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13

English

Further Notes on the Modulation of the Impulse

The continuous stimulation with higher frequencies hinders the repolarisation on the 
cell membranes and leads to the depletion of the neurotransmitter reservoirs on the 
neuromuscular end-plate (Illustration 1).In order to maintain a stimulation effect, the 
stimulation must be modulated in respect of the frequency or the intensity (that is, 
the amplitude). The AmpliMove medical operates with amplitude modulation. 

Traditionally, this has applied in the Nemec’s interference current whereby two 
current circuits with differing frequencies are superimposed in the body. A frequency 
difference results from the interference of the impulses. The application of 4000 
Hz (first current circuit) and 3900 Hz (second current circuit) theoretically leads to a 
stimulation of 100 Hz. But in practice and on account of the complex electro-physical 
conditions in the human body, the stimulations results are difficult to predict.

However, with the AmpliMove medical the modulations occur within the device 
so in contrast to interferential current, therapy can proceed with only one channel. 
The medium frequency alternating current serves as a carrier from two possible 
modulations which are independent of each other:

 

»

A low frequency modulation with a frequency range of 1 - 100 Hz (Illustration2). The 
effect of these frequencies differs in respect to those generated by TENS without the 
medium frequency carrier wave. But general experience gained from low frequency 
effects can be transferred in respect of their analgetic and muscular stimulating 
effects.

 

»

An overlapping envelope curve modulation (Illustration 3), by which in addition, the 
ramp, working and pause phases are specified. This modulation prevents premature 
fatigue, especially of the striated musculature.

The modulations can proceed in different degrees of 1 to 100 %, whereby a stronger 
modulation level provides a more intensive stimulus. Both types of modulation can be 
freely combined with each other.  
 

Illustration 1 

Unmodulated medium 

frequency carrier wave

Illustration 2 

Low frequency amplitude 

modulation of the medium 

frequency carrier wave 

Illustration 3 

Overlapping envelope curve 

modulation

Summary of Contents for Amplimove medical

Page 1: ...schwa medico holistic health DE EN Amplimove medical NEURO MUSCULAR ELECTRO STIMULATOR for amplitude modulated medium frequency electro therapy Operating Manual Art Nr 101799 EN ...

Page 2: ...osing a program keys left choosing a group program key confirming Connecting the mains adapter Switching ON with the key ready after approx 13 s Switch to the left side Connectors for the elec trode cables Connector for the mains adapter ...

Page 3: ...lation keys left Increase decrease the intensity of channel 1 keys right Increase decrease the intensity of channel 2 Pausing the stimulation E key to pause the stimulation key to restart the stimulation key Stopping the stimulation Channel 2 Channel 1 ...

Page 4: ...the Cables 24 Starting the Stimulation 25 8 Description of the programs 32 Basic Programs 32 Expert Programs 33 Pain Management Programs 35 Incontinence Programs 37 Tissue Nutrition Programs 38 Dynamic Programs 39 9 General Information 40 Adjustments Modifications and Repairs 40 Classification 40 Reference sheet for battery retraction and disposal 40 Warranty 40 Guarantee 41 Maintenance and Cleani...

Page 5: ...connector Do not treat a patient with AmpliMove medical when using its USB connector Do not simultaneously connect a patient to AmpliMove medical and to Do not operate the AmpliMove medical close to a high frequency surgical device another medical unit a short wave or microwave unit or a mobile telephone system as it can cause fluctuations in the output values of the electric current stimulation u...

Page 6: ... occurs during stimulation Patients with skin disorders in the vicinity of the electrodes Patients with inflammation in the region of application particularly vascular inflammation Patients with recent thrombosis in the region of application Patients with cardiac rhythm disorders During pregnancy Patients subject to seizures Patients with malignant diseases in the region of application Stimulation...

Page 7: ...oreness Skin irritation due to the reaction of the electrode material or the current Cardiac arrhythmia heart rhythm problems can occur if electrodes are placed in such way the current is crossing the heart Electrode placement over the chest should be avoided by patients with heart rhythm problems Movement limitation due to muscle contractions The user should take particular care during muscle sus...

Page 8: ...e 2 LED light for the main circuit mode 3 ON OFF key 4 Key to select menu and to increase intensity of channel 1 5 Key to select menu and to decrease intensity of channel 1 6 Confirmation key 7 Information key 8 Edit key 9 Back key 10 Key to select menu and to increase intensity of channel 2 11 Key to select menu and to decrease intensity of channel 2 ...

Page 9: ...erating mode left Charging mode right if mains adapter is con nected The switch has no function if the mains adapter is not plugged in The switch from battery operation to mains operation mode is automatic if the mains adapter is connected 13 Socket for the mains adapter 14 Socket for the USB flash drive for software updates 15 Socket for the electrode cable of channel 2 16 Socket for the electrod...

Page 10: ... end of its life but hand it in at an official collection point for recycling By doing this you will help to protect the environment By labelling with CE mark the manufacturer asserts that the product fulfills all relevant requirements of the respective EC Directives A conformation assessment process has been successfully completed The identification number in respect of the conformation assessmen...

Page 11: ...gram parameters Therapy duration 1 99 min 10 in steps of 1 min Carrier frequency 2 10 kHz 10 in steps of 0 5 kHz Low frequency modulation 1 100 Hz 10 in steps of 1 Hz Modulation depth 0 100 Surge current modulation Rising ramp 0 1 3 s 10 Working time 0 25 s 10 Falling ramp 0 1 3 s 10 Pause 0 25 s 10 in steps of 0 1 s 1 s Modulation depth 0 100 Contact control Contact control turns on at 20 of maxi...

Page 12: ...used in medium frequency therapy must only overcome a resistance of 40 Ohm at 50 Hz it is 80 times higher This enables an effective current flow at reduced sensitivity unpleasantness Powerful muscular contractions can be triggered and a greater treatment area treatment volume realized Particularly electrical current muscular stimulation profits from this effect It is for this reason that it is a d...

Page 13: ...dical the modulations occur within the device so in contrast to interferential current therapy can proceed with only one channel The medium frequency alternating current serves as a carrier from two possible modulations which are independent of each other A low frequency modulation with a frequency range of 1 100 Hz Illustration2 The effect of these frequencies differs in respect to those generate...

Page 14: ...esents a compromise between the sensitive stimulation inconvenience and the required motoric reaction Many therapists often use the frequency 4000 Hz For electrical current sensitive patients a higher frequency could be advisable If an intensive stimulation is wished a lower frequency should be selected Higher frequencies can on account of their lesser electrical current perception misleadtotheapp...

Page 15: ...aining is effected depending on the selection of the parameters In addition to muscular stimulation the activation of the associated joints ligaments and tendons is important for the contracture prophylaxis and tissue nutrition Muscle stimulation with the AmpliMove medical is suitable for all patients who are subject to existing or the prevention of inactivity atrophy This includes patients with p...

Page 16: ...ase Turn the power switch no 12 back to the power mode The battery level is indicated on the upper right side of the display with the symbol The battery need to be recharged once the battery symbol turns to red Please note The device is automatically in battery operation if the mains adapter is not connected to the device Important Please handle the mains adapter with care and do not drop it Opera...

Page 17: ... programs in use Basic programs parameters of thepredecessorunitAmpliMed Expert programs new pro gramswithdifferentsequences User programs for own parameters Settings time date language software update To select the desired menu keys left Select a menu key Confirm your choice Menu Favourites Select the point Favourites with the keys in the start menu Confirm your choice with the key The favourites...

Page 18: ...ation parameters can be adjusted directly without creating a user program Select the point Parameters with the keys in the settings menu Confirm your choice with the key Press the left keys to jump from one parameter to the next one Press the right keys to modify the parameter value Confirm your modification with the key The selected parameters are stored even after turning the device OFF A user p...

Page 19: ...arameters and start stimulation key Return to menu Settings Setting Date and Time In this menu the date and time can be adjusted Select the point Date time with the keys in the settings menu Confirm your choice with the key Press the left keys to jump from one value to the next one Press the right keys to modify the value Confirm your modification with the key Press the key to return to the Settin...

Page 20: ... flash drive Select the point Software update with the left keys in the settings menu Confirm your choice with the key Plug the USB flash drive with the copied files in the USB socket no 14 on the back side of the device Wait until the device has detected the flash drive then press again the key to start the software update The files are then copied and installed The device automatically restarts ...

Page 21: ... with the left keys Confirm the selected program with the key Increase the intensity with the of each channel left key for channel 1 and right key for channel 2 to start the program Press the i key to access information to the parameters of the selected program Press the right or left keys to scroll between the parameter of the different sequences Press again the i key to access information on exa...

Page 22: ...egory with the left keys and confirm your choice with the key Press the key to return to the Start Menu A list of programs then appears on the display Select a program by scrolling with the left keys Confirm the selected program with the key Increase the intensity with the of each channel left key for channel 1 and right key for channel 2 to start the program Press the i key to access information ...

Page 23: ...ough the sequences by pressing the right of left keys Press the i key again to access information on examples of electrodes placements Scroll through the different electrodes placements by pressing the right of left keys Press the E key to access a program description Press the key to return to the menu Expert programs Name of the program Duration of the sequence Low frequency Modulation depth of ...

Page 24: ...nt Connecting the Cables Connect the electrodes or sleeves with the cable s always 2 electrodes per cable Connect the cable s to the socket on the rear side of the AmpliMove medical no 15 and 16 Place the electrodes on the desired area see examples on chapter Electrode placement Always follow the recommendation of the therapist ...

Page 25: ...ercent of the max intensity left 8 Intensity channel 2 in Percent of the max intensity right 9 Surge current modulation with ramp times in the middle 10 Low frequency and modulation depth in use lower right side 11 Carrier frequency in use lower left side Starting the Stimulation keys left Start stimulation on channel 1 and increase intensity Decrease intensity on channel 1 keys right Start stimul...

Page 26: ...ensity on channel 2 E key PAUSE To pause stimulation key STOP To stop stimulation Operation During the Stimulation Pause keys right or left Start stimulation again key Stop stimulation Options Press the E key once a program has been selected to enter the Options menu Choice of Sequences In this menu you can select a specific therapy sequence The sequences placed after the selected one are starting...

Page 27: ... this standard safety setting please deactivate the safe intensity control The running modulation is then not interrupted during the intensity setting keys left Select an option keys right Select a sequence Change the status key Confirm your selection and close Options menu key Close Options menu without changes Menu User programs Creating Own Programs In this menu you can create own programs Sele...

Page 28: ...the key to save the program name keys left Select a letter i key Switch between capital and lower case letters key Confirm name of program and close the menu Enter program name E key Add the selected letter to the program name key Return to menu User programs key right Delete the last letter of the program name The point New sequence is already selected Press the E key to add a sequence Press the ...

Page 29: ...odulation depth of surge current 0 100 Rising ramp 0 1 3 s Working phase 0 25 s Falling ramp 0 1 3 s Pause 0 25 s keys left Select a parameter to be modified key Save the sequence and return to menu Edit user program keys right Modify the selected parameter key Return to menu Edit user program without saving changes Note about the intensity adaptation The intensity is reduced to the set percentage...

Page 30: ...User Programs Select an existing user program with the left keys in the menu User programs Press the E key to edit the user program The current name of the user program is displayed in the Enter program name window Press the right key as often as necessary to delete the last character s Press the left keys to scroll through the alphabet Press the E key to add the selected letter or figure to the p...

Page 31: ...the key You automatically get back to the overview of all sequences The order of the sequences is fixed and cannot be modified Press the i key to delete a sequence Confirm the delete procedure with the key Press the key to return to the User programs menu You can modify the following parameters Therapy duration 1 99 min Carrier frequency 2 10 kHz Intensity adaptation 1 90 Low Frequency Modulation ...

Page 32: ... the program no 2 and in the chart below an overview of the sequences and their para meters no 3 keys left Select an existing or a new sequence key Save the user program and return to menu User programs i key Delete the selected sequence E key Edit the selected sequence or create a new sequence key Close menu Edit user program and return to menu User programs keys right Edit the program name 8 Des...

Page 33: ...s the muscle stimulation programs can be performed several times a day Combining or changing programs can be useful Adequate current intensity for the motoric stimulation and the triggering of visible contractions is required for all muscle stimulation programs Program 1 Endurance Training 12 min This program serves to stimulate low fatigue Type I fibres which are responsible for the endurance of ...

Page 34: ...h is accompanied by consecutive muscle fibre relaxation If required this program can be repeated several times Program 6 Endurance Training for Current Sensitive Patients 8 min With this program the stimulation parameters and duration are carefully selected to ease sensitive patients into AmpliMove medical therapy After a period of acclimatization one can change to the program Endurance Training C...

Page 35: ...e and leads somewhat less frequently to an increase in the reactive spastic which can arise particularly during the acclimatization phase and at the beginning of the therapy Under some circumstances shortened application is advisable As an alternative and also as a supplement to this program consideration should be given to the program Detonisation of Spasticity Combining with the program Paresis ...

Page 36: ...sensitive stimulation The program can also be used as an alternative if muscular twitching cannot be triggered or cannot be tolerated Program 4 Back Pain Combination 15 min This special program for the relief of back pain combines pain therapy with the treatment of myogenic tension and dysbalance In all three sequences stimulation should be above the motoric threshold With acute pain where the mus...

Page 37: ...the treatment of urge incontinence and over active bladder Stimulation should be above motoric threshold in all sequences Both skin electrodes self adhesiveelectrodesorsiliconeelectrodes andalsoavaginalprobe for men an anal probe can be used whereby the probes are probably the more effective option As a rule treatment on a once daily basis is adequate As an alternative to this program and the reco...

Page 38: ...an be described as non segmental stimulation afferent fibres of the N pudendus and is a therapy option for an overactive bladder and also for urge incontinence And success has also been recorded in respect of fecal incontinence An electrode is placed on the medial tibia edge 4 fingers breadth over the tip of the inner malleolus Acupuncture point MP 6 the other electrode beneath the inner ankle bon...

Page 39: ...ed as disagreeable Dynamic Programs The dynamic programs operate with a continuous alternating intensity on both channels and have an effect which is similar to massaging To develop this effect both channels are always connected to skin electrodes self adhesive or silicone electrodes and aligned horizontally or vertically to each other in the therapy area The stimulation can be carried out sensiti...

Page 40: ...us substances as well as the circumstance that batteries must not be disposed of in the household waste but professionally The chemical term of the hazardous substance is below the dustbin symbol You are obliged by law to return used batteries You may render used batteries at municipal collecting points or in local trade We are also obliged to take back used batteries whereat our obligation restri...

Page 41: ...must be carried out before re use Technical Check We recommend a technical check on the AmpliMove medical every 24 months This includes 1 Confirming that user instructions have been included in the accompanying documentation 2 Checking the equipment for completeness 3 Visual check The type plate the adhesive label and the inscriptions are complete and readable For mechanical damage For damage to a...

Page 42: ... adhesive electrodes 5x5 cm 4 pieces 1 283600 Self adhesive electrodes 5x9 cm 2 pieces 1 107052 STIMEX TEX 1 35 1 connector 1 101799 Instruction manual 1 Transportation case 1 11 Accessories The AmpliMove medical may only be used together with the accessories referred to in this chapter The manufacturer cannot guarantee the safety of the AmpliMove medical if it is not used with original accessorie...

Page 43: ...0 mm 2 283000 STIMEX 50 x 130 mm 2 283100 STIMEX 80 x 130 mm 2 281056 STIMEX 30 x 65 mm 4 281057 STIMEX 90 x 150 mm 2 Silicone Electrodes To be used with contact gel Technical Data Compound silicone carbon Manufacturer Pierenkemper GmbH Germany Application Spread 2 3 drops of schwa medico electrode gel over the flat side of the electrode The electrode gel acts as a conductor for the electrode Plac...

Page 44: ...ntenance and cleaning Air dry the STIMEX TEX after every utilisation not above a radiator STIMEX TEX may be washed by hand with cold water Item no Description Quantity 107049 STIMEX TEX 1 20 1 connector approx 23 30 cm circumference 2 107051 STIMEX TEX 1 30 1 connector approx 28 40 cm circumference 2 107052 STIMEX TEX 1 35 1 connector approx 32 55 cm circumference 2 107053 STIMEX TEX 2 20 Elbow 2 ...

Page 45: ...ctrodee after each electrotherapy session with water and soap or clean it with 70 alcohol Item no Description Quantity 103025 Vaginal electrode V2B 1 V2B Ø 25 mm 10 18 10 15 Länge 130 mm Length approx 150 mm 25 mm ø 10 25 10 18 103041 Vaginal electrode VAT 3 1 VAT3 20 mm Ø 10 18 10 10 Länge 100 mm Length approx 100 mm 20 mm ø 10 19 10 12 103044 Rectal electrode TL1R 1 TL1R 5 25 Länge 65 mm 4 5 12 ...

Page 46: ...rogram 1 Endurance Training 12 min Program 2 Strength Training 13 min Program 3 Endurance Training Muscular Atrophy 8 min Program 4 Strength Training Muscular Atrophy 9 min Program 5 Muscle Relaxation 4 min Program 6 Endurance Training for Current Sensitive Patients 8 min Program 7 Strength Training for Current Sensitive Patients 8 min Program 8 Detonisation of Spasticity 7 min Program 9 Paresis 1...

Page 47: ...tinence 12 min Program 6 Pelvic Floor Hypertension 8 min Program 7 Constipation 8 min Program 8 Posterior Tibial Nerve Stimulation 12 min Program 9 Sacral Nerve Stimulation S2 3 12 min Tissue Nutrition Program 1 Tissue Nutrition Combination Program 2 Tissue Nutrition Low Frequency Program 3 Tissue Nutrition High Frequency Dynamic Stimulation Program 1 Dynamic Stimulation Slow 15 min Program 2 Dyna...

Page 48: ...ausen I Deutschland schwa medico holistic health Export Department Wetzlarer Strasse 41 43 I 35630 Ehringshausen I Germany Tel 49 6443 8333 113 I Fax 49 6443 8333 119 Email export schwa medico de I www schwa medico com REF 451600 0401 Stand 2014 08 21 ...

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