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Physiomed PHYSIOTHERM-S, Operating Instructions Manual

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Physiomed PHYSIOTHERM-S Operating Instructions Manual Download Page 35

  

Indications 

PHYSIOTHERM-S

 

 

27 

7.1.16

 

Frozen shoulder 

Definition: 

Shoulder pain accompanied by limitation of movement 

Goal of 
treatment: 

Freedom from pain, stimulation of perfusion, full joint movement 

Favourable 
combinations:  

Ultrasonic therapy, electrotherapy (combined therapy), exercise. In case of acute 
pain, cryotherapy and immobilization with slight abduction is favourable. 

 

Heat therapy  –  short-wave (not in acute phase) 

Mode Continuous 

mode 

Applicator 

Plate electrodes / rubber electrodes / diplode 

Location of treatment 

On both sides of the joint 

Electrode-skin distance 

Active: 2 cm – 3 cm 

Passive: 2 cm – 3 cm 

Duration of treatment 

5 min – 10 min 

 

Treatment dosage 

Dosage: 2 – 3 

 

Treatment interval 

2 times per week 

10 – 15 treatments 

Important! Contraindication: 

Heat therapy in all acute phases! 

7.1.17

 

Periostitis 

Definition: Cortical 

osteitis 

Goal of treatment: 

Pain relief, inflammation stop 

Favourable 
combinations:  

Ultrasonic therapy, electrotherapy (combined therapy), ice treatment, dressing 
with ointment containing NSAID (e.g. Voltaren Emulgel) 

 

Heat therapy  –  short-wave (not in acute phase) 

Mode Continuous 

mode 

Applicator 

Plate electrodes / rubber electrodes / diplode 

Location of treatment 

On both sides of the bone 

Electrode-skin distance 

Active: 2 cm  

Passive: 2 cm  

Duration of treatment 

5 min – 10 min 

 

Treatment dosage 

Dosage: 2 – 3 

 

Treatment interval 

Daily  

10 – 15 treatments 

Important! Contraindication: 

Heat therapy in all acute phases! 

Summary of Contents for PHYSIOTHERM-S

Page 1: ...00916 GB O P E R A T I N G I N S T R U C T I O N S PHYSIOTHERM S ...

Page 2: ...g and subject to alteration Copyright 2001 2009 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 April 8 2009 ...

Page 3: ...w Operator side Legend 1 Power switch 6 Electrode connection cable 2 Graphic display 7 Extractable electrode arm 3 Data selector 8 Metal housing 4 Stop button 9 Locking castor 5 Plastic plate electrode 1 4 7 9 8 2 5 6 3 ...

Page 4: ...justing element for electrode skin distance 12 High load non heating appliance plug 16 Locking screw 13 Rating plate Symbols CAUTION Please refer to the operating instructions and consider the physiological effects Type BF component not connected to protective ground wire 13 10 11 12 14 16 15 ...

Page 5: ... 4 Notes on operation 8 4 1 Preparing the unit 8 4 2 Check for operational safety 8 4 3 Setting the Line Voltage 8 4 4 Instrument Errors 9 4 4 1 Operator errors 9 4 4 2 Internal errors 9 5 Short Wave Therapy 10 5 1 Positioning the electrodes 10 5 2 Setting the intensity 12 5 2 1 Dosage levels according to Schliephake 12 5 2 2 Effective Power 12 5 3 General information on starting a short wave ther...

Page 6: ...2 4 Hidradenitis 33 7 2 5 Panaritia 33 7 3 Gynaecology 34 7 3 1 Adnexitis chronic 34 7 3 2 Amenorrhoea dysmenorrhoea ovarian insufficiency 35 7 3 3 Mastitis 35 7 3 4 Myometritis chronic 36 7 3 5 Parametrism 36 7 4 ENT dentistry and oral medicine 37 7 4 1 Laryngitis 37 7 4 2 Otitis media chronic 38 7 4 3 Sinusitis max 38 7 5 Internal medicine urology 39 7 5 1 Bronchitis chronic 39 7 5 2 Cholelithia...

Page 7: ...12 Cleaning and Disinfections 49 13 Technical Data 50 14 Accessories 51 14 1 Standard 51 14 2 Special Accessories 51 15 Manufacturer s Recommendations 52 16 Index 53 ...

Page 8: ......

Page 9: ...ut using either the capacitor dielectric field or the coil induction field method In the dielectric field method the body part to be treated is within the electric field between two plate electrodes The radiation produces a warming of the body part located within the field Fat layers are warmed considerably more than muscle tissue When applying the induction field method the body part is within a ...

Page 10: ...ed to short wave therapy The effects of the applied high frequency on the pacemaker could cause ventricular fibrillation Any other persons with pacemakers must also remain outside of the treatment area during the short wave therapy Patients whose condition could be negatively affected by heat Patients with tuberculosis Patients with haemorrhages or risk of haemorrhage Patients with septic conditio...

Page 11: ...n to bandaged areas as long as the bandages are completely dry When treating small children particular care is obviously required due to the low body weight Very careful dosing and constant observation manual checks of the skin temperature while the unit is switched off are necessary Since the effects of high frequency fields on unborn life have not yet been sufficiently researched we recommend th...

Page 12: ...ew at the beginning of this manual 2 1 1 Display 2 On the display 2 you can select all of the instrument s menus and parameters on different levels The selection is carried out with the data selector 3 2 1 2 Data Selector 3 Use the data selector 3 to select the therapy parameters and to operate the instrument by means of the cursor You can move the cursor to the other menu items by turning the sel...

Page 13: ...utton 4 is used to interrupt a therapy session Press the stop button 4 if you want to stop treatment before the selected therapy time has elapsed 2 2 Overview of Parameters 2 2 1 Start Menu effective power therapy parameters indications menu transmission programming mode ...

Page 14: ...or the patient with conductive materials that are earthed or have a high capacity to earth must be prevented e g heating pipes water faucets metal chairs metal beds or other earthed devices The unit must be set up so that the normal release of electromagnetic radiation during operation does not hinder the function of other devices or data media The minimum distance to other devices or their power ...

Page 15: ...livery documents to make sure that the delivery is complete 2 Check the external components and accessories for possible damage due to transport Warning In case of damage from transport that could endanger personal safety the unit must not be connected to the power supply 3 6 Damages Claims for damages resulting from damage due to transport are valid only if the carrier and the manufacturer are no...

Page 16: ...r for non heating appliances into the corresponding socket on the back of the unit 4 2 Check for operational safety For your personal safety you should Check the condition of the housing and the insulation of electrodes electrode connection cable and the power supply cable Also make sure that the cables have been routed correctly Insert the power plug into an earthed socket outlet Warning The unit...

Page 17: ...ould be checked again E02 Matching Please wait Cause For reasons of safety the effective output must not be set higher than 100 W as long as the tuning process is still in progress The reason for this is that if tuning takes place at a higher effective output heat can be clearly felt 4 4 2 Internal errors With the exception of temperature errors the treatment must be stopped immediately in case of...

Page 18: ...sitioned so as to avoid overheating due to edge effects The surfaces of the electrodes must be nearly parallel to the area being treated It is possible however to use these edge effects for therapeutic purposes Warning If such an effect is desired the dosage must be controlled very carefully correct incorrect Positioning of electrodes edge effect Local overheating can occur in the electric field d...

Page 19: ... use of the diode is recommended for local applications It is also possible to achieve this however by using different electrode sizes and varying the positions Below you will find several examples for correct placement of electrodes Even irradiation of extremities in the transverse field Even irradiation of extremities in the longitudinal field Uneven irradiation by the use of different electrode...

Page 20: ... low medium strong Dosage scheme according to Schliephake Warning Always begin the treatment with an initially low dosage After the treatment has been in progress for 1 2 minutes you can make the final setting based on the subjective response of the patient 5 2 2 Effective Power In order to prevent unbearable warming of tissue the effective output power as summarized in the following table must no...

Page 21: ...es make sure that the intensity is turned down to 0 4 Make sure that the electrodes are in the correct position refer to section Positioning the electrodes on page 10 5 Check for correct electrode skin distance refer to section Error Reference source not found on page Error Bookmark not defined You are now ready to begin the treatment 5 3 2 Beginning the treatment Treatment is always started from ...

Page 22: ...serve the matching display and the well being of the patient verbal response 5 Adjust the parameter setting during the treatment if necessary Note During active treatment it is not possible to switch directly from continuous mode CW mode to pulsed mode and vice versa 6 Press the stop button 4 to interrupt the treatment or wait until the treatment duration has elapsed signal tone 7 Remove the elect...

Page 23: ...after the unit is switched on Proceed as follows to start a treatment via the indications menu 1 Prepare instrument and patient refer to Preparations on page 13 2 Select the function Indic on the display 2 The main page of the indications menu is displayed 3 Select via the function Select the desired indication from the main page of the indications menu e g ARTHROSIS acute If the required indicati...

Page 24: ...tient how he feels 6 2 Information on the selected treatment To get concise information on the applied treatment proceed as follows 1 Select the function Indic from the display 2 2 Select the function Info from the display An illustration will be displayed resuming the main features of the applied treatment for you e g dosage duration etc as well as the suggested parts of the body where you can at...

Page 25: ...enu 1 Select the function Indic from the display 2 2 Select by the function Index from the display The index page showing a list of medical fields will be displayed 3 Select by the function Select the desired medical field from the index e g Gynaecology The indications of the recently selected medical field can now be selected ...

Page 26: ... is recommend in case of decidedly chronic conditions When applying the short wave treatment to small children a very careful dosage and constant observation manual checking of skin temperature when the unit is switched off are necessary Accordingly small children should be fully undressed during the treatment For surface therapy skin and subcutaneous fat a small distance is usually required betwe...

Page 27: ... joints Goal of treatment analgesia tone reduction stimulation of perfusion Favourable combinations Ultrasonic therapy electrotherapy combined therapy manual therapy prevention of dysfunctional stress cryotherapy Heat therapy short wave chronic Mode Continuous mode Applicator Plate electrodes Location of treatment Irradiation of painful joints Electrode skin distance Active 2 cm 4 cm Passive 2 cm ...

Page 28: ...atory condition The use of coil induction field electrodes rather than capacitor dielectric field electrodes is recommended 7 1 3 Achillodynia Definition Irritation of the Achilles tendon Goal of treatment Stimulation of perfusion elimination of functionally impaired contractures analgesia trophic improvement Favourable combinations Reduction of strain due to sports heel cushions to alleviate symp...

Page 29: ...also be applied for 2 3 minutes in inflamed or inflammatory condition The use of coil induction field electrodes rather than capacitor dielectric field electrodes is recommended 7 1 5 Bursitis Definition Bursal synovitis Goal of treatment Normal function without irritation Favourable combinations Manual therapy pain relieving traction mobilization below caudal cryotherapy or cold compresses in acu...

Page 30: ...Dosage 2 3 Subacute Dosage 1 12 Watt middle power Treatment interval Daily 5 10 treatments Important Contraindication Heat therapy in all acute phases fresh haematoma The use of coil diode diplode electrodes rather than capacitor dielectric field electrodes is recommended 7 1 7 Epicondylitis Definition Tennis elbow inflammation of tendon attachments on cubital or radial part of elbow joint humeral...

Page 31: ...tures occur the electric therapy must be stopped immediately 7 1 9 Fracture Definition Broken bones Goal of treatment Accelerated callus formation especially in case of fractures that heal poorly Favourable combinations Ultrasonic therapy heat therapy Electrotherapy training of the atrophied muscles Heat therapy short wave for fractures that heal poorly Mode Continuous mode Applicator Plate electr...

Page 32: ...Apply heat treatment only if it is bearable for the patient Short wave treatment relieves tension in muscles and connective tissue At dosage of 1 it can also be applied for 2 3 minutes in inflammatory condition The use of coil induction field electrodes rather than capacitor dielectric field electrodes is recommended 7 1 11 Ischialgia Definition Pain in ending of nervus ischiadicus always radicula...

Page 33: ...atment dosage Dosage 2 3 Treatment interval 3 times per week 10 12 treatments Notes Application of heat and cold help to loosen up the joints Always apply kinesiotherapy afterwards Important Application of heat is contraindicated in case of pain 7 1 13 Lumbago Definition Muscle pain in the lumbar region lumbar rheumatism Goal of treatment Elimination of the painful muscle tension tone reduction Fa...

Page 34: ...rized by clear symptoms of dysfunction neuralgia refers to conditions where pain is primary normally during the night Goal of treatment Pain relief acceleration of healing and regeneration without loss of function inflammation stop Favorable combinations Galvanisation hydroelectric one two four cell or full bath iontophoresis heat therapy ultrasonic therapy Heat therapy short wave Mode Pulsed mode...

Page 35: ...ration of treatment 5 min 10 min Treatment dosage Dosage 2 3 Treatment interval 2 times per week 10 15 treatments Important Contraindication Heat therapy in all acute phases 7 1 17 Periostitis Definition Cortical osteitis Goal of treatment Pain relief inflammation stop Favourable combinations Ultrasonic therapy electrotherapy combined therapy ice treatment dressing with ointment containing NSAID e...

Page 36: ...0 12 treatments Notes Treatment only in inflammation free stage as accompaniment to kinesiotherapy Begin with small dosage 1 2 after 5 8 treatments increase to dosage level 3 if necessary 7 1 19 Spondylosis osteochondrosis Definition Arthrosis of the vertebral bodies degeneration of the intervertebral disks Goal of treatment Freedom from affliction retardation of degeneration muscle relaxation sti...

Page 37: ...ent 3 min 6 min Treatment dosage Dosage 1 2 Treatment interval 3 times per week 10 12 treatments Important Heat therapy only if bearable and never in acute phase 7 1 21 Tendovaginitis Definition Inflammation of tendon and sheath Painful grating or chafing of the affected tendon after overstraining or dull trauma Goal of treatment Inflammation stop pain relief free movement function Favourable comb...

Page 38: ...Favourable combinations Electrotherapy iontophoresis heat therapy ultrasonic therapy combination therapy fango packs and massage Heat therapy short wave chronic affliction Mode Continuous mode Applicator Diode diplode Location of treatment 3rd cervical vertebra toward caudal Electrode skin distance Full contact Duration of treatment 5 min 10 min Treatment dosage Dosage 2 3 Treatment interval Every...

Page 39: ... baths with addition of chamomile or arnica Heat therapy short wave Mode Pulsed mode Applicator Plate electrodes diode Location of treatment Above inflammation Electrode skin distance Active 1 cm small electrode plate above the inflammation focus Passive 4 cm with larger electrode Duration of treatment 1 min 2 min Treatment dosage Dosage 1 Treatment interval Daily 1 2 treatments Notes Can also be ...

Page 40: ...ate treatment Treatment dosage Dosage 1 fresh early treatment Dosage 1 2 old late treatment Treatment interval Daily 10 15 treatments Notes The use of coil induction field electrodes rather than capacitor dielectric field electrodes is recommended In case of fresh frostbite treat with max 20 W effective power 7 2 3 Skin injuries Definition Open legs stasis ulcer open wounds bedsores decubitus Goal...

Page 41: ...ent dosage Dosage 1 2 Treatment interval Daily 10 treatments Notes The use of coil induction field electrodes rather than capacitor dielectric field electrodes is recommended 7 2 5 Panaritia Definition Whitlow purulent inflammation on fingers and hand due to infection with suppuratives Goal of treatment Inflammation stop Favourable combinations Short wave therapy is the preferred method Heat thera...

Page 42: ... Acceleration of healing processes stimulation of perfusion Favourable combinations Acute absolute bed rest ice pack cold damp compresses Chronic mud applications Heat therapy short wave not in acute phase Mode Pulsed mode Applicator Plate electrodes rubber electrode Location of treatment In the area of the organ to be stimulated and under the buttocks Electrode skin distance Active ventral 2 cm 4...

Page 43: ...t 5 min 10 min Treatment dosage Dosage 2 3 Treatment interval 3 times per week 5 10 treatments Notes Begin 6 days after menstruation Important No local treatment during pregnancy or menstrual phase Special attention required during pregnancy 7 3 3 Mastitis Definition Inflammation of mammary glands Goal of treatment Stop inflammation Heat therapy short wave Mode Continuous mode Applicator Diplode d...

Page 44: ... attention required during pregnancy 7 3 5 Parametrism Definition Alteration of the female pelvic connective tissue Goal of treatment Stimulation of perfusion relaxation of the smooth uterine suspensory ligaments Favourable combinations Hip baths for increasing temperature with additives such as natural mud massage of connective tissue Heat therapy short wave Mode Continuous mode Applicator Plate ...

Page 45: ...is way Never under or immediately after local anaesthesia Caution where larger metal parts fillings bridges or metal bars are present resonance heating possible Therefore monitor heat conditions during the initial phase of the treatment and stop the short wave application immediately if heat is felt 7 4 1 Laryngitis Definition Inflammation of the voice box without specific irritants Goal of treatm...

Page 46: ...ull due to impact on base of brain 7 4 3 Sinusitis max Definition Inflammation of maxillary sinus Goal of treatment Stimulation of perfusion loosening of mucus healing improving resistance Favourable combinations Heat therapy ultrasonic therapy inhalation therapy with isotonic saline solution Heat therapy short wave Mode Continuous mode Applicator Plate electrodes small diode Location of treatment...

Page 47: ...ic bronchitis Healing combat infection loosening of mucus Obstructive chronic bronchitis Removal of the bronchial obstruction Favourable combinations Heat therapy ultrasonic therapy instruction in how to cough effectively inhalation therapy aerosol therapy with table salt Sultanol or Atrovent inhalation solution Heat therapy short wave Mode Continuous mode Applicator Plate electrodes large diplode...

Page 48: ...upport neural therapy 7 5 3 Hepatitis Definition Inflammation of the liver Goal of treatment Healing stimulation of perfusion of liver and general well being Favourable combinations Hot roll above the liver foot and arm baths brush massage to stimulate peripheral perfusion massage of connective tissue breathing therapy Heat therapy short wave posticteric stage Mode Continuous mode Applicator Plate...

Page 49: ...ion of tissue Increased effectiveness in combination with spasmolysant which should be applied intravenously or rectally before treatment 7 5 5 Unspecific exudative pleurisy chronic Definition Inflammation of the pleura Goal of treatment Stop inflammation without retention of calluses adhesive bands and breathing impediments Favourable combinations Breathing therapy drainage position breathing tho...

Page 50: ...Heat therapy short wave not in acute phase Mode Continuous mode Applicator Plate electrodes rubber electrode diode Location of treatment Active smaller electrode above the perineum passive above the sacrum diode locally from direction of perineum Electrode skin distance Active above perineum 2 cm Passive above sacrum 3 cm Duration of treatment 5 min 10 min Treatment dosage Dosage 1 3 Treatment int...

Page 51: ...es The image below shows the main menu after the unit is switched on Proceed as follows to set the program values 1 Select successively the parameters Hz Mode and min to set the corresponding program values 2 Select the function Prog from the display 2 The extra menu for the individual programs containing the following functions is displayed 3 Select one of the programs P01 to P20 4 Select the fun...

Page 52: ...r on the display 2 5 Select the desired OUTPUT POWER Therapy time elapses 8 Press the stop button 4 to interrupt the treatment or wait until the treatment duration has elapsed signal tone 6 Remove the electrodes and ask the patient how he feels 8 3 Delete Program Proceed as follows to delete a program 1 Select the function Prog from the display 2 The menu containing the individual programs is disp...

Page 53: ...ish LCD brightness 70 10 100 LCD contrast 70 0 100 9 1 Changing the basic settings To alter a parameter proceed as follows 1 Switch off the instrument 2 Press the data selector 2 and hold it down 3 Switch on the instrument with the power switch 1 and wait with the data selector depressed until the basic settings menu is displayed 4 Turn the data selector until the desired parameter line is selecte...

Page 54: ...t be consulted concerning possible contraindications An accurate diagnosis is always required for each treatment All service work safety inspections voltage conversion between 115 V and 230 V repairs must be performed only by service technicians who have been authorized by the manufacturer For your own safety please read the following safety instructions carefully and observe the information conta...

Page 55: ...l there is no danger of unwanted local warming due to electrode constrictions and no other persons are located within 2 meters of the unit Before using the unit speak with the patient to make sure that he is in a comfortable position during the entire treatment he is not in contact with the unit the electrode connection cable the electrodes or other devices or metal objects and he should and can l...

Page 56: ...he unit to the socket outlet with earthing contact does not pose a danger for personnel or the patient the building s power supply is designed for the comparatively high possibly additional power input of the unit 1500 VA and the line is sufficiently protected in accordance with regulations Do not connect the unit to the power supply until these requirements have been fulfilled Before putting the ...

Page 57: ...tered in a medical products log Safety inspections and repairs must be entered with the date of performance in the medical products log All service safety inspections voltage switching between 115 V and 230 V repairs may be performed only by service personnel authorized by the manufacturer Do no perform unauthorized repairs under any circumstances 12 Cleaning and Disinfections To clean the device ...

Page 58: ... in 10 Watt increments CW mode in 50 Watt increments pulsed mode Power indication Amplitude and effective power Working frequency 27 12 MHz 0 6 Pulse duration 200 600 μs Pulse frequency 10 300 Hz Treatment duration 1 60 min Dimensions1 42 0 x 97 0 x 41 0 cm W x H x D Weight1 60 kg Ambient temperature2 10 C to 40 C operation 40 C to 70 C transport and storage Relative humidity 30 to 75 operation 10...

Page 59: ... other manufacturer s accessories is at the user s risk 14 2 Special Accessories Ref No Description 00681 Plastic plate electrode 165 mm 00685 Plastic plate electrode 120 mm 00684 Plastic plate electrode 80 mm 00682 Electrode connecting cable with sponge rubber covering 00688 Rubber capacitor electrode 250 x 145 mm 00687 Rubber capacitor electrode 180 x 120 mm 00689 Felt layer with linen bag for 1...

Page 60: ...eck housing power cable electrode connection sockets electrode cables plate electrodes diplodes diodes and rubber capacitor electrodes for deformations and damages 2 Correct function of indicators 3 Correct display of operating modes 4 Accuracy check of timer 5s time setting 5 Correct function of power switch 6 Verification of power output using a neon indicator 7 Electrical test according to IEC ...

Page 61: ...F facial paralysis 23 field dielectric 1 induction 1 medical 17 fracture 23 frozen shoulder 27 G gynaecology 34 H haemorrhage 2 heart diseases 3 heat therapy 1 I implant 2 46 index page 17 indication achillodynia 20 adnexitis 34 amenorrhea 35 Bechterew s disease 21 bronchitis 39 bursitis 21 cervical syndrome 30 cholelithiasis 40 constipation 41 contracture 25 distortion 22 epicondylitis 22 facial ...

Page 62: ...steoarthritis 19 overview operator side 3 parameters 5 patient side 4 P pacemaker 2 parameters basic settings 45 change 45 set 45 periostitis 27 polyarthritis 20 pregnancy 3 program call 44 delete 44 vaules 43 pulsed mode 18 R Raynaud s disease 28 recommendations 52 S safety 46 service work 46 spondylosis 28 start menu 5 stop button 5 Sudeck s dystrophy 29 Sudeck s syndrome 3 surface therapy 18 su...

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