gbo Medizintechnik AG has taken care in the preparation of this manual. However, the
company does not give any expressed or implied warranty nor do we assume any
responsibility for errors or omissions.
All rights reserved. No part of this manual may be reproduced in any form or by any
means (electronic, mechanical, or otherwise) without the prior written permission of gbo
Medizintechnik AG.
Electrotherapy with sinusoidal alternating currents.
1.2Description of the unit
The HiToP®191 is a microprocessor-controlled HighTone Therapy device for
electrotherapy. Its application range predestines this device for the use at home, in
modern and well-equipped hospitals or medical practices.
Thus, the HiToP®(HighTone Power) 191 is well suited for:
Symptomatic treatment with polyneuropatic aliments
like i. E.
- pain
- burning
- prickling
- numbness
muscle stimulation
Through external muscle stimulation the metabolism is activated which again results
in an improvement of the sensibility to insulin.
Also patients with varicose veins, metal implants, endoprothesis and open
wounds (ulcus cruris) may be treated.
Since the electrodes are placed at this Polyneuropathy- treatment exclusively on
the legs, also patients with cardiac pacemakers may be treated.
The HighTone Power Therapy device HiToP®provides a therapy with middle
frequency sine waves. The therapy is absolutely free of d.c. components. The
frequency range used comprehends 3 octaves, the range of 4096 – 32768 Hz. The
therapy frequency is scanned with a defined frequency. This method is called
SimulFAM®for Simultanous Frequency Amplitude Modulation.
gbo Medizintechnik AG 2008 - 2011Version 2.2
6HiToP®191
1.3What is High Tone Power Therapy?
High Tone Power Therapyis a specific new development based on scientific
knowledge from a number of different disciplines, i. e. it is an inter-disciplinary new
development. The specialist knowledge involved is derived from medicine, physics,
mathematics, physiology, histology, cytology, chemistry, biochemistry and involves
their sub-disciplines.
Put briefly and simply:
High Tone Therapy takes the fact that electrical changes in the tissue are always
associated with biochemical changes, and vice versa, and puts it to use for therapeutic
purposes. In doing so it provides an alternative to medicinal, physical and operative
therapies that have so far proven unsatisfactory, risky, associated with side-effects or
even unsuccessful, and planned surgical treatment.
1.4Operating the HiToPunit
You purchased a HiToP191. The unit is dedicated for private use.
If you use the unit commercially, it is subjected to the Medical Devices Operator
Ordinance. In this case you as the user are legally obligated to execute safety controls
as described in Chapter 6.1.
gbo Medizintechnik AG 2008 -2011Version 2.2
HiToP®1917
Display
Main switch
2Operating concept
2.1Control panel
Box for
Figure 1: Front view
Output plug for
connector to the
patient cable
Intensity and
modification
regulator
2.1.1 Ergonomic control panel
The control panel possesses a display, the main switch, the plug for the connector of the
patient cable and the intensity regulator. These elements are easy to recognize and to
operate and their functions are described in detail in the following chapters 2.1.2 to 2.1.3
.
2.1.2 Display
The device is equipped with a Graphic display . There, clear notes are provided to start the
therapy; the parameters of the selected type of current are indicated.
2.1.3 Intensity regulator/Modification regulator
With the Intensity regulator you can switch through the menu of the program. Push on the
button of the regulator if you want to choose the function indicated on the display.
During the therapy you can set the output voltage with the Intensity regulator. It is
furnished in the form of a rotor pulse generator. The current increases by turning right
(in + direction) and is reduced by turning left (in - direction). The numerical value is
shown on the display in mA. To find the wanted intensity you may possibly turn the
regulator clockwise for more than one rotation.
The Intensity regulator is also used as modification regulator for the basic settings.
(chapter 3.4).
gbo Medizintechnik AG 2008 - 2011Version 2.2
8HiToP®191
connector
2.2Short instructions
Apply the electrodes to both thights like shown on these two pictures.
White
connector
Black
Figure 2: Electrode placement
First, wet the black side of the conductive rubber electrodes with contact spray. Push the
spray button for one or two times and disperse the fluid on the black side with your
fingers.
Apply one electrode (80 x 120) each to the thigh just above the knee and fix each
electrode with a velcro band.
Apply one electrode (80 x 120) each to the thigh just below the groin and fix each
electrode with a velcro band.
The electrodes above the knee must be connected with the black connectors of the
patient cable.
The electrodes below the groin must be connected with the white connectors of the
patient cable.
Start the unit with the main switch on the front of the device. „Adjust the intensity until
you get a muscle contraction“ appears on the display.
Increase the intensity until you can see a visible muscle contraction on the thigh (Maybe
some rotations clockwise, 5 is a normal value) A typical value for the current is about
160 mA. However intensities from 80 up to more than 250 mA are common practice.
The chosen intensity should be comfortable for the patient.
The therapy is now started.
During therapy the intensity may decrease about 10 – 20 mA. If required, the
intensity can be changed.. It is recommendable to do the adjustment in the active
phase (during the contraction).
At the end of the therapy, the current to the patient will be automatically reduced to
zero. If you want interrupt or stop the therapy, you can decrease the intensity to 0 by
turning the Intensity regulator counterclockwise. After use the electrodes can be
cleaned with a wet cloth.
gbo Medizintechnik AG 2008 -2011Version 2.2
HiToP®1919
Figure 3: therapy with the HiToP®191
gbo Medizintechnik AG 2008 - 2011Version 2.2
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