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4.3 PAUSE function

While the device is turned on, a short depression of the ON/OFF/PAUSE-button or pressing the turning 
knob will activate the PAUSE-mode of the MultiStim SWITCH. Stimulation is stopped in this condition. 
To indicate that the device is in the PAUSE-mode, the »

« or »

«-symbol will disappear and the value 

of current intensity, as well as the mA-symbol will begin to fl ash up.

Important:

All stimulation parameters can be changed during the PAUSE mode without emitting stimulation 
impulses to the patient. Renewed short pressing of the ON / OFF / PAUSE-button or renewed pressing 
of the turning knob will end the PAUSE-mode, and the normal stimulation mode is resumed.

4.4 1 Hz/2 Hz mode

When the 1 Hz-/2 Hz button is pressed, MultiStim will generate a continuous sequence of 
stimulating impulses with a constant frequency. Upon initial activation, the selected 1 Hz func-
tion is displayed on the LCD for 2 seconds instead of the impulse bandwidth indication.

Renewed pressing of the 1 Hz- / 2 Hz-button will double the pulse repetition rate to 2 Hz.

4.5 Mode cannula/KAN

MultiStim SWITCH offers the option for stimulation using an invasive stimulation cannula 
(e. g. PAJUNK® UniPlex NanoLine). The puncture cannula is connected to the Y-cable by 

means of the connection as provided for such. The adhesive electrode is affi xed to the surface of the 
patient’s skin at an appropriate location (good contact) in order to ensure current conduction. The red 
electrode clamp (positive pole, anode) is fastened to the adhesive electrode. In stimulation by means of 
cannula, the current is conducted between the cannula tip (negative pole, cathode) and the red elec-
trode clamp (positive pole, anode). Pressing the »

« -button permits switching back and forth 

between the cannula output and the catheter output.
If the stimulation by cannula is activated, the symbol »KAN« as well as the max. stimulation range 
»6 mA« will appear. The initial intensity of the stimulation current, the stimulation frequency and the 
impulse 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 offers the option for stimulation by means of a catheter (e.g. PAJUNK® StimuLong). 

The stimulation catheter or the catheter clamping adapter is also connected to the Y-cable over the 
intermediate cable. The adhesive electrode is affi xed to the surface of the patient’s skin at an appropri-
ate location (good contact) in order to ensure current conduction. The red electrode clamp (positive 
pole, anode) is fastened to the adhesive electrode. 
In stimulation by means of catheter, the current is conducted between the catheter tip (negative pole, 
cathode) and the red electrode clamp (positive pole).
If the stimulation by catheter is activated, the symbol »CATH« will appear as the status indicator in the 
display. 
The catheter can now be introduced by way of a previously positioned puncture cannula.

Please observe:
If no catheter connection cable is detected when switching to the CATH mode, i.e. the catheter is 
not connected or is defective, this will cause »no« to appear on the display and an acoustic signal 
may be heard; the »KANÜLE/CATH« button is without function.

If the catheter is disconnected in the »CATH« -mode, »no« will appear on the display and acoustic 
warning-signals will be emitted indicating the absence of the electrode. Now: 
a)  the stimulation catheter may be connected again. This will cause the device to return to the original 

mode, 

or 
b) the device may be switched to stimulation by cannula by pressing the »KANÜLE/CATH« - button.

4.7 Amplitude selection (setting of the nominal stimulation current)

The intensity of the stimulation current may be adjusted with the aid of the notched turning-knob 
located in the center of the device. Turning the knob one increment to the right-hand side (i.e. clock-
wise) will increase the intensity of the stimulation current by one incremental step. Turning the knob 
to the left-hand side (i.e. counter-clockwise) will reduce the intensity of the stimulation current by one 

XS190174B MultiStim SWITCH GB.indd   33

XS190174B MultiStim SWITCH GB.indd   33

12.03.10   13:53

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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