gbo HiToP 191 User Manual

High Tone Power Therapy Device
®
HiToP
User Manual
191
2 HiToP®191
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.
© gbo Medizintechnik AG 2008
gbo Medizintechnik AG Kleiststrasse 6
DE 64668 Rimbach
Telefon: 06 25 3/808-0 Telefax: 06 25 3/808-245 E-Mail: info@gbo-med.de Internet: http://www.gbo-med.de
Version 2.2 Date of issue November 30thth, 2011
HiToP®191 3
Contents
1 INTRODUCTION...................................................................................... 5
1.1 Intended Use......................................................................................... 5
1.2 Description of the unit............................................................................ 5
1.3 What is High Tone Power Therapy?...................................................... 6
1.4 Operating the HiToPunit..................................................................... 6
2 OPERATING CONCEPT ......................................................................... 7
2.1 Control panel......................................................................................... 7
2.1.1 Ergonomic control panel.............................................................................7
2.1.2 Display........................................................................................................7
2.1.3 Intensity regulator/Modification regulator ...................................................7
2.2 Short instructions................................................................................... 8
3 START OF OPERATION....................................................................... 10
3.1 Transport and installation.................................................................... 10
3.2 Connection and switch-on................................................................... 10
3.3 Preparing the electrodes ..................................................................... 11
3.4 Basic settings...................................................................................... 12
3.4.1 Treatment time.........................................................................................12
3.4.2 Language .................................................................................................13
3.4.3 Service menu ...........................................................................................13
3.4.4 Exit menu .................................................................................................13
3.5 Important notes and safety precautions............................................... 14
4 THERAPY.............................................................................................. 15
4.1 General notes about the therapy ......................................................... 15
4.2 Treatment details................................................................................. 15
4.3 Display details..................................................................................... 16
4.4 Duration and frequency of treatment ................................................... 17
5 ELECTRODES....................................................................................... 18
5.1 Electrode application........................................................................... 18
6 MAINTENANCE..................................................................................... 19
6.1 Safety controls .................................................................................... 19
6.2 Cleaning, disinfection and care............................................................ 20
6.2.1 Cleaning the device..................................................................................20
6.2.2 Cleaning Electrodes.................................................................................20
7 EXPLANATION OF THE USED SIGNS................................................. 21
8 TECHNICAL DATA ............................................................................... 22
9 ACCESSORIES..................................................................................... 23
10 ERROR MESSAGES.......................................................................... 24
10.1 Error messages on the display ......................................................... 24
4 HiToP®191
10.2 Further errors ................................................................................... 24
11 APPENDIX.......................................................................................... 25
12 INDEX................................................................................................. 28
Warnings and safety precautions
!!
Warning!
Warnings which have to be observed by all means!
Caution!
Observe the instructions for use!
Note!
Information that will facilitate your work.
HiToP®191 5
1 Introduction
1.1 Intended Use
Electrotherapy with sinusoidal alternating currents.
1.2 Description 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.
6 HiToP®191
1.3 What is High Tone Power Therapy?
High Tone Power Therapy is 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.
1.4 Operating the HiToPunit
You purchased a HiToP191. 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.
HiToP®191 7
Display
Main switch
2 Operating concept
2.1 Control 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).
8 HiToP®191
connector
2.2 Short 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.
HiToP®191 9
Figure 3: therapy with the HiToP®191
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