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Introduction  

 

1.3

 

Contraindications 

Contraindications to ultrasound therapy and simultaneous therapy: 

 

Fever-prone disorders and acute inflammatory processes 

 

Pregnancy 

 

Tuberculosis, gastric ulcer 

 

Vascular disorders of the extremities (thrombophlebitis, thrombosis, varicosis) 

 

Tumors 

 

Circulatory insufficiency, coronary diseases, bradyarrhythmia 

 

Acute articular rheumatism 

 

Diabetes mellitus 

 

Septic inflammations 

 

Conditions following radiothorium treatments, X-ray therapy 

 

Laminectomy 

 

Skin lesions (infections, inflammatory processes, naevi) 

 

Tumescence 

 

Blood coagulation diseases 

Do not apply ultrasound close to the brain, spinal cord and eyes. 

 

 

PHYSIOSON-Expert 

2

 

Summary of Contents for PHYSIOSON-Expert

Page 1: ...O P E R A T I N G I N S T R U C T I O N S PHYSIOSON Expert 00851 GB ...

Page 2: ... and subject to alteration Copyright 2000 2010 by PHYSIOMED ELEKTROMEDIZIN AG All rights including rights of translation reproduction by printing copying or similar methods even of parts are reserved Offenders will be liable for damages Last updated August 30 2010 ...

Page 3: ...ons Menu 2 Upper Status Bar 6 Dose Control 10 Setup Menu 3 Display 7 Dose Indicator 11 Transducer Connectors 4 Lower Status Bar 8 Individual Programs 12 SIM Socket Symbols CAUTION Please refer to the operating instructions and consider the physiological effects Type BF component not connected to protective ground wire ...

Page 4: ......

Page 5: ...10 6 2 1 11 Transducer Connectors 11 6 2 1 12 SIM Socket 12 6 2 2 Overview of Parameters 7 3 Notes on Operation 9 3 1 Connection and Start up 9 3 2 Device start up 9 3 3 Function check 9 3 4 Instrument Errors 10 4 Ultrasound Therapy 11 4 1 General Information 11 4 2 Therapy 11 4 3 TPS 12 5 Simultaneous Therapy 14 6 Indications Menu 16 7 Individual Programs 18 7 1 Save and Edit Program 18 7 2 Start...

Page 6: ...14 Accessories 25 14 1 Standard Accessories 25 14 2 Other Accessories 25 15 Manufacturer s Recommendations 27 16 Index 28 ...

Page 7: ...tertight and may be used for underwater treatment All functions of the PHYSIOSON Expert are controlled by a microprocessor which also continuously monitors all important components and suppresses erroneously initiated operating steps After switch on all instrument functions are checked dur ing an automatic self test routine The instrument meets the requirements of the EC Directive concerning medic...

Page 8: ...emities thrombophlebitis thrombosis varicosis Tumors Circulatory insufficiency coronary diseases bradyarrhythmia Acute articular rheumatism Diabetes mellitus Septic inflammations Conditions following radiothorium treatments X ray therapy Laminectomy Skin lesions infections inflammatory processes naevi Tumescence Blood coagulation diseases Do not apply ultrasound close to the brain spinal cord and ...

Page 9: ...ins 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...

Page 10: ...4 Lower Status Bar 4 In the lower status bar 4 messages and prompts are issued e g Plug in head When selecting an indication cf page 16 the name of the indication is issued When selecting an individual program cf page 18 the currently selected parameters are displayed 2 1 5 Data Selector 5 Use the data selector 5 to select the therapy pa rameters and to operate the instrument using the cursor Afte...

Page 11: ...ards The set value is indicated by a marker showing the corresponding dose value Note In order to prevent an overdose PHYSIOSON Expert automatically switches to pulsed mode 2 5 as soon as the set dose limit is exceeded in continuous mode This limit is set to 2 W cm2 by default but may be adjusted in the basic settings cf Basic Settings on page 20 2 1 7 Dose Indicator 7 The dose indicator 7 indicat...

Page 12: ...ransducers are automatically cali brated after connecting and or switching on the instrument The transducers offer the highest possible safety for ultrasound output They are watertight and can be used for underwater treatment Automatic Coupling Confirmation There is an optical coupling confirmation at the transducers which goes out as soon as there is efficient coupling A further optical coupling ...

Page 13: ...ive are shown in the right column upper status bar 2 Type of ultrasound treatment ultrasound only simultaneous treatment ultrasound stimulation current Acoustic coupling confirmation ACTIVE INACTIVE Individual programs user defined Therapy mode ultrasound output cont continuous ultrasound output 1 10 pulsed ultrasound output with the indicated duty cy cle possible values 2 5 1 3 1 5 1 10 selected ...

Page 14: ...ve coupling sufficient with dose turned high Selected intensity the marker arrow shows the fixed dose which cannot be exceeded during treatment automatic memory Selected therapy time Example Symbols on the upper status bar pulsed ultrasound output duty cycle 1 10 large transducer active ultrasound ultrasonic frequency 1 MHz ultrasound treatment only acoustic coupling confirmation active PHYSIOSON ...

Page 15: ...switched off 4 Turn the dose control 6 to 0 5 Plug the transducers into the transducer connector 11 6 Switch on the device with the mains switch mains module 1 The instrument will carry out an automatic function check during which all functions and output values are checked and the transducer is calibrated An audible signal is issued The instrument is ready now The parameters of the last treatment...

Page 16: ...al error code will be displayed These error codes e g ERROR 10 simplify the localization and elimination of errors The LCD shows 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 Note Random instrument errors may conceivably occur as the result of harm less spikes in the power line PHY...

Page 17: ... 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 Note In order to prevent an overdose PHYSIOSON Expert automatically switches to pulsed mode 2 5 as soon as the set dose limit is exceeded in continuous mode This limit is set to...

Page 18: ...erapy time is counted or it continues running i e the entire therapy time is counted independ ently of the coupling We recommend checking the function of the coupling confirmation by shortly re moving the transducer from the patient s tissue prior to treatment Warning Move the ultrasonic transducer constantly on the patient s skin dy namic treatment Make sure that the transducer never remains at t...

Page 19: ...d 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 selected output dose size of the transducer is detected automatically cannot be selected pulse ratio possible values 1 continuous 1 10 1 5 1 3 2 5 refer to Overview of Pa ramete...

Page 20: ...ve 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 stimul...

Page 21: ...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 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 slightl...

Page 22: ...t 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 icon to return to the indications menu 4 Select the desired transdu...

Page 23: ...Set the dose with the dose control 6 8 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 PHYSIOSON Expert 17 ...

Page 24: ... 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 7 2 Start Prog...

Page 25: ...sducer 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 PHYSIOSON Expert 19 ...

Page 26: ...ustic signal every 0 1 W cm2 Dose limit after coupling of ultrasound waves YES dose cannot be increased after coupling NO dose increment is possible after coupling Unit of the ultrasonic dose displayed on the dose indicator 7 W or W cm2 Link coupling confirmation with timer YES Timer runs only with sufficient coupling NO Timer runs independently of coupling Dose threshold i e where instrument swit...

Page 27: ...10 serves to change some parameters without having to switch the device off and on However only the following parameters can be modified Volume of the therapy timer Pitch of the therapy timer Volume of the sound marker Pitch of the sound marker Contrast of the LCD 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...

Page 28: ...tate The instrument must be operated in accordance with the Operating Instructions Repairs to the instrument may be only performed by parties duly authorized by PHYSIOMED ELEKTROMEDIZIN AG Any repairs performed by an authorized agent must be accompanied by written certification describing the nature and extent of the repairs undertaken as applicable with details regarding changes to nominal op era...

Page 29: ...g ultrasound gel from the transducers Prior to cleaning switch off the instrument and disconnect the power lead Notes The transducers contain fragile ceramic piezo resonators Avoid shocks to the surface and take special care that they are not dropped Han dling malpractices can change the characteristics of the resonator 12 Connecting a Stimulation Current Unit PHYSIOSON Expert can be used for simu...

Page 30: ...A Ambient temperature 10 C 40 C Line fuses at 230 V T 500 mA at 115 V T 1 A Output data small transducer large transducer Efficient surface 2 5 cm 5 cm US frequency 1 MHz 3 MHz 1 MHz 3 MHz Maximum output 7 5 W 2 5 W 15 W 5 W Effective output 5 W 2 5 W 10 W 5 W Average power density 3 W cm 1 W cm 3 W cm 1 W cm Modulation cont continuous 0 0 5 2 0 W cm cont 0 5 2 0 3 0 W cm 2 5 100 Hz 1 10 100 Hz 1 ...

Page 31: ...HYSIOSON Expert is to be used exclusively with original accessories Usage of other manufacturers accessories is at the user s risk 14 2 Other Accessories Ref No Description 00162 Connection cable electrotherapy ultrasound 00184 Filling pump 00777 Mains cable 00775 Mains cable 00571 Transportation bag 00095 Trolley Expert 00097 Trolley Expert 00096 Trolley Expert 01001 Trolley Universal 01003 Troll...

Page 32: ...Accessories PHYSIOSON Expert 26 ...

Page 33: ...pection of the apparatus extras and accompanying papers 2 Functional testing of instrument and accessories 3 Check of output parameters 4 Visual inspection of the ultrasonic transducers for cracks 5 Visual inspection of the ultrasonic transducer leads and connectors 6 Electrical safety according to VDE 0751 Limiting value according VDE 0751 Value first measured new apparatus 6 1 Earth conductor re...

Page 34: ...rument errors 10 LCD 10 21 line voltage 3 9 lower status bar 5 mains lead 9 mains module 3 9 24 mains plug 23 mains supply 3 mains switch 3 maintenance 22 manufacturer 3 22 new apparatus 27 operation 9 original parts 22 panel frontal 3 parameters 7 pitch 21 repairs 22 service 22 setup menu 21 SIM socket 6 simultaneous therapy 1 2 14 sponge 23 start up 9 stimulation current 1 14 stimulation current...

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