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MEGAPULSE

II USER MANUAL

TABLE OF CONTENTS

SYMBOLS ON THE PRODUCT ................................................................................................................... 1

DIATHERMY INDICATIONS & CONTRAINDICATIONS ............................................................................. 3

Indications .......................................................................................................................................................... 3

Contraindications ................................................................................................................................................ 4

DIATHERMY WARNINGS & PRECAUTIONS ............................................................................................. 5

Warnings ............................................................................................................................................................ 5

Precautions ......................................................................................................................................................... 7

THE MEGAPULSE

II .................................................................................................................................. 8

Delivery of the Megapulse

II ............................................................................................................................ 8

Introduction ........................................................................................................................................................ 8

Controls and Functions ....................................................................................................................................... 9

TREATMENT GUIDELINES ....................................................................................................................... 10

Inductive Shortwave ......................................................................................................................................... 10

Depth of Penetration ......................................................................................................................................... 11

Thermal Dosage ............................................................................................................................................... 11

INFECTION CONTROL EQUIPMENT AND PRINCIPLES OF USE ......................................................... 12

Definitions ........................................................................................................................................................ 12

Universal Precautions - Body Substance Isolation ........................................................................................... 12

Cleaning / Disinfecting of the Megapulse

II .................................................................................................. 12

Cleaning and Low Level Disinfection .............................................................................................................. 12

Intermediate Level Disinfection ....................................................................................................................... 13

Use of Barriers .................................................................................................................................................. 13

MODES OF OPERATION ........................................................................................................................... 14

Thermal Effect Variables ................................................................................................................................. 14

Physiological Effects of High Frequency Currents .......................................................................................... 15

Dosage .............................................................................................................................................................. 15

Operating Instructions ...................................................................................................................................... 16

Setup Procedure for Drum Inductive Applicator .............................................................................................. 17

Drum Inductive Applicator Removal ............................................................................................................... 18

Drum Inductive Applicator Reinstallation ........................................................................................................ 18

TROUBLESHOOTING ................................................................................................................................ 19

Calibration ........................................................................................................................................................ 19

Service Center .................................................................................................................................................. 19

TECHNICAL SPECIFICATIONS ................................................................................................................ 20

Technical Data .................................................................................................................................................. 20

Standards .......................................................................................................................................................... 20

Diagrammatic Representation of Pulse Trains ................................................................................................. 21

Megapulse

II Average Output Power ............................................................................................................. 22

MEGAPULSE

II STANDARD AND OPTIONAL ACCESSORIES ........................................................... 23

Infection Control Supplies: ............................................................................................................................... 23

STANDARD LIMITED PRODUCT WARRANTY..............................................

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Summary of Contents for 1903029

Page 1: ... by reference in its entirety This Manual may not be used for any other purpose Any additional copies of the Manual shall be ordered from ACP No changes or modifications shall be made to the Manual without prior review and written authorization from ACP No authorization is given to market sell disclose or exploit this Manual except as for purposes of using the Equipment as contemplated by the Leas...

Page 2: ... Systems Our MEGAPULSE NEUROPROBE OMNISTIM OMNISOUND OMNICYCLE OMNIVR and SYNCHRONY represent the most recent worldwide advances available for therapeutic application of electromedical devices and other rehabilitation technology ACP is internationally recognized for its contribution to research in the development of medical applications for therapeutic rehabilitation The Company sponsors and condu...

Page 3: ...nts Caution electrical precautions Remote Control connection CE mark of confidence compliant to MDD 93 42 EEC Connection Electrode Cable IP2X Classification against intrusion of water dust accidental contact of a body part Proper disposal required Do not dispose of with regular household waste Follow state and or local regulations Alternating current device Observe the user manual Consult instruct...

Page 4: ...solation 12 Cleaning Disinfecting of the Megapulse II 12 Cleaning and Low Level Disinfection 12 Intermediate Level Disinfection 13 Use of Barriers 13 MODES OF OPERATION 14 Thermal Effect Variables 14 Physiological Effects of High Frequency Currents 15 Dosage 15 Operating Instructions 16 Setup Procedure for Drum Inductive Applicator 17 Drum Inductive Applicator Removal 18 Drum Inductive Applicator ...

Page 5: ... healthcare professional Indications Diathermy is used therapeutically to increase the temperature of tissues It is generally accepted that heat produces the following desirable therapeutic effects Relieves pain Increases the extensibility of collagen tissues Decreases joint stiffness Relieves muscle spasm Increases local blood flow Megapulse Shortwave Diathermy system is indicated for use in the ...

Page 6: ...ead or any implanted system that may or may not contain a lead Both the thermal and sub thermal modes of operation pose a risk of tissue destruction o If you are a physician who implants or monitors patients with leads or implanted systems with or without leads explain to the patient what diathermy is and stress that they should NOT receive shortwave or microwave diathermy therapy o If you are a h...

Page 7: ...ly over the cranial region as little is known about the electromagnetic effects on the cerebrum to determine if it represents a serious hazard when shortwave diathermy is applied to the head Do not apply directly over the epiphysis of growing bones in children and adolescents because shortwave diathermy may enhance or inhibit bone growth NOTE The mean age for skeletal maturity in females is 15 5 y...

Page 8: ...ble and a mattress or couch without metal parts e g decorative buttons springs near the patient applicators or cables Do not use conductive mattresses or mattress covers During application of shortwave diathermy the operator and any other patients should stand at least 2 feet from the device Do not apply shortwave diathermy over areas with excess adipose tissue All equipment and accessories should...

Page 9: ... time and if there is evidence of or if the patient complains of pain or overheating during treatment adjust the output downward until it is tolerated by the patient If the patient continues to complain of pain or overheating discontinue the treatment and shorten the treatment time on the next treatment session or use an alternative type of therapy or drum inductive applicator placement Do not app...

Page 10: ...gether understood it is well established that this energy causes vibration of ions and molecules within the cells and tissues Depending on the intensity of the high frequency energy applied this vibrating effect causes more or less tissue heating Significant stimulatory effects may occur in the tissue at thermal and subthermal levels of high frequency energy exposure When the frequency used is hig...

Page 11: ... indicated by the output display LED G Pulse duration switches select the pulse duration in microseconds as displayed in the PULSE DURATION display Pressing the Up Arrow increases the pulse duration to the next higher setting pressing the Down Arrow reduces it to the next lower setting Does not function if 1 T 2 T 4 T is selected H Pulse duration display indicates the PULSE DURATION in microsecond...

Page 12: ... commonly used pulsed shortwave electrode Drum inductive applicators are generally referred to as monodes Drum inductive applicators are operated in the pulsed mode to avoid overheating of the coils Historically inductive electrodes were manually coiled or circumferentially wound around the area of the body to be treated PANCAKE COIL CIRCUMFERENTIAL COIL Modern drum inductive applicators are heavi...

Page 13: ... a depth of 2 inches 5cm Thermal Dosage Pulsed shortwave diathermy provides outputs capable of producing thermal effects Average power output in watts is controlled by the peak power and the duty factor The duty factor is controlled by the pulse duration and the pulse rate The higher the average output the greater the thermal effects in the tissue AVERAGE POWER WATTS PEAK POWER WATTS x DUTY FACTOR...

Page 14: ...infecting of the Megapulse II Modality equipment shall be cleaned disinfected per facility infection control policy ACP recommends the following guidelines Proper cleaning procedures at the end of each treatment and or at the end of each day are recommended Before cleaning the Megapulse make certain that the machine is OFF and that the plug has been removed from the wall socket Periodically clean ...

Page 15: ...ned to cover any surface that may be touched during a patient treatment to help prevent cross contamination Barrier film is for single use only The film is discarded after each patient treatment The procedure for use is as follows 1 Wash hands 2 Apply intermediate level disinfection prior to barrier application 3 Select tear and place barrier film over the operatory surfaces of the Megapulse unit ...

Page 16: ...ve field applicators Typical values for the Megapulse II drum inductive applicator is 1 5 SAR The higher the SAR value the greater the thermal effect in the tissue III Treatment Time In general treatment times for pulsed shortwave is 20 minutes The dosage charts have been computed based on a 20 minute application time The sensation of mild moderate or vigorous warmth by the patient should be the f...

Page 17: ...gation following stretch or mobilization making PSWD an effective modality for treatment of scar tissue and contracture Summary of Physiologic Effects 1 Vasodilatation of blood vessels 2 Increase in cellular kinetic energy 3 Increase in arterial venous and lymphatic circulation 4 Increase in reabsorption of exudates and toxins 5 Decreased pain due to drop in local supply of kinins prostaglandins a...

Page 18: ... show 800 PPS If the OUTPUT ON OFF CONTROL 6 switch is pressed with no time set on the display the buzzer will sound and the output will not be energized 3 Audible confirmation of the operation of the front panel push switches may be enabled by turning the unit on while holding down the VAR Mode switch 3 The display will read set up then beep on or beep off Use the PULSE DURATION 7 key to turn the...

Page 19: ...ct contact 5 When the drum inductive applicator has been placed in position tighten the hand wheels on the arm to prevent movement Switch treatment ON 6 The protocol LED 3 on the front panel will light 6 If at any time during treatment the output is returned to the OFF position 6 the timer 2 will stop and then restart when the output control is turned on again 7 At the end of the treatment time wh...

Page 20: ... press gently on the drum applicator pin to dislodge the drum applicator from the articulating arm The drum applicator can now be applied to a patient where the articulating arm might have obstructed the therapy Drum Inductive Applicator Reinstallation To reinstall the drum applicator reverse the above process Be sure the pin is properly seated and the locking collar has been properly adjusted clo...

Page 21: ...hen unit is ON and treatment running drum inductive applicator is not emitting output Patient has impaired sensation over treatment area Use output tester if available to determine if unit has failed or is operating incorrectly If LED does not illuminate properly contact ACP at 800 350 1100 about replacing the unit If LED is illuminated discontinue treatment and test patient for impaired sensation...

Page 22: ...r to May of 2004 the default pulse rate setting is 100 PPS Pulse Duration 400 200 100 65 40 20 µs available Pulse Repetition Rate 50 100 200 400 600 800 PPS available Timer The digital treatment timer indicates the set time in minutes and seconds prior to the start of treatment and treatment time remaining during treatment The maximum setting of the timer is 30 minutes The timer increments in 1 or...

Page 23: ...tic Representation of Pulse Trains 20 MICROSECOND Sec PULSES 800 PULSES PER SECOND PPS 65 Sec PULSES 400 PPS 200 Sec PULSES 200 PPS 400 Sec PULSES 100 PPS CONTINUOUS TRAIN OF PULSES PULSES CONTAIN 27 12 MHz SINUSOIDAL R F AT 150 WATTS PEAK POWER 50 OHM LOAD IMPEDANCE PULSE ON PERIOD PULSE OFF PERIOD ...

Page 24: ...ER IN WATTS W EFFECT 400 Sec 3 0W 6 0W 12 0W 24 0W 36 0W 48 0W 4o C 200 Sec 1 5W 3 0W 6 0W 12 0W 18 0W 24 0W 2o C 100 Sec 75W 1 5W 3 0W 6 0W 9 0W 12 0W 1o C 65 Sec 49W 1 0W 2 0W 3 9W 5 9W 7 8W SUBTHERMAL 40 Sec 30W 6W 1 2W 2 4W 3 6W 4 8W 20 Sec 15W 30W 60W 1 2W 1 8W 2 4W PULSE RATE 50 PPS 100PPS 200PPS 400PPS 600PPS 800PPS Approximate values in watts ...

Page 25: ...N 29000 Megapulse Power Cord Hospital Grade 10ft 72763 Applicator Head Coaxial Cable 89555 Megapulse II User Manual Infection Control Supplies ITEM ITEM NO DESCRIPTION 55536 Super Sani Cloth Wipes Single Use Packets 50 pkt bx 44425 Super Sani Cloth Wipes Tub 160 Tub 96849 Sani Cloth Wipes w Bleach Tub 75 wipes tub 52479 Protective Film for Surfaces Infection Control 4 x 6 600 ft roll 50593 Protect...

Page 26: ...if any of the following have occurred 1 The product contains repairs or replacement parts not furnished by ACP 2 The product is damaged resulting from misuse or negligence 3 The product has been tampered with and or altered including serial number alteration Note Use of the Equipment with accessories and or supplies not approved by ACPL for use with the Equipment may void the warranty if such acce...

Page 27: ...anty ACP is not responsible for any loss or damage to the Equipment prior to receipt at the ACP Service Center Equipment returned for warranty service must be shipped complete with all accessories except for manuals in its original packing or equivalent so as not to be damaged while in transit Note Any Equipment sent to the ACP Service Center that is not covered by the ACP Limited Product Warranty...

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