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©2017 CoolSystems, Inc. All Rights Reserved 

Game Ready Dual Action Wrap Use Guide 

Hand/Wrist Wrap PN 704581 Rev A

 COOLSYSTEMS

®

, INC.

 

1800 Sutter Street, Suite 500

 

Concord, CA 94520 USA

1.888.GAM1.510.868.2100

www.gameready.com

GENERAL

IMPORTANT

DO NOT SET THE GAME READY SYSTEM OR MED4 ELITE SYSTEM TO HIGH 
PRESSURE WHEN USING THE HAND/WRIST WRAP. 

READ THIS COMPLETE USE GUIDE AND GAME READY GRPRO 2.1 SYSTEM USER 
MANUAL AND/OR MED4 ELITE SYSTEM USER MANUAL INCLUDING INDICATIONS, 
CONTRAINDICATIONS, CAUTIONS AND WARNINGS BEFORE USING THIS 
PRODUCT!

WARNINGS

•  THIS WRAP PROVIDES AN OPTIONAL INSULATING LAYER. IF 

EXPERIENCING EXCESSIVE HEATING OR COOLING IN THE DIGITS, 
ENGAGE THE ADDITIONAL INSULATION AS NEEDED OR ADJUST THE 
CONTROL UNIT TEMPERATURE.

•  FOLLOW RECOMMENDATION OF PHYSICIAN FOR APPROPRIATE USE OF 

INSULATING LAYER.

•  NOT TO BE USED CONTINUOUSLY FOR GREATER THAN 15 MINUTES PER 

TREATMENT SESSION.

•  Follow the recommendations of your health care practitioner regarding the 

frequency and duration of use. 

•  Improper placement or prolonged use of the Game Ready System or Med4 Elite 

System could result in tissue damage. During the course of therapy, patients 
should monitor the skin surrounding the treated region or the digits of the 
extremities of the treated limb for any burning, itching, increased swelling, or 
pain. If any of these signs present, or any changes in skin appearance occur (such 
as blisters, increased redness, discoloration, or other noticeable skin changes), 
patients are advised to discontinue use and consult a physician.

•  Game Ready Wraps are not sterile; do not place directly against open wounds, 

sores, rashes, infections, or stitches. The Wrap may be applied over clothing 
or dressing. A layer of clothing between Wrap and skin is recommended for all 
patients.

•  Game Ready Wraps are available in multiple configurations but are not intended for 

all possible physiologic uses. For example, the Ankle Wrap is not designed for use 
on the toes and the Back Wrap is not designed for use in the abdominal region.

•  To avoid potential damage to the Control Unit, do not use other manufacturers’ 

Wraps with the Control Unit.

•  Use extra caution during the immediate postoperative period, especially when 

sedated or on any medication that could alter normal pain sensation. Check the 
skin of the treated region frequently and use mid-to-higher (warmer) temperature 
range settings or leave more time between treatments, if necessary.

•  Monitor the level of heat throughout treatment session. Caution should be 

used with the Med4 Elite System or any thermotherapy (Heat Therapy) device 
generating high intensity heat at 113°F or above. Check the skin of the treated 
region frequently and use mid-to-lower (cooler) temperature range settings or 
leave more time between treatments, if necessary.

•  The Med4 Elite System is not intended for use with numbing agents.

•  When using heat and rapid contrast therapy, skin should be protected in heat- 

sensitive or high-risk patients, especially over regions with sensory deficits.

•  Heating of the gonads should be avoided.

NOTES

Apply Wrap with a uniformly close fit, ensuring there are no kinks which may impede 
water flow. Ensure connector hose is placed to prevent the Wrap from folding or 
kinking at the hose inlet location of the Wrap.

CARE AND CLEANING 

For daily care and to minimize formation of mildew, remove Heat Exchanger from 
Sleeve and wipe with dry towel to remove any condensation that may form. Turn 
Sleeve inside out and hang both the Sleeve and Heat Exchanger to release excess 
moisture.  For multi-patient use, if needed, use Sterifab® according to manufacturer’s 
instructions to minimize microbe transfer. 

For extended care, carefully remove the Heat Exchanger from the Sleeve and turn the 
Sleeve inside out.  Hand or machine wash the Sleeve in cold water and mild detergent, 
or antibacterial soap.  Hang to dry. Hand wash the Heat Exchanger with warm water 
and mild detergent, do not machine wash or place in a dryer. Hang to dry.

AVERAGE LIFE EXPECTANCY

The life expectancy of Sleeves and Heat Exchangers will vary widely depending on 
frequency of use.  Please reference chart below to determine when to replace product. 

Sleeve

Light Use (Personal) ............................................................ 12 months 

Medium Use ....................................................................... 6 months 

Heavy Use (Clinic or training facility) .................................. 3 months

Heat Exchanger

Light Use (Personal) ............................................................ 24 months

Medium Use ....................................................................... 18 months

Heavy Use (Clinic or training facility) .................................. 12 months

WARRANTY INFORMATION

Sleeve:

 In case of manufacturer defect, Sleeve may be returned within 7 days of 

purchase.

Heat Exchanger:

 1 year from date of purchase.  See warranty card included with 

Heat Exchanger.

CONTACT US

In the U.S. call Game Ready Customer Service at 1.888.426.3732 (+1.510.868.2100).  
From outside of the U.S. please refer to www.gameready.com to find your local 
distributor’s contact information.

A list of current patent(s) covering Game Ready technology can be found at: 
www.gameready.com/patents.

Symbol for “assembled in” a specific country (XXXX).

Symbol for “made in” a specific country (XXXX).

Warning: 

To comply with California Proposition 65, the following warning has been 

included:

 This product contains chemicals known to the State of California to cause 

cancer, birth defects or other reproductive harm.

Wrap 

(PN 590811-03)

 includes Sleeve 

(PN 510811)

 & Heat Exchanger 

(PN 520811-03)

REMOVAL OF HEAT EXCHANGER

1. Disconnect the Connector Hose from the Wrap

2. Unzip the zipper

3. Gently pull out the Heat Exchanger

STORAGE  OF YOUR WRAP

Hang your Wrap on a wide hanger or lay flat. 
Do not fold or stack it, as this could kink the 
fluid chamber and the Wrap will not work 
properly.

EMERGO EUROPE

Prinsessegracht 20

2514 AP The Hague

The Netherlands

EMERGO AUSTRALIA

201 Sussex Street

Darling Park, Tower II, Level 20

Sydney NSW 2000

Australia

SUPERSEDED

Summary of Contents for ATX HAND

Page 1: ...sembly Lay the blue side up and ensure the heat exchanger is uniformly laid out and smooth inside the sleeve 4 Once the heat exchanger is in place position the base plate There is a rectangle loop ins...

Page 2: ...permanent Who have a cardiac insufficiency or congestive heart failure with associated edema in the extremities or lungs Who have a localized unstable skin condition e g dermatitis vein ligation gangr...

Page 3: ...rial insufficiency diabetes or other vascular ischemic disease Who have any significant risk factors or current clinical signs of embolism e g pulmonary embolus cerebral infraction atrial fibrillation...

Page 4: ...n treatments if necessary The Med4 Elite System is not intended for use with numbing agents When using heat and rapid contrast therapy skin should be protected in heat sensitive or high risk patients...

Page 5: ...PN 510811 PN 520811 03 PN 590811 03 1 3 5 6 4 2 2 GAME READY GRPRO 2 1 MED4 ELITE SUPERSEDED...

Page 6: ...2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready 18 Game Ready GRPro 2 1 18 GRPro 2 1 No Pressure Med4 Elite 1 Patient 1 On Off 1 Patient 1 Cold Therapy with No Pressure 1...

Page 7: ...GAME READY MED4 ELITE Med4 Elite Med4 Elite Med4 Elite Med4 Elite Med4 Elite 18 Med4 Elite 18 Med4 Elite Med4 Elite Med4 Elite 18 SUPERSEDED...

Page 8: ...2100 1 888 426 3732 Game Ready www gameready com Game Ready www gameready com patents XXXX XXXX 65 PN 520811 03 PN 510811 PN 590811 03 1 1 2 2 3 3 CoolSystems Inc 2017 Game Ready PN 704637 Rev A EMERG...

Page 9: ...PN 520811 03 PN 510811 PN 590811 03 1 3 5 6 4 3 GAME READY GRPRO 2 1 MED4 ELITE 2a 2b SUPERSEDED...

Page 10: ...2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready 18 Game Ready GRPro 2 1 18 GRPro 2 1 No Pressure 2 Med4 Elite Patient 1 1 On Off Patient 1 1 No Pressure Cold Therapy 2 1...

Page 11: ...GAME READY MED4 ELITE Med4 Elite Med4 Elite Med4 Elite Med4 Elite Med4 Elite 18 Med4 Elite 18 Med4 Elite Med4 Elite Med4 Elite 18 SUPERSEDED...

Page 12: ...1 MED4 ELITE 15 Game Ready Med4 Elite Game Ready Game Ready Med4 Elite 45 C 113 F Med4 Elite Sterifab 12 6 3 24 18 12 7 1 Game Ready 1 888 426 3732 1 510 868 2100 www gameready com Game Ready www gam...

Page 13: ...fektiv behandling 6 Luk lynl sen for at f rdigg re samlingen L g den bl side s den vender opad og s rg for at varmeveksleren ligger fladt og j vnt inden i overtr kket 4 N r varmeveksleren er p plads a...

Page 14: ...stiv hjerteinsufficiens med tilh rende dem i ekstremiteterne eller lungerne Der har en lokaliseret ustabil hudlidelse f eks dermatitis veneligation koldbrand eller nylig hudtransplantation Der har ery...

Page 15: ...r sv kkelse i den ber rte region f eks fra tidligere forfrysninger reforkalkning arteriel insufficiens diabetes eller isk mi Der har en eller flere signifikante risikofaktorer eller aktuelle kliniske...

Page 16: ...vendigt Med4 Elite systemet er ikke beregnet til brug med bed velsesmidler Ved brug af varme og hurtig kontrast behandling skal huden beskyttes hos varmef lsomme patienter eller hos h jrisikopatienter...

Page 17: ...ng 6 Sluit de rits om het in elkaar zetten te voltooien Leg de blauwe kant omhoog en ga na of de warmtewisselaar gelijkmatig en effen in de hoes ligt 4 Wanneer de warmte wisselaar op zijn plaats zit b...

Page 18: ...in de extremiteiten of longen met een plaatselijke instabiele huidaandoening bijv dermatitis ligatuur van een vene gangreen of recent huidtransplantaat met erysipelas of een andere actieve infectie in...

Page 19: ...erose arteri le insuffici ntie diabetes of andere ischemische vaataandoeningen met significante risicofactoren voor of actuele klinische tekenen van embolie bijv longembolus herseninfarct atriaal fibr...

Page 20: ...lingen door Het Med4 Elite systeem is niet bedoeld voor gebruik met een verdovend middel Bij gebruik van warmte en snelle contrasttherapie moet de huid van warmtegevoelige of hoogrisicopati nten worde...

Page 21: ...nvaihdin on asetettu tasaiseksi ja sile ksi suojuksen sis n 4 Kun l mm nvaihdin on paikoillaan aseta pohjalevy Suojuksen sis ll on suorakulman muotoinen tarraosa vetoketjun ja kolmeaukkoisen liittime...

Page 22: ...atoiminta johon liittyy raajojen tai keuhkojen edeema potilaalla on hoidettavalla alueella paikallinen ep vakaa ihosairaus esim dermatiitti suoniligaatio kuolio tai skett inen ihosiirre potilaalla on...

Page 23: ...isesta laskimotulehduksesta laskimoper isest haavaumasta paikallisesta haavainfektiosta tai selluliitista potilaalla on hoidettavalla alueella merkitt v vaskulaarista heikkenemist esim aiemmasta palel...

Page 24: ...avien aineiden kanssa Kun k ytet n l mp hoitoa ja nopeilla vastakkaisilla l mp tiloilla teht v hoitoa l mp herkkien tai korkeariskisten potilaiden ihoa on suojattava erityisesti alueilla joissa esiint...

Page 25: ...c t bleu vers le haut et v rifier que l changeur thermique est r parti partout et bien plat l int rieur de la housse 4 Une fois l changeur thermique en place positionner la plaque Une face velours rec...

Page 26: ...nsuffisance cardiaque ou d insuffisance cardiaque congestive avec d me associ des membres ou des poumons Patients pr sentant une affection cutan e localis e instable par exemple dermatite ligature vei...

Page 27: ...ignificative dans la r gion affect e en raison de gelures ant rieures d art rioscl rose d insuffisance art rielle de diab te ou d autres maladies isch miques vasculaires par exemple Patients pr sentan...

Page 28: ...ge de temp ratures moyennes basses plus froides ou attendre plus longtemps entre les traitements Le syst me Med4 Elite n est pas destin tre utilis avec des agents analg siques Lors de l utilisation d...

Page 29: ...ist die Montage abgeschlossen Drehen Sie die Bandage mit der blauen Seite nach oben und vergewissern Sie sich dass der W rmetauscher glatt und gleichf rmig in der Bandage liegt 4 Positionieren Sie na...

Page 30: ...enz mit dadurch bedingter dembildung in den Gliedma en oder der Lunge Patienten mit einer rtlichen instabilen Hauterkrankung z B Dermatitis Venenligatur Gangr n rezentes Hauttransplantat Patienten mit...

Page 31: ...n vaskul ren St rungen im betroffenen Bereich z B durch fr here Erfrierungen Arteriosklerose arterielle Insuffizienz Diabetes oder andere isch mische Gef erkrankungen Patienten mit signifikanten Risik...

Page 32: ...r die Verwendung mit Bet ubungsmitteln vorgesehen Wenn die W rme und Schnellkontrastmittelbehandlung bei w rmeempfindlichen oder Hochrisikopatienten verwendet wird muss die Haut insbesondere Bereiche...

Page 33: ...520811 03 510811 590811 03 1 3 5 6 4 3 GAME READY GRPRO 2 1 MED4 ELITE 2 2 SUPERSEDED...

Page 34: ...me Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready 18 Game Ready GRPro 2 1 Raynaud 18 GRPro 2 1 2 No Pressure Med4 Elite Patient 1 1 On Off Patient 1 1 Cold Therapy with No Pressu...

Page 35: ...GAME READY MED4 ELITE Med4 Elite Med4 Elite Med4 Elite Med4 Elite Med4 Elite Raynaud 18 Med4 Elite 18 Med4 Elite Med4 Elite Med4 Elite 18 SUPERSEDED...

Page 36: ...dy Med4 Elite Game Ready Game Ready Med4 Elite 45 C 113 F Med4 Elite Sterifab 12 6 3 24 18 12 7 1 Game Ready 1 888 426 3732 1 510 868 2100 www gameready com Game Ready www gameready com patents XXXX X...

Page 37: ...PN 510811 PN 520811 03 PN 590811 03 1 3 5 6 4 3 2 2 GAME READY GRPRO 2 1 MED4 ELITE SUPERSEDED...

Page 38: ...1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready 18 Game Ready GRPro 2 1 18 GRPro 2 1 2 No Pressure Med4 Elite Patient 1 1 On Off 1 Patient 1 Cold Therapy with No Pressure 2...

Page 39: ...GAME READY MED4 ELITE Med4 Elite Med4 Elite Med4 Elite Med4 Elite Med4 Elite 18 Med4 Elite 18 Med4 Elite Med4 Elite Med4 Elite 18 SUPERSEDED...

Page 40: ...2100 1 888 426 3732 Game Ready www gameready com Game Ready www gameready com patents XXXX XXXX 65 PN 520811 03 PN 510811 PN 590811 03 1 1 2 2 3 3 CoolSystems Inc 2017 Game Ready PN 704741 Rev A COOLS...

Page 41: ...rro verso l alto e accertarsi che lo scambiatore di calore sia sistemato in modo uniforme e liscio nel manicotto 4 Una volta sistemato lo scambiatore di calore posizionare la piastra di appoggio L int...

Page 42: ...e hanno una condizione di instabilit cutanea localizzata ad es dermatite legatura delle vene gangrena recente innesto cutaneo che soffrono di erisipela o altra infezione in atto nella regione interess...

Page 43: ...a o cellulite che presentano una significativa compromissione vascolare nella regione interessata ad es da congelamento pregresso aterosclerosi insufficienza arteriosa diabete o altro tipo di patologi...

Page 44: ...so con agenti anestetici Durante la terapia termica e a contrasto rapido proteggere la cute nei pazienti ad alto rischio o sensibili al calore soprattutto nelle regioni con deficit sensoriali Evitare...

Page 45: ...PN 520811 03 PN 510811 PN 590811 03 1 3 5 6 4 3 GAME READY GRPRO 2 1 MED4 ELITE 2a 1 2 2b 1 2 SUPERSEDED...

Page 46: ...Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready 18 Game Ready GRPro 2 1 18 GRPro 2 1 No Pressure 2 Med4 Elite Patient 1 1 On Off Patient 1 1 Cold Therapy with No Pressure 2...

Page 47: ...GAME READY MED4 ELITE Med4 Elite Med4 Elite Med4 Elite Med4 Elite Med4 Elite 18 Med4 Elite 18 Med4 Elite Med4 Elite Med4 Elite 18 SUPERSEDED...

Page 48: ...E READY MED4 ELITE GAME READY GRPRO 2 1 MED4 ELITE 1 15 Game Ready Med4 Elite Game Ready 1 Game Ready Med4 Elite 45 C 113 F Med4 Elite Sterifab 12 6 3 24 18 12 7 1 Game Ready 1 888 426 3732 1 510 868...

Page 49: ...PN 520811 03 PN 510811 PN 590811 03 1 3 5 6 4 3 GAME READY GRPRO 2 1 MED4 ELITE 2a 2 2b 2 SUPERSEDED...

Page 50: ...GRPRO 2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready 18 Game Ready GRPro 2 1 18 GRPro 2 1 2 No Pressure Med4 Elite Patient 1 1 On Off Patient 1 1 2 No Pressure 1 2 3 4...

Page 51: ...GAME READY MED4 ELITE Med4 Elite Med4 Elite Med4 Elite Med4 Elite Med4 Elite 18 Med4 Elite 18 Med4 Elite Med4 Elite Med4 Elite 18 SUPERSEDED...

Page 52: ...AME READY MED4 ELITE GAME READY GRPRO 2 1 MED4 ELITE 15 Game Ready Med4 Elite Game Ready Game Ready 45 C 113 F Med4 Elite Med4 Elite Sterifab 12 6 3 24 18 12 7 1 1 888 426 3732 1 510 868 2100 Game Rea...

Page 53: ...pii 6 Zamkn zamek aby zako czy zak adanie Po o y niebiesk stron do g ry i upewni si e wymiennik ciep a jest r wnomiernie i p asko u o ony wewn trz r kawa 4 Po umieszczeniu wymiennika ciep a nale y ust...

Page 54: ...warzysz cym obrz kiem w ko czynach lub p ucach Z miejscow niestabiln chorob sk rn np zapalenie sk ry podwi zanie y y zgorzel lub niedawny przeszczep sk ry Z r lub innym czynnym zaka eniem w obszarze l...

Page 55: ...nic cukrzyca lub inne niedokrwienne choroby naczy Z istotnymi czynnikami ryzyka lub obecno ci objaw w klinicznych zatoru np zator p ucny udar m zgu migotanie przedsionk w zapalenie wsierdzia zawa mi n...

Page 56: ...temperatury od rednich do ni szych ch odniejszych lub d u sze przerwy mi dzy zabiegami System Med4 Elite nie jest przeznaczony do stosowania ze rodkami znieczulaj cymi W przypadku stosowania terapii c...

Page 57: ...oque o lado azul para cima e certifique se que o trocador de calor esteja uniformemente distribu do e acomodado no interior da manga 4 Quando o trocador de calor estiver no lugar posicione a placa bas...

Page 58: ...as extremidades ou nos pulm es Que tenham um problema de pele inst vel localizado por ex dermatite ligadura da veia gangrena enxerto de pele recente Que tenham erisipela ou outra infec o ativa na regi...

Page 59: ...gi o afetada por exemplo queimaduras de frio anteriores arteriosclerose insufici ncia arterial diabetes ou outra doen a isqu mica vascular Que tenham quaisquer fatores de risco significantes ou sinais...

Page 60: ...es anest sicos Ao usar a terapia de contraste r pido e por calor a pele deve ser protegida em pacientes sens veis ao calor ou de alto risco especialmente em regi es com d ficits sensoriais O aquecimen...

Page 61: ...PN 520811 03 PN 510811 PN 590811 03 1 3 5 6 4 GAME READY GRPRO 2 1 MED4 ELITE 2 2 SUPERSEDED...

Page 62: ...2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready GRPro 2 1 Game Ready 18 Game Ready GRPro 2 1 18 GRPro 2 1 2 No Pressure Med4 Elite Patient 1 1 On Off Patient 1 1 Cold Therapy No Pressure 2 1...

Page 63: ...GAME READY MED4 ELITE Med4 Elite Heat Therapy Med4 Elite Med4 Elite Med4 Elite Med4 Elite 18 Med4 Elite 18 Med4 Elite Med4 Elite Med4 Elite 18 SUPERSEDED...

Page 64: ...MED4 ELITE GAME READY GRPRO 2 1 MED4 ELITE 15 Game Ready Med4 Elite Game Ready Game Ready Med4 Elite Heat Therapy 45 C 113 F Med4 Elite Sterifab 12 6 3 24 18 12 7 1 Game Ready 1 888 426 3732 1 510 868...

Page 65: ...a y aseg rese de que el intercambiador t rmico quede colocado de forma uniforme y liso en el interior de la funda 4 Una vez que el intercambiador t rmico est en su lugar coloque la placa base En el in...

Page 66: ...sociado en las extremidades o pulmones Que tengan una afecci n cut nea inestable localizada por ejemplo dermatitis ligadura de vena gangrena o injerto de piel reciente Que tengan erisipela u otra infe...

Page 67: ...asculares importantes en la regi n afectada por ejemplo de congelaci n anterior arteriosclerosis insuficiencia arterial diabetes u otra vasculopat a isqu mica Que muestren factores de riesgo significa...

Page 68: ...arse con agentes anest sicos Cuando se utilice terapia de calor y contraste r pido la piel de los pacientes sensibles al calor o de alto riesgo debe protegerse especialmente en regiones con deficienci...

Page 69: ...m behandling 6 St ng blixtl set f r att slutf ra monteringen L gg manschetten med den bl a sidan upp och kontrollera att v rmev xlaren ligger helt plan och j mn inuti manschetten 4 Placera basplattan...

Page 70: ...ed associerat dem i extremiteterna eller lungorna som har en instabil lokal hud komma t ex dermatit venligering gangr n eller nytt hudtransplantat som har erysipelas eller en annan aktiv infektion i d...

Page 71: ...kada arterioskleros arteriell insufficiens diabetes eller en annan ischemisk k rlsjukdom med betydande riskfaktorer f r eller aktuella kliniska tecken p emboli t ex lungemboli cerebral infarkt f rmaks...

Page 72: ...et r n dv ndigt Med4 Elite systemet r inte avsett f r anv ndning med bed vningsmedel Vid anv ndning av framkallad hypertermi och snabb kontrastbehandling ska huden skyddas hos v rmek nsliga eller h gr...

Page 73: ...n fermuar kapat n Mavi taraf yukar ya koyun ve s de i tiricinin k l f i inde e it ekilde da lmas ve d zg n olmas n sa lay n 4 Is de i tirici yerine geldikten sonra taban plakas n konumland r n K l f i...

Page 74: ...mezli i ekstremiteler veya akci erlerde ili kili demle birlikte olanlar Lokalize stabil olmayan bir cilt durumu olan rn dermatit ven ligasyonu kangren veya yak n zamanl cilt grefti olanlar Etkilenen b...

Page 75: ...n daha nceki donma arteriyoskleroz arteriyel yetmezlik diyabet veya ba ka vask ler iskemik hastal k nedeniyle olanlar Herhangi bir nemli risk fakt r veya mevcut emboli klinik bulgusu rn pulmoner embol...

Page 76: ...k daha so uk s cakl k aral ayarlar kullan n veya tedaviler aras nda daha uzun s re b rak n Med4 Elite Sisteminin uyu turan ajanlarla kullan lmas ama lanmam t r Is ve h zl kontrast tedavisi kullan l rk...

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