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During the initial research of nerve, for a maximum stimulation reach, the cursor is therefore turned 
right completely: 1ms and 6mA.
Then, according to the rotation of the cursor towards the left, the stimulus duration automatically 
decrease from 1ms to 0,5ms then to 0,3ms and to fi nish to 0,1ms which is the value used in the 
classical procedure approach. Issued intensities were calculated to avoid jolts between each stimulus 
duration, so that increase or decrease of the amplitude of neuromuscular responses keeps linear and 
smooth. So without tiring manipulation and in automatic way, the operator begins a target neuromus-
cular response from the maximum distance detection allowed by his neurostimulator. Then during 
rotation to the left of the cursor (related to the improvement of neuromuscular stimulation) parameters 
(intensity and stimulus durations) are decreased up to a stimulus duration of 0,1ms. The operator is 
then in the classical positioning procedure.

6 Error messages

After switching the MultiStim SWITCH on, the device will automatically carry out a self-test. If the 
device recognizes a faulty function during the self-test or during normal operation, the corresponding 
error code will be indicated on the LCD. After that, the device is not operational anymore and may not 
be used further. The device must by all means be returned 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:
E1 Program memories faulty
E3 Faulty pulse voltage
E4 Faulty internal current setting
E5 Faulty pulse current (perhaps damaged cable)
E6 Battery is empty

7 The battery

The proper charge of the battery must be examined regularly. Proceed as described in section Indica-
tion of battery condition. A battery capacity of less than 20 % (1 segment visible) will cause the battery 
condition indicator to start fl ashing, and the battery should be replaced. If the battery capacity drops 
to a value which will impair the functionality, the device will switch itself off automatically. If the Multi-
Stim-device is not used for a longer period of time, the battery must be removed to avoid leakage.

7.1 Battery replacement

The battery compartment is located on the bottom side of the MultiStim SWITCH. Open the compart-
ment by unscrewing the screw situated on the back side of the device with a suitable tool. Replace the 
battery. Be sure to check for correct polarity. Exclusively use 9 V alkali-manganese batteries (e.g., VARTA 
4022, DURACELL MN 1604). With these batteries you will obtain a prolonged duration of functionality 
and extremely reliable operation.

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XS190174B MultiStim SWITCH GB.indd   38

XS190174B MultiStim SWITCH GB.indd   38

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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