! Acute: No short-wave therapy! PHYSIOTHERM-S...
  • Page 51: Individual Programs

    The extra menu for the individual programs containing the following functions is displayed: (3) Select one of the programs (4) Select the function to save the respective program. Store The selected settings are saved in the respective program and can now be accessed. PHYSIOTHERM-S...
  • Page 52: Call Program

    <2>. The menu containing the Prog. individual programs is displayed. (2) Select one of the programs . The parameters of the program are P20. displayed. (3) Select the function Delete Now the selected program is deleted and parameters can be newly assigned. PHYSIOTHERM-S...
  • Page 53: Basic Settings

    (5) Press the data selector. The value to be changed in this line is selected. (6) Set the desired parameter value by turning the data selector. (7) Confirm the set value by pressing the data selector. The entire line is then selected again. PHYSIOTHERM-S...
  • Page 54: General Notes

    General Notes 10 General Notes short-wave therapy unit and the accompanying components PHYSIOTHERM-S and individual elements fulfil singly and as a unit the currently valid safety standards and comply with the stipulations of IEC 601 and the medical products regulations.
  • Page 55 Particular care is to be taken with patients who have a reduced capacity for heat perception! After the treatment, ask the patient about his tolerance of the treatment and visit the treating doctor or physiotherapist. PHYSIOTHERM-S...
  • Page 56: Protection Of Unit

    Clean and disinfect the unit only by means of disinfection by wiping! Disinfecting by spraying can damage the unit due to penetrating moisture! • Never clean the unit with abrasives, disinfectants or solvents that could scratch the housing or damage the unit! PHYSIOTHERM-S...
  • Page 57: Service, Repairs, Maintenance

    Repairs to the instrument may be only performed by parties duly authorized by . Any repairs performed by an authorized agent PHYSIOMED ELEKTROMEDIZIN AG must be accompanied by written certification, describing the nature and extent of the repairs undertaken, as applicable with details regarding changes to nominal operating values or the operational range.
  • Page 58: Technical Data

    700 to 1060 mbar (operation) 500 to 1060 mbar (transport and storage) without electrodes, electrode arms and electrode cables If the unit is operated after cooling to below the freezing point, malfunctions or defects may occur due to formation of condensation water! PHYSIOTHERM-S...
  • Page 59: Accessories

    Power lead 3 m 00916 Operating Instructions *For safety reasons, is to be used exclusively with original accessories. PHYSIOTHERM-S Usage of other manufacturer’s accessories is at the user’s risk. 14.2 Special Accessories Ref.-No. Description * Plastic plate electrode ∅ 165 mm 00681 * Plastic plate electrode ∅...
  • Page 60: Manufacturer's Recommendations

    Medical Devices Directive UNIT: PHYSIOTHERM-S MANUFACTURER: PHYSIOMED ELEKTROMEDIZIN AG Instrument has to undergo a safety regulation control every 24 months. E X T E N T: Check housing, power cable, electrode connection sockets, electrode cables, plate electrodes, diplodes, diodes and rubber capacitor electrodes for deformations and damages.
  • Page 61: Index

    33 epicondylitis, 22 parametrism, 36 error periostitis, 27 internal, 9 pleurisy, 41 operator, 9 polyarthritis, 20 prostatitis, 42 Raynaud's disease, 28 sinusitis, 38 facial paralysis, 23 skin injuries, 32 field spondylosis, 28 dielectric, 1 Sudeck's dystrophy, 29 induction, 1 PHYSIOTHERM-S...
  • Page 62 13 original parts, 49 tuberculosis, 2 orthopedics, 19 tumours, 2 osteoarthritis, 19 overview operator side, 3 parameters, 5 patient side, 4 ultrasound therapy, 1 upper status bar, 4 pacemaker, 2 parameters veins, 3 basic settings, 45 change, 45 PHYSIOTHERM-S...

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