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Summary of Contents for Mego Afek Lympha Press Optimal Plus 912
- Page 1 Lympha Press Optimal Plus ® Model 912 Sequential Compression Therapy System User Manual L98008C4-K...
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Page 3: Table Of Contents
User Manual: Lympha Press ® Optimal Plus 912 Table of Contents Important - Before you Start .................. iii Indications ......................iv Contraindications ....................iv Symbols used in this Manual ................... v Safety Warnings and Precautions ................v Labels and Symbols on the Console, Garments, and/or Packaging ......vii 1. - Page 4 Appendix I - Specifications ..................53 Appendix II - EMC Manufacturer's Declarations ............ 54 Copyright © 2023 by Mego Afek AC Ltd. All rights reserved. No part of this manual may be reproduced or copied in any form by any means including graphic, electronic, or mechanical media, photocopying, typing, or other information retrieval systems, without the written permission of Mego Afek AC Ltd.
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Page 5: Important - Before You Start
User Manual: Lympha Press ® Optimal Plus 912 Important - Before you Start 1. Read this entire manual before setting up and operating the Lympha Press® Optimal Plus system. Keep the manual for future reference. 2. Keep all packing materials in case you need to transport the console. The packing materials have been designed to protect the system from damage during shipment. -
Page 6: Indications
User Manual: Lympha Press ® Optimal Plus 912 Indications Lympha Press® Optimal Plus is intended for use by medical professionals, and patients who are under medical supervision, in treating many conditions such as: • Primary lymphedema • Secondary lymphedema • Chronic venous insufficiency •... -
Page 7: Symbols Used In This Manual
User Manual: Lympha Press ® Optimal Plus 912 Symbols used in this Manual Symbol Description Note: Describes how the system functions or provides a note on how best to use it. Caution: Refers to the safe operation of the system and provides cautions where the possibility of loss of data or damage to the equipment exists. - Page 8 User Manual: Lympha Press ® Optimal Plus 912 Warning: To prevent any damage to equipment, use only accessories, detachable parts and materials described in this user manual. Caution: Do not use the Lympha Press® Optimal Plus system beyond the specified temperature range: 10 to 30°C (50 to 86°F).
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Page 9: Labels And Symbols On The Console, Garments, And/Or Packaging
On Console received and accepted a written mandate from Mego Afek AC package, and Ltd., to act on the Mego Afek AC Ltd.'s behalf in relation to garment bag and specified tasks with regard to the latter's obligations under EU... - Page 10 User Manual: Lympha Press ® Optimal Plus 912 Label Description Location On console base and package, and Unique Device Identification (UDI) garment bag and package Separate collection for waste electrical and electronic equipment Note: On console base For more information about disposal of equipment, its parts and accessories, contact your local distributor.
- Page 11 User Manual: Lympha Press ® Optimal Plus 912 Label Description Location Transportation & storage temperature limitation On package "ON" (power) On power switch "OFF" (power) On power switch Do Not Wash On garment tag Do Not Dry-clean On garment tag Do Not Tumble Dry On garment tag Do Not Bleach...
- Page 12 User Manual: Lympha Press ® Optimal Plus 912 L98008C4-K...
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Page 13: Introduction - The Lympha Press
User Manual: Lympha Press ® Optimal Plus 912 1. Introduction - The Lympha Press Optimal Plus System ® The Lympha Press® Optimal Plus system is a multi-zone calibrated gradient pneumatic compression therapy system for treatment of lymphedema, chronic venous insufficiency, venous stasis ulcers, lipedema, and edemas caused by trauma and sports issues. -
Page 14: Modes Of Operation
User Manual: Lympha Press ® Optimal Plus 912 1.2. Modes of Operation Lympha Press® Optimal Plus has four different treatment modes: Sequential Wave Pretherapy™ Post-therapy These modes are described in the following sections. Note: Your licensed medical practitioner selects the appropriate treatment mode for your condition. -
Page 15: The Wave Mode
User Manual: Lympha Press ® Optimal Plus 912 1.2.2. The Wave Mode This mode is an alternative to the Sequential mode and is also used as a main treatment cycle, on its own, after Pretherapy™, or during the last two minutes of Post-therapy. The Wave mode starts at the base of the limb, over the foot or hand. -
Page 16: Post-Therapy
User Manual: Lympha Press ® Optimal Plus 912 1.2.4. Post-therapy You can add Post-therapy after the Sequential or Wave cycles. Post-therapy provides "focused" treatment for the proximal, medial, or distal areas according to user selection, and then follows with Wave mode over the entire garment, according to the principles of manual lymph drainage. -
Page 17: System Components
User Manual: Lympha Press ® Optimal Plus 912 2. System Components The system consists of the console, compression garment(s), and hoses that deliver the air from the console to the garment. 2.1. Console and Accessories Table 1 - Console and Accessories Component Illustration The Console supplies air to the compression garments. -
Page 18: Compression Garments
Your local distributor will select the appropriate size and type of compression garment for you, according to your licensed medical practitioner's instructions. If any standard garment size does not fit you, your local distributor can consult with Mego Afek AC Ltd. for solution. - Page 19 User Manual: Lympha Press ® Optimal Plus 912 Garment Area Treated Pressure Limit Figure According to licensed medical practitioner's orders Both legs, groin, hips, Legs can be used at full range of Lympha Pants® buttocks, and pressure abdomen ...
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Page 20: Setting Up The System
User Manual: Lympha Press ® Optimal Plus 912 3. Setting up the System Before using the Lympha Press® Optimal Plus system for the first time, arrange the treatment area so that the patient can reach the console at any time during treatment. 3.1. -
Page 21: Putting On The Compression Garment
User Manual: Lympha Press ® Optimal Plus 912 3.3. Putting on the Compression Garment Your local distributor will select a garment for you according to your measurements and licensed medical practitioner's instructions. The garment should not fit tightly. Find your garment on the list below and follow the instructions. If the garment you receive is supplied with a separate hose, follow instructions from your local distributor to assemble the hoses to the garment. -
Page 22: Lympha Pants
User Manual: Lympha Press ® Optimal Plus 912 3.3.4. Lympha Pants ® Lympha Pants® is available in two configurations: Hose bundle inlets on garment sides (hips) - see Figure 5. Hose bundle inlets on garment lower areas (heels) - see Figure 6. ... - Page 23 User Manual: Lympha Press ® Optimal Plus 912 hook-and-loop fasteners attached three horizontal zippers Figure 7 - Forming a Customized "Boot" Using the Hook-and-Loop Fasteners Use the hook-and-loop fasteners to form a customized "boot" for your foot (see Figure 7). Lympha Pants®...
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Page 24: Lympha Jacket
User Manual: Lympha Press ® Optimal Plus 912 3.3.5. Lympha Jacket™ Lympha Jacket is a unique treatment system for the entire upper body. Lympha Jacket covers both arms, thus inhibits your mobility. Follow these instructions: A. Make sure you are sitting within easy reach of the console controls. B. -
Page 25: Lymphapod
User Manual: Lympha Press ® Optimal Plus 912 3.3.7. LymphaPod ® Note: LymphaPod® is a unique garment that treats the entire lower body. Follow these important instructions for use. Caution: Do not treat the abdominal area during pregnancy. Caution: Do not use pressures exceeding 40 mmHg over the abdomen. Determine where the patient's abdomen is located inside the garment before setting pressures in the chambers over the abdomen to ensure these maximum settings are not exceeded. - Page 26 User Manual: Lympha Press ® Optimal Plus 912 A. Spread the LymphaPod® garment on the bed. Place it face up (with printed LymphaPod logo on front). B. If the patient has very large hips or buttocks, open the adjustment zippers in the back of the garment.
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Page 27: Connecting The Hose Bundle To The Console
User Manual: Lympha Press ® Optimal Plus 912 3.4. Connecting the Hose Bundle to the Console 1. Locate the big gray connector at the other end of the hose bundle. All twelve hoses join at this gray connector. Note the snap tooth on the top of the connector. Also, note the two air outlets on the front of the console. -
Page 28: Operating The Console
User Manual: Lympha Press ® Optimal Plus 912 4. Operating the Console Following is a description of the console operating panel. Read this section before operating the console for the first time. Up button Mode button START/STOP button Select button Display screen Down button Figure 10 - The Console Operating Panel... - Page 29 User Manual: Lympha Press ® Optimal Plus 912 DC adapter socket Power switch USB socket Figure 11 - Console USB Socket, Power Switch & DC Adapter Socket L98008C4-K...
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Page 30: The Console Display Screen
User Manual: Lympha Press ® Optimal Plus 912 4.2. The Console Display Screen 4.2.1. Home Screen Table 4 - Home and Treatment Screen Displayed Screen Function Pressure - Displays pressure setting at the most distal pressure zone. Pressure may be increased or decreased from the HOME screen (see instructions below). -
Page 31: Treatment Parameters Screens
User Manual: Lympha Press ® Optimal Plus 912 4.2.3. Treatment Parameters Screens Table 6 - Treatment Parameters Screens Displayed Screen Function Welcome screen: Displaying the installed Firmware revision. Displayed for 2 seconds when turning to the I position. Pressure setting. The selected pressure is highlighted. Time setting. - Page 32 User Manual: Lympha Press ® Optimal Plus 912 Displayed Screen Function Pretherapy + Wave Wave + Post-therapy Pretherapy + Wave + Post-therapy L98008C4-K...
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Page 33: Setting Treatment Parameters
User Manual: Lympha Press ® Optimal Plus 912 4.2.4. Setting Treatment Parameters A. Press until the following screen appears. B. Press C. Press The Advanced Settings Screens appear. Table 7 - Advanced Settings Screens Displayed Screen Function Set Pressure screen (see the following two screens) ... - Page 34 User Manual: Lympha Press ® Optimal Plus 912 Displayed Screen Function Post Focus Area - This display enables selection of the area to receive focused treatment during the Post-therapy cycle. You can select DISTAL, MEDIAL, or PROXIMAL areas for Post-therapy focus. ...
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Page 35: Setting Treatment Parameters
User Manual: Lympha Press ® Optimal Plus 912 5. Setting Treatment Parameters Note: Select treatment parameters according to your licensed medical practitioner's instructions. 1. To select the Pressure, press to select Time. 2. Press 3. To select the Time, press Note: The minimum treatment time setting is 15 minutes. - Page 36 User Manual: Lympha Press ® Optimal Plus 912 6. Press until the following screen appears. 7. Press 8. Press The Set Pressure screen is displayed. The currently selected option is highlighted. 9. To select an option, press Depending on your selection, either the Set Pressure By Zone screen or the Set Pressure By Chamber screen is displayed with zone/chamber #1 highlighted (the most distal zone/chamber - over the hand or foot): 10.
- Page 37 User Manual: Lympha Press ® Optimal Plus 912 Alternative method for setting pressure: You can increase or decrease pressure on the HOME screen using before starting treatment. Doing so increases or decreases pressure in all zones/chambers according to the gradient. During treatment, you may increase or decrease pressure by pressing During treatment in Lock state, pressure cannot be increased above the preset pressure.
- Page 38 User Manual: Lympha Press ® Optimal Plus 912 24. To set the Pause Time, press The Pause Time screen is displayed: 25. To select the Pause Time, press Note: Pause time is the duration between compression cycles and can be set between 10-70 seconds.
- Page 39 User Manual: Lympha Press ® Optimal Plus 912 30. To reset to factory default settings, press The Reset to Default screen is displayed: 31. To select Cancel or OK, press When you select OK, the confirm Screen is displayed: 32. To select Cancel or OK, press When you select OK, the console resets to factory default settings.
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Page 40: Starting The Treatment Session
User Manual: Lympha Press ® Optimal Plus 912 6. Starting the Treatment Session Now you are ready to operate the console and begin your treatment. 1. Ensure that all hoses are properly connected to the garment and that the hose bundle is securely attached to the console. -
Page 41: User-Initiated Deflation Of Garment
User Manual: Lympha Press ® Optimal Plus 912 7.2. User-initiated Deflation of Garment To deflate and quickly empty the connected garment for easy storage, press and hold 3 seconds. Deflation runs for 3 minutes. 1. To stop deflation, press 2. To repeat deflation, press and hold for 3 seconds again. -
Page 42: Using The Lympha Press Mobile Application
User Manual: Lympha Press ® Optimal Plus 912 8. Using the Lympha Press Mobile Application ® The Lympha Press® Mobile Application allows: Modifying treatment parameters: • Cycle mode Treatment time Treatment pressure • Retrieving operational log (usage history) from the console •... -
Page 43: Connect To A Lympha Press ® Optimal Plus Console
User Manual: Lympha Press ® Optimal Plus 912 8.2. Connect to a Lympha Press Optimal Plus Console ® 1. Turn to the I position. 2. To open the application, tap on your Smartphone screen. The Splash screen is displayed for 3 seconds. Followed by the Search Screen. - Page 44 User Manual: Lympha Press ® Optimal Plus 912 The screen with the Smartphone name opens on the console: 6. To approve connection, press on the console. The following screen opens on the console: The Connection Approval message disappears from the Search Screen. The Main Screen opens (see Section 8.3 - Main Screen).
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Page 45: Main Screen
User Manual: Lympha Press ® Optimal Plus 912 8.3. Main Screen Following is a description of the Main Screen, which includes all operations of the Mobile App. Read this section before operating the Mobile App for the first time. The Main Screen includes the following operations: ... - Page 46 User Manual: Lympha Press ® Optimal Plus 912 Main Screen Buttons Control Function Menu button Time button: Used for selecting treatment time Pressure button: Used for selecting treatment pressure Cycle Mode toggle button: Used for selecting: Sequential mode Wave mode Advanced buttons used for selecting: Advanced settings with gradient pressures Advanced settings without gradient pressures...
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Page 47: Menu
User Manual: Lympha Press ® Optimal Plus 912 8.3.1. Menu A. To open the menu, tap or swipe right the Main Screen. The menu opens: Online Mode Menu Offline Mode Menu The Read from Device, Send to Device, Usage History options, and are available only in Online mode (i.e., only when the Mobile App is connected to a Lympha Press®... - Page 48 User Manual: Lympha Press ® Optimal Plus 912 Usage History - Read treatment log from console Tap Usage History. The Usage History screen opens: You can share the Usage History log as follows: a. Tap A standard Share-via-Application screen opens (different depending on devices and operating systems).
- Page 49 User Manual: Lympha Press ® Optimal Plus 912 About - Opens the Mobile App About page L98008C4-K...
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Page 50: Naming Your Console
User Manual: Lympha Press ® Optimal Plus 912 8.3.2. Naming your Console A. Tap and hold the device icon on the Main Screen for about 2 seconds, until the Rename Device dialog box with virtual keyboard opens. B. Tap the new name using the virtual keyboard. C. -
Page 51: Setting Treatment Parameters
User Manual: Lympha Press ® Optimal Plus 912 8.3.3. Setting Treatment Parameters Selecting Treatment Time Tap the Time button. The Time screen opens: To select the required treatment time, swipe up/down the time values. To approve the selected treatment time, tap OK or tap CANCEL to cancel selection and return to the Main Screen. -
Page 52: Advanced Settings
User Manual: Lympha Press ® Optimal Plus 912 8.3.4. Advanced Settings Tap the Advanced button. The Advanced Treatment Settings screen opens: Setting Gradient Pressures To enable gradient pressures, swipe right the Gradient Pressures button or swipe left to disable gradient pressures. Tap PRESSURE SETTINGS. - Page 53 User Manual: Lympha Press ® Optimal Plus 912 Note: Pressure can be selected for each chamber individually. The Mobile App prevents setting a reverse gradient (in which the pressure is higher proximally), as a reverse gradient could cause wrong way flow (reflux). Increasing/decreasing pressure in one chamber increases/decreases the pressure in the adjacent chambers when necessary, to prevent a reverse gradient.
- Page 54 User Manual: Lympha Press ® Optimal Plus 912 The Pretherapy button display changes as follows: Disabled Enabled Swipe up/down the Pressure value to select 30 or 40 mmHg. To approve the Pretherapy settings, tap OK or tap CANCEL to cancel and return to the Main Screen.
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Page 55: Saving A Treatment Program Created From Current Settings
User Manual: Lympha Press ® Optimal Plus 912 8.3.5. Saving a Treatment Program Created from Current Settings A. Tap The New Treatment Name dialog box opens on the Main Screen. B. Tap the New Treatment Name field to assign a treatment name. The New Treatment Name dialog box with virtual keyboard opens on the Main Screen. -
Page 56: Loading/Deleting A Treatment Program
User Manual: Lympha Press ® Optimal Plus 912 8.3.6. Loading/Deleting a Treatment Program A. To load a treatment program, tap The Saved Treatment Programs screen opens. B. To select a treatment program, Tap the program on the list (Wave 70 min @ 80 mmHg in the example above). The selected treatment program is loaded. -
Page 57: Sharing A Treatment Program
User Manual: Lympha Press ® Optimal Plus 912 8.3.7. Sharing a Treatment Program Settings that can be shared are those currently active in the mobile application: A current program whose settings are adjusted using the application Settings read from the connected console ... -
Page 58: Starting Treatment
User Manual: Lympha Press ® Optimal Plus 912 8.4. Starting Treatment To start treatment, tap on the Main Screen. The Treatment Screen opens. To adjust Time and/or Pressure, tap displays the remaining treatment time. To stop treatment, tap L98008C4-K... -
Page 59: Troubleshooting Wireless Communication Problems
User Manual: Lympha Press ® Optimal Plus 912 8.5. Troubleshooting Wireless Communication Problems Lympha Press® Mobile Application uses Bluetooth wireless technology for communication with the console. In most cases of temporary communication loss, communication resumes automatically. To resume communication with the Lympha Press® Mobile Application in an unlikely event of communication loss, application failure, or console disturbances, user should restart the application. -
Page 60: Maintenance & Storage
User Manual: Lympha Press ® Optimal Plus 912 9. Maintenance & Storage 9.1. Cleaning the Console 1. Ensure the power cord is unplugged before cleaning the console. 2. Wipe clean using a slightly damp cloth. 3. Do not allow any moisture or liquids to enter the console! 9.2. -
Page 61: Storage
User Manual: Lympha Press ® Optimal Plus 912 9.3. Storage Follow the storage instructions listed below: Keep the console, all components, and the garments away from direct sunlight. Store in a dry, shaded place (see Caution below). Do not twist or fold the hose bundle. ... -
Page 62: Firmware Upgrade And Configuration Of Settings
User Manual: Lympha Press ® Optimal Plus 912 9.7. Firmware Upgrade and Configuration of Settings Note: Only a certified technician should upgrade firmware. Firmware can be upgraded only when treatment is not running. You can upgrade firmware from USB drive as follows: 1. -
Page 63: Troubleshooting
User Manual: Lympha Press ® Optimal Plus 912 10. Troubleshooting Table 8 - Troubleshooting Symptom Possible Cause Corrective Action No electricity Inspect the electrical wall outlet. Verify that the DC power adapter cable is connected to the DC adapter socket on the console, and the The console is not working. -
Page 64: Repairs And Technical Support
10.2. Authorized Representative in Europe MedNet EC-REP GmbH Borkstrasse 10 48163 Muenster Germany Tel: +49 251 32266-61 Fax: +49 251 32266-22 Web: http://www.mednet-eurep.com 10.3. Manufacturer Mego Afek AC Ltd. Kibbutz Afek, 3004200 Israel Tel: 972-77-9084277 Fax: 972-4-8784148 E-mail: info@megoafek.com Web: www.megoafek.com 10.4. Lympha Press Optimal Plus Service Life ®... -
Page 65: Appendix I - Specifications
User Manual: Lympha Press ® Optimal Plus 912 Appendix I - Specifications Model: 912, appliance coupler with adaptor, Non-transit-operable and portable, rated: 100-240 VAC, 50-60 Hz Type of protection against electric shock Class II Degree of protection against electric shock Type BF Degree of protection against ingress of water IP21... -
Page 66: Appendix Ii - Emc Manufacturer's Declarations
User Manual: Lympha Press ® Optimal Plus 912 Appendix II - EMC Manufacturer's Declarations Note: This product needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided, and this unit can be affected by portable and mobile RF communication equipment. - Page 67 User Manual: Lympha Press ® Optimal Plus 912 Guidance and Manufacturer's Declaration – Electromagnetic Emission The 912 is intended for use in the electromagnetic environment specified below. The customer of the user of the 912 should assure that it is used in such an environment. Emission Test Compliance Electromagnetic Environment –...
- Page 68 User Manual: Lympha Press ® Optimal Plus 912 Guidance and Manufacturer’s Declaration – Electromagnetic Immunity The 912 is intended for use in the electromagnetic environment specified below. The customer or the user of the 912 should assure that it is used in such an environment. Immunity IEC 60601 Test Compliance...
- Page 69 Increase the separation between the equipment and the receiver. • • Consult the dealer or an experienced radio/TV technician for help Changes or modifications made to this equipment not expressly approved by Mego Afek AC Ltd. for compliance may void the FCC authorization to operate this equipment L98008C4-K...
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Questions and answers
how do you unlock system
To unlock the Mego Afek Optimal Plus 912 system, go to the Lock screen by pressing the appropriate button. Then, press the arrow buttons to select OFF. When the padlock icon disappears from the HOME screen, the system is unlocked.
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