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User Instruction – MultiStim SWITCH

1. General information

Please note: Due to US Medical Device Legislation and specifi c requirements for devices marketed in the 
USA the wording of the user instructions for the US may slightly differ from the standard English version.

Please read the following information and instructions carefully.

The product may only be used by experienced medical staff in accordance with these instructions. 
PAJUNK® GmbH Medizintechnologie does not give any recommendation for a method of treatment. 
The treating medical specialist staff is responsible for the course and manner of application and the 
selection of the patient.

Nonobservance or contravention of these instructions will cause the guarantee to expire and will lead 
to endangering the safety of the patient. 

If used in combination with further products, please always observe and comply with the directions for 
use and the compatibility statements of these products. 

Please check the product and the packaging for completeness, intactness and the status of sterility 
before application. Do not use product if you have reason to doubt the completeness, the intactness 
and the non hazardous status of sterility.

MultiStim SWITCH is intended to be used exclusively with PAJUNK® GmbH Medizintechnologie prod-
ucts (e.g. StimuLong catheters, UniPlex cannulae). The accessories may be connected with the device 
exclusively by way of the enclosed equipment cable. Safe and successful functioning can only be 
ensured with these products.

2. Product specifi cation/compatibility

MultiStim SWITCH is delivered with the following basic equipment:
• MultiStim SWITCH nerve stimulator
• 9 volt block battery
• Patient main cable SWITCH
• Short-circuit plug
• Operating instructions
• 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. Please make absolutely sure that the correct cable 
is respectively used, since the device will otherwise not work as intended!

2.1 Indication

The MultiStim SWITCH serves for reliable neuro-localization, as for example in local- and regional 
anesthesia (diagnostic, intra-operative and therapeutical block). It may be used for locating peripheral 
nerves and also for epidural stimulation (Tsui-test). The PAJUNK® MultiStim SWITCH can be used in all 
cases where the identifi cation of nerves, of nerve fascicles or of nerve roots is required.

2.2 Contraindications

The use of a nerve stimulator on patients with known cardiac- or circulatory insuffi ciencies should be 
considered carefully. Further contraindications may be caused by anatomical anomalies.

2.3 Warnings and precautionary measures

The connecting port of the stimulation cannula or the catheter adapter may only be connected to the 
corresponding mating connector of the patient main cable. If an intermediate cable is used inbetween, 
please also absolutely ensure correct connection here!

The device connector of the connector cable may only be connected to the nerve stimulator, and the 
clip connection may only be connected to the adhesive electrode on the skin of the patient.

These plugs/connections may under no circumstances be brought into contact with live / current bear-
ing components (e.g. electrical outlets) or with metallic objects.

The MultiStim SWITCH may not be used in explosive surroundings to avoid gas explosions of anesthe-
sia gasses or the ignition of combustible liquids.

All connected facilities in the environment of the patient must comply with the applicable regula-

XS190174B MultiStim SWITCH GB.indd   25

XS190174B MultiStim SWITCH GB.indd   25

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12.03.10   13:53

Содержание MultiStim SWITCH

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

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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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