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Physiomed Physioson Expert Operating Instructions Manual 34
Physiomed Physioson Expert Operating Instructions Manual 34
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OPERATING INSTRUCTIONS
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PHYSIOSON-Expert
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00851 GB
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The technical data in this manual is as at the time of printing and subject to alteration.
All rights, including rights of translation, reproduction by printing, copying or similar methods,
even of parts are reserved.
Offenders will be liable for damages.
Instrument Overview
Front Panel 7
4 10 3 5 11 6
Rear Plate
12
Legend
Symbols
CAUTION!
Please refer to the operating instructions and consider the physiological effects!
Contents
1 Introduction...................................................................................................................... 1
1.1 Description....................................................................................................................................1
1.2 Application ...................................................................................................................................1
1.3 Contraindications .........................................................................................................................2
6 Indications Menu............................................................................................................ 16
8 Basic Settings.................................................................................................................. 20
8.1 Setup Menu ............................................................................................................................... 21
9 General Notes................................................................................................................. 22
14 Accessories...................................................................................................................... 25
14.1 Standard Accessories ............................................................................................................ 25
14.2 Other Accessories .................................................................................................................. 25
16 Index ............................................................................................................................... 28
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Introduction
1 Introduction
With your PHYSIOSON-Expert, you have acquired a high-tech ultrasound therapy
unit.
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
familiarize yourself with the use of the instrument.
1.1 Description
1.2 Application
Simultaneous Therapy
• The instrument can be used for simultaneous application of stimulation current
and ultrasound (together with an external stimulation current therapy instru-
ment).
Warning The instrument should only be used by qualified personnel who have
undergone special training!
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Introduction
1.3 Contraindications
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In the following section we will introduce the individual controls and indicators of
PHYSIOSON-Expert. The numbers in angle brackets refer to the Instrument Overview
at the beginning of this manual.
The mains module <1> with mains supply, fuses and mains switch
is situated at the rear side of the apparatus.
For mains supply do only use the mains cable provided by the
manufacturer.
PHYSIOSON-Expert is switched on and off by using the integrated
mains switch. After switching on, a self-test and the calibration of
the transducers are automatically carried out by the instrument (cf.
Notes on Operation on page 8).
Warning Set the line voltage at the mains module to match the incoming line
voltage.
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The modified values are displayed in the upper status bar <2> or at the relevant
position of the display <3>.
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For safety reasons, the dose control <6> is linked with the data selector <5>.
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With the dose turned high, safety-related parameters cannot be varied. At the at-
tempt to alter a parameter, the turn-down signal ( ) appears in the lower
status bar <4> and an acoustic signal is issued.
As safety-related components are considered:
, , ,
The instrument has a dose memory, i.e. the dose value selected is set upon the first
coupling and cannot be increased any more afterwards. The set value is indicated by
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a marker showing the corresponding dose value.
Note For reasons of safety, the following option may be selected in the
setup menu: Increasing the ultrasound dose after the ultrasound has
coupled (marker appears in the upper status bar <2>) is only possible
after prior turning down the dose with dose control <6>.
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On the display <3> you can set values for all therapy parameters. The current set-
tings are displayed on the upper status bar <2>.
selected dose
ultrasound
parameters
therapy time
lower
status bar <4>
The symbols on the display <3> have the following significance. The corresponding
symbols which are displayed on the upper status bar <2> when active, are shown
in the right column:
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Notes on Operation
3 Notes on Operation
Note Prior to switching on the device, please make sure that the activated
ultrasonic transducer is outside the water in a clean condition.
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Notes on Operation
If a functional error is detected during the automatic self-test routine or during op-
eration, the instrument will be switched off, the transducers will be cut off and a
special error code will be displayed. These error codes (e.g. “ERROR 10“) simplify
the localization and elimination of errors.
The LCD shows:
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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.
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Note Random instrument errors may conceivably occur as the result of harm-
less spikes in the power line.
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Ultrasound Therapy
4 Ultrasound Therapy
The PHYSIOSON-Expert offers you three possibilities to start the ultrasound therapy:
• direct start,
• start via the indications menu with its proposals for treatment for a multitude
of applications (page 16),
• start via individual programs (created by yourself) (page 18).
See the supplied ultrasound therapy booklet for additional information.
4.2 Therapy
Therapy Procedure
Make sure that the instrument is ready.
(3) Choose the appropriate transducer and plug it into the transducer connector
<11>.
(4) Apply ultrasound gel to the area of treatment.
(5) Set the therapy time.
(6) Select the therapy mode using the function MODE .
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Ultrasound Therapy
Note For reasons of safety, the following option may be selected in the
setup menu: Increasing the ultrasound dose after the ultrasound has
coupled (marker appears in the upper status bar <2>) is only possible
after prior turning down the dose with dose control <6>.
(10) Check the coupling confirmation by lifting the transducer shortly from the pa-
tients’ tissue.
The therapy timer switches off as soon as the treatment is finished.
Warning Move the ultrasonic transducer constantly on the patient's skin (dy-
namic treatment)! Make sure that the transducer never remains at the
same spot for a longer period (static treatment), otherwise tissue dam-
age of thermal and mechanical nature cannot be excluded!
Regularly check transducers and resonators for overheating!
4.3 TPS
The acronym TPS is based on the Spanish words Tiempo (time), Potencia (power) and Su-
perficie (area). It represents a more precise dosage strategy in ultrasound therapy accord-
ing to the Spanish expert for electrotherapy Dr. J. M. Rodríguez Martín.
Besides the emitted dose in W/cm2, the area of treatment and the therapy time are taken
into account to apply a precisely specified amount of energy in J/cm2 to the tissue.
Therapy Recommendations
Acute indications 15...25 J/cm2
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Ultrasound Therapy
Treatment Procedure
(1) Make sure that the instrument is ready.
(2) Choose the appropriate transducer and plug it into the transducer connector
<11>.
(3) Apply ultrasound gel to the area of treatment.
(4) Click the TPS symbol. The TPS menu opens:
(5) Select the desired values of the variable parameters by rotating and pressing
the data selector <5>.
(6) Click Therapy to begin the treatment.
The selected and calculated parameters become active. The therapy time
elapses as soon as the transducer is being coupled to the tissue (refer to
Ultrasound Therapy on page 11).
The individual parameters one after the other have the following significance:
selected dose Refer to the Treatment Recommenda-
tions above
size of the area of treatment
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Simultaneous Therapy
5 Simultaneous Therapy
Simultaneous therapy means the treatment with ultrasound and stimulation current
at the same time. That means that the effects of both forms of therapy can be util-
ized. The ultrasonic transducer forms one pole of the stimulation current circuit, a
plate electrode the second one.
The PHYSIOSON-Expert can be combined with the stimulation current therapy de-
vice PHYSIOMED-Expert for a simultaneous therapy. The PHYSIOSON-Expert and the
stimulation current device may only be connected with a specially coded connector.
Warning The safety precautions for the individual therapies also apply for the
simultaneous therapy!
In order to guarantee optimal contact for the stimulation current as well as the ul-
trasonic treatment, it is essential to use an electrically conductive ultrasound gel. The
standard polarity of the ultrasonic transducer is negative (cathode). The positive pole
(standard polarity positive: anode) is formed by the so-called neutral electrode. Plate
or vacuum electrodes can be used as neutral electrodes. Minimum size for the plate
electrode is EF50, for vacuum electrodes size 2. Additional peculiarities are described
in the list of accessories of your stimulation current device.
Warning Move the ultrasonic transducer constantly on the patient's skin (dy-
namic treatment)! Make sure that the transducer never remains at the
same spot for a longer period (static treatment), otherwise tissue dam-
age of thermal and mechanical nature cannot be excluded!
Regularly check transducers and resonators for overheating!
Note If the ultrasonic transducer is removed from the patient's skin during
treatment, the stimulation current is automatically reduced to 0 to
make sure the two treatments ultrasound and stimulation current are
always applied simultaneously. As soon as the ultrasonic transducer
touches the skin again, the stimulation current is built up again.
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Simultaneous Therapy
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(6) Rotate the Data Selector <5> until you reach the SIM symbol. Now press the
Data Selector <5>, rotate it one position further and press it once again to
confirm. A small rectangle is shown in the upper left corner of the SIM symbol
to indicate that simultaneous therapy is now activated. In the upper status
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bar <2>, the symbol is displayed.
(7) Select the current type at the stimulation current device.
(8) Apply the activated transducer in the area of treatment and set the desired in-
tensity at the stimulation current device (slightly perceivable to strongly per-
ceivable).
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(9) Set the dose with the dose control <6>.
(10) Perform the treatment.
Make sure there is sufficient distance between plate electrode and ultrasonic trans-
ducer. If the distance is too small, an error message might be issued.
At the end of the treatment, the therapy timer of the PHYSIOSON-Expert switches
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off the ultrasonic transducer as well as the stimulation current emission automati-
cally.
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Indications Menu
6 Indications Menu
Apart from direct access to the individual ultrasound parameters, the indications
menu offers you another possibility how to start. With the indications menu, you
may utilize proven methods of treatment within ultrasonic therapy.
Proceed as follows to start the treatment with indications menu:
(1) Select the function IND. on the display <3>.
(2) Select the desired indication in the indications menu,
e.g. Lumbalgia .
The proposed parameters for the selected indication are displayed. In addition, a
corresponding image illustrates the area of treatment or you receive further general
information on the therapy.
(3) Confirm the therapy parameters by selecting the function THERAPY. Choose the
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Indications Menu
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Individual Programs
7 Individual Programs
You do not have to set frequently applied forms of therapy every time you want to
use them – you can simply save them as individual programs. So, such a program is
a certain form of therapy with all parameters including treatment time. You may
save individual programs and start them as well as delete and overwrite them. You
may set 20 individual programs altogether.
(3) Choose the button individual programs . The menu for saving your
individual programs is displayed.
(4) Select one of the programs F1 to F20 where you want to save your parameters
and press the data selector.
(5) Select the function Save program . The set parameters are displayed
in the menu.
(6) Press the data selector <5> in order to save the program at the desired posi-
tion.
The selected settings are now saved under the respective program and can be
started from there.
(1) Select the function Individual programs to open the menu where
you have saved your individual programs.
(2) Select one of the programs F1 to F20. The parameters saved for the selected
program are displayed in the menu.
(3) Press the data selector <5> to select the desired program.
(4) Select the function Start program and press the data selector again.
The program is started. The respective parameters are displayed on the display
<3>.
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Individual Programs
The number of the selected program is displayed on the lower status bar <4>.
(5) Select the desired transducer and plug it into the transducer connector <11>.
(6) Apply the ultrasound gel on the area of treatment.
(7) Activate the acoustic coupling confirmation, if required.
(8) Set the dose with the dose control <6>.
(9) Check the function of the coupling confirmation by lifting the ultrasonic trans-
ducer shortly.
At the end of the treatment, the timer will automatically switch off.
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Basic Settings
8 Basic Settings
The basic settings serve to define different parameters that are rarely modified. You
can get to the basic settings by pressing the data selector <5> when switching on
the device with the mains switch.
The basic settings also contain parameters of the setup menu <10>.
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You can select the following values in the basic settings:
Intensity control, acoustic signal every 0,1 W/cm2
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Screen contrast
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Basic Settings
The setup menu <10> serves to change some parameters without having to switch
the device off and on.
To modify a parameter:
(1) Press the button SET in the display <3>.
(2) Select the desired parameter with the data selector <5> and confirm.
(3) Set the desired value of the parameter. Modifications can be recognized im-
mediately by means of acoustic or visual signals.
(4) Exit the setup menu.
The selected settings are immediately valid.
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General Notes
9 General Notes
The instrument may only be operated in dry rooms designed for medical purposes,
in accordance with VDE 0107, User Class 1 (rooms with patient beds, physical ther-
apy rooms and practice rooms).
It complies with the technical specifications of IEC 601, VDE 0750 and is assigned to
class IIa according to the Council Directive concerning Medical Devices (MPG).
The device should only be used by qualified personnel after sufficient instruction.
It is not intended for operation in explosion hazard zones or hydrotherapy rooms.
Drastic temperature changes should be avoided, since condensation could be
caused within the instrument. Do not start up the instrument until it is in tempera-
ture equilibrium with its environment!
The instrument is to be operated properly, i.e. in accordance with the Operating In-
structions.
During operation ultrasound waves are emitted by the instrument. Please consider
this exposure in its environment.
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Technical Data
13 Technical Data
Protection class I acc. to VDE 0750 / IEC 601
BF type
Weight 3.9 kg
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Accessories
14 Accessories
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Ref.-No. Description Number
00178 Accessory tray 1
00380 Fixing rings (set of 4) 1
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00776 Mains cable 1
00180 Ultrasound gel 1
00038 Ultrasound transducer 2.5 cm2, 7-pole
1 (out of two)
00039 Ultrasound transducer 5 cm2, 7-pole
00851 Operating Instructions (English) 1
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00626 Introduction to ultrasound therapy (English) 1
Ref.-No. Description
00162 Connection cable (electrotherapy/ultrasound)
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Accessories
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Manufacturer’s Recommendations
15 Manufacturer’s Recommendations
MANUFACTURER’S RECOMMENDATIONS
SAFETY REGULATIONS CONTROL
according to Medical Devices Directive
UNIT: PHYSIOSON-Expert
EXTENT:
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Index
16 Index
accessories, 22, 25 maintenance, 22
accompanying papers, 27 manufacturer, 3, 22
acoustic coupling confirmation, 11, 16, 19 new apparatus, 27
automatic coupling confirmation, 6, 12 operation, 9
basic settings, 6, 20, 21 original parts, 22
CE characterization, 24 panel frontal, 3
cleaning, 23 parameters, 7
contraindications, 2 pitch, 21
contrast, 21 repairs, 22
controls, 3 service, 22
data selector, 4, 18, 20, 21 setup menu, 21
disinfecting agent, 23 SIM socket, 6
disinfection, 23 simultaneous therapy, 1, 2, 14
display, 4, 5, 16 sponge, 23
dose control, 5, 9, 11, 17, 19 start-up, 9
function check, 9 stimulation current, 1, 14
fuse, 3 stimulation current unit, 23
general notes, 22 technical data, 24
ground wire, 9 therapy time, 11
indications menu, 11, 16 timer, 5, 12
indicators, 3 TPS, 12
individual programs, 18 transducer, 11, 13
instrument errors, 10 transducer connectors, 6
LCD, 10, 21 treatment time, 18
line voltage, 3, 9 ultrasonic transducers, 6
lower status bar, 5 ultrasound, 1
mains lead, 9 ultrasound therapy, 11, 25
mains module, 3, 9, 24 ultrasound therapy unit, 1
mains plug, 23 upper status bar, 4
mains supply, 3 volume, 21
mains switch, 3
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