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incremental step. The presently selected intensity of the stimulation current is indicated on the LCD. 
This specifi ed value will only correspond with the actually emitted stimulation current, if the electrical 
stimulation circuit is properly closed over the patient. In this case, the selected stimulation current (set 
point), which is shown on the display, corresponds exactly to the stimulation current actually fl owing 
through the electrical circuit of the patient. This correct function is indicated by the »

« symbol. As 

soon as the selected stimulation current differs from the actually fl owing stimulation current , the »

«-

symbol will appear on the display. Please note, that in this case the current actually fl owing through 
the patient might be lower than the desired stimulation current which you have previously selected. 
An increase of the selected stimulation current might therefore not effect the stimulation current 
actually fl owing through the patient. If this happens, it is absolutely necessary to reduce the nominal 
stimulation current, and to discover the cause of the inadequate or missing patient connections. Do 
not increase the nominal stimulation current under any circumstances before the reason for the faulty 
current fl owing through the patient has been identifi ed clearly and has been remedied.

4.8 Display modes for stimulation current

The adjusted value (PRESET value) is indicated on the LCD, as the intensity of the stimulation current is 
adjusted by turning the knob. If the knob is not turned anymore, the device will automatically switch to 
indicating the intensity of the stimulation current actually fl owing through the patient (ACTUAL value). 
During the indication of the actually fl owing current, a symbol resembling a human being is addition-
ally displayed on the LCD on the left-hand side of the current intensity.

Cannula

Catheter

Range

Incremental step

Range

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

0,50 mA

4.9 Display of the ACTUAL resistance, patient resistance

The current ACTUAL resistance (patient resistance) is shown in analog representation with the aid of 
two bar graphs at the bottom edge of the display.

Indicating range resolution
Upper bar graph 20-60 K

 Resolution 

1k

Lower bar graph 0-20 k

 Resolution 

0,5k

An acoustic warning (double sound) is additionally emitted when specifi c limits are exceeded 
(SETUP Level 4)

4.10 Indication of the battery condition

The battery condition is permanently shown on the display by indicating the remaining utilizable bat-
tery capacity. Each of the fi ve segments represents 20% of the battery capacity. This means: if all fi ve 
segments are visible, then 100% of the utilizable battery capacity are available, if no segment is vis-
ible, then 0% capacity is available. If there are only 20% of the battery capacity available, the battery 
condition indicator will start to fl ash. Then the battery should be replaced soon, or a substitute battery 
should be kept at hand for replacement. If no segment is visible anymore, the device will emit acous-
tic warning signals, as the battery-symbol is fl ashing. If the battery capacity falls even lower, then the 
device will shut down automatically for reasons of safety.

4.11 Adjustment of the stimulation impulse bandwidth

Pressing this button will activate a program option which allows you to preset the stimulation 
impulse bandwidth. The current intensity value and the mA-dimension will disappear from the 
display. Now the stimulation impulse bandwidth indicated in the upper right-hand corner of 

the display can be adjusted to one of the following values with the aid of the turning-knob:

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0,
0,
0,
0,
1,

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XS190174B MultiStim SWITCH GB.indd   34

XS190174B MultiStim SWITCH GB.indd   34

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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