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cable in such manner in the device socket, so that the red markings on the device socket and on the 
connector shell are aligned. 

 Abb.1 

Abb. 

2

The plug can be plugged in only in this position; it may not be inserted in any case by using force. 
Now insert the plug all the way. When the plug has been inserted, it is locked in position and can 
not be inadvertently disconnected by pulling at the electrode cable. To disconnect the electrode 
plug, take hold of it at the structured surface near the red dot using your thumb and index fi nger. 
The locking mechanism of the plug will be disengaged automatically by pulling away from the 
device, and the plug can then be removed without problems. The electrode cable cannot be 
removed otherwise, or the device or the electrode cable may be damaged. The LCD display shows 
the adjusted nominal stimulation current. The available adjustment range (peak value) may vary (6.0 
mA or 20.0 mA), depending on the selected mode.

3.  

Performance of the short-circuit test:

 Connect the socket of the stimu-

lating electrode to the stimulating electrode clamp with the aid of the 
supplied red test-plug ( 

 short circuit). Then increase the nominal stimu-

lating current by turning the knob clockwise to at least 1.0 mA and check 
the »

«-symbol on the display. The display must exhibit an »

« a few 

moments later.
 Abb. 

3

If the display should permanently show a dissimilar function (»

« symbol), 

there must be a fault in the patient stimulation circuit.

4.  Disconnect the electrical connection between the electrode plug and the electrode clamp and 

remove the red test-plug. A »

« symbol may now be seen on the LCD. This indicates, that the 

selected nominal stimulating current is dissimilar to the actual stimulating current. If the behavior 
is different from the one described in 3 and 4, then a faulty cable could be the cause (short-circuit/
interruption). Check the function once more with a second cable. Finally, remove the red short-cir-
cuit plug from the socket of the electrode.

5.  Switch the MultiStim off by pressing the ON/OFF/PAUSE button for a longer period of time (min. 2 

seconds). (Please observe section Switching ON and OFF) You should turn the device off after use 
to spare the battery. If you don‘t use the device for a longer period of time, you should remove the 
battery to avoid leakage.

6.  Please observe the Warnings and precautionary measures before you use the device on a patient.

The stimulation mode stored last will remain stored after turning the device off. When the device is 
switched on again, this setting is reloaded and the stimulation current is set to 0.00 mA, or to a value 
you have previously selected. The stimulation pulse width is set to the following default-values after the 
device is switched on:
Mode: 
KAN 

cannula   0 – 6 mA 

CATH  catheter  0,0 – 20mA 
Before every application on a patient, the device settings have to be checked and altered if necessary.

4.2 Operation of the nerve stimulator

Switching ON and OFF

Pressing the ON/OFF/PAUSE-button will switch the MultiStim SWITCH on.
After switching on, the device will fi rst perform an automatic self-test. Upon the successful 

completion of the self-test, the device will immediately change to the PAUSE-mode. For the protection 
of the battery, the device will automatically switch itself off with a previous acoustic warning after 20 
minutes have elapsed since the last pressing of a button. The device is switched off by pressing the 
ON/OFF/PAUSE button for at least two seconds while the device is turned on.

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XS190174B MultiStim SWITCH GB.indd   32

XS190174B MultiStim SWITCH GB.indd   32

12.03.10   13:53

12.03.10   13:53

Summary of Contents for MultiStim SWITCH

Page 1: ...MultiStim SWITCH and MultiStim SENSOR Setting the trend in nerve stimulation Plexus and Epidural Anaesthesia...

Page 2: ...e following advantages The MultiStim SENSOR supports patient friendly percutaneous localization and identification of nerves with the aid of a stimulation handle the PEG electrode Percutaneous Electro...

Page 3: ...ent which can be corrected immediately Integrated safety functions High precision microprocessor controlled adjustment of constant current Device type BF Battery 9 V Current intensity max 6 mApp 20 mA...

Page 4: ...ed through the skin without requiring a puncture which will evoke a reflexive response when the nerve is encountered The cannula is introduced at the insertion point identified by means of this method...

Page 5: ...tatus indicator in the display The intensity and the frequency of the stimulation current as well as the pulse width can be adjusted separately for both outputs This button will remain without functio...

Page 6: ...N OFF PAUSE Pulse width Turning knob Pulse width Battery condition Patient resistance Current intensity Actually flowing current NOMINAL ACTUAL current Active output for example Cannula MultiStim SWIT...

Page 7: ...Y patient cable point PAJUNK has set new standards in electrical nerve stimulation because for the first time ever it provides the option for alternative stimulation by means of cannula or by stimulat...

Page 8: ...mmediate identification and correction of a misplaced cannula before mechanical or chemical injuries The revolution in the nerve stimulation More safety through the indication of pat are caused Becaus...

Page 9: ...o analogous bar graphs The measurement of the resistance connected therewith is only possible if the highly precise PAJUNK stimulation cannula are used An individual threshold value can be predefined...

Page 10: ...be increased to 20 mA and will therefore correspond with the specific requirements of epidural stimulation The intensity and the frequency of the stimulation current as well as the pulse width can be...

Page 11: ...s these steps will be correspon dingly large at great distances to the nerve and will become smaller as the cannula approaches the nerve see accompanying table Automatic adjustment of the current inte...

Page 12: ...n of stimulation cannula and monopolar handle 1151 94 32 Accessories 1 Patient cable for the connection of stimulation cannula 1151 94 13 2 PEG cable for the connection of stimulation cannula and mono...

Page 13: ...Peripheral Epidural Spinal MultiStim SWITCH XS190174B MultiStim SWITCH D indd 1 XS190174B MultiStim SWITCH D indd 1 08 04 10 11 47 08 04 10 11 47...

Page 14: ...TUP functions 35 5 1 1 SETUP LEVEL 1 Volume control 35 5 1 2 SETUP LEVEL 2 Setting of the initial parameters for Cannula mode 36 5 1 3 SETUP LEVEL 3 Setting of the initial parameters for Catheter mode...

Page 15: ...s Suitcase for storing SWITCH and accessories Please observe by all means The patient main cable of the MultiStim SWITCH is compatible with that of the MultiStim SENSOR due to its technical design Ple...

Page 16: ...esive electrode will lead to a malpositioning of the stimulation cannula please ensure that the adhesive electrode which functions as a neutral electrode here is in sufficiently sound contact with a l...

Page 17: ...unintentional short circuits or leakage currents These may lead to partial or even total diversion of the stimulation currents which will cause the stimulation effect to decline or even to fail compl...

Page 18: ...indicated exactly on the display Current constant devices which permit the selection of the current intensity mA for the stimulus impulse have gained acceptance within the last few years For the Multi...

Page 19: ...circuit is closed i e stimulation current is running through the patient The control sound will become more intensive in this case Due to a high stimulus voltage of max 95 Vss this renders an exceptio...

Page 20: ...e impulse bandwidth Mode Impulse frequency 3 4 The elements of the display Symbol Meaning Indicates must current is displayed in mA Indication of the electrical patient circuit Electric circuit not cl...

Page 21: ...0 1 description see table in chapter Setup Level 5 4 Operation 4 1 Pre operational check Please observe Equipment with divergent behavior may not be put into operation In this case please contact the...

Page 22: ...m the one described in 3 and 4 then a faulty cable could be the cause short circuit interruption Check the function once more with a second cable Finally remove the red short cir cuit plug from the so...

Page 23: ...bandwidth are separately adjustable for both of the two outputs see SETUP functions 4 6 Mode catheter CATH Aside of stimulation using an invasive stimulation cannula MultiStim SWITCH addition ally of...

Page 24: ...Incremental step 0 00 mA 0 50 mA 0 02 mA 0 mA 2 mA 0 1 mA 0 50 mA 1 00 mA 0 05 mA 2 mA 5 mA 0 2 mA 1 00 mA 2 00 mA 0 10 mA 5 mA 10 mA 0 5 mA 2 00 mA 4 00 mA 0 20 mA 10 mA 20 mA 1 0 mA 4 00 mA 6 00 mA...

Page 25: ...TUP button for a longer period of time min 2 seconds will permanently store the volume value currently indicated on the display A monitoring sound is audible during the store procedure The device will...

Page 26: ...3 8 4 Please observe The settings for the frequency and the impulse bandwidth must be adjusted in normal operation i e before pressing the SETUP button for the first time The intensity of the current...

Page 27: ...n which allows you to adjust the pulse width for the cannula mode Here the pulse width selection mode can be selected by means of the turnable key button You can either choose manual selection Selecti...

Page 28: ...rned to the manufacturer for repair Please ask your dealer if you need assistance he will be glad to help you Please indicate the error code in the repair order The following error codes are possible...

Page 29: ...of the functionality test before the first operational use of the device 2 Date and time of the familiarization as well as the names of the persons familiarized with the opera tion of the device 3 Dat...

Page 30: ...ding 15 s are possible particularly for fall time 12 Notes warnings If you have adjusted a stimulation current intensity 0 06 mA or 0 2 mA during operation in the CATH mode and 0 00 mA are indicated i...

Page 31: ...laration Electromagnetic Emissions according to EN 60601 1 2 2007 5 2 2 1 Table 1 MultiStim SWITCH is intended for use in the electromagnetic environment specified below The customer or user of the Mu...

Page 32: ...EC 61000 4 4 2 kV for power supply lines 1 kV for input output lines Not applicable Not applicable Surges according to IEC 61000 4 5 1kV line s to line s 2kV line s to earth Not applicable Not applica...

Page 33: ...quation applicable to frequency of the transmitter Recommended separa tion distance d 3 5 U1 P for 150kHz to 80MHz d 12 U1 P for 80MHz to 800MHz d 23 U1 P for 800MHz to 2 5GHz where P is the maxi mum...

Page 34: ...e guarantees to manufacture its products with greatest possible care THIS IS THE ONLY VALID GUARANTEE AND IT SHALL REPLACE ALL OTHER WARRANTIES GIVEN AND REPRESENTATIONS MADE It shall be observed that...

Page 35: ...hthalates as identified Does not contain latex Contains latex Non pyrogenic Pieces Catalog number Unique identifier Batch Identification Use by date Date of manufacture Device Type BF Catalogue Excerp...

Page 36: ...H Medizintechnologie Karl Hall Stra e 1 D 78187 Geisingen Germany Telefon 07704 9291 0 Telefax 07704 9291 600 www pajunk com 0124 XS190174B MultiStim SWITCH E indd 136 XS190174B MultiStim SWITCH E ind...

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