Das vorliegende Handbuch wurde von der gbo Medizintechnik AG erstellt und auf seine Richtigkeit
überprüft. Es erhebt jedoch keinen Anspruch auf Vollständigkeit. Alle Angaben und Daten können ohne
vorherige Ankündigung geändert werden.
Ohne ausdrückliche schriftliche Genehmigung der gbo Medizintechnik AG darf kein Teil dieses Handbuch
für irgendwelche Zwecke vervielfältigt oder übertragen werden, unabhängig davon, auf welche Art und
Weise oder mit welchen Mitteln, elektronisch oder mechanisch, dies geschieht.
The gbo Medizintechnik AG has taken care in preparation of this manual, but makes no expressed or
implied warranty of any kind and assume no 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 the gbo Medizintechnik AG.
Comments According to the Medical Device Directive
The STEREODYNATOR 928 is a mains operated current stimulation device of protection class I.
The device is in accordance with the EC Medical Device Directive (93/42/EEC) and therefore carries the
CE-sign with the number of the ”notified body for medical devices”. The according graphical symbol is
placed on the type plate.
According to the Medical Device Directive, STEREODYNATOR 928 is a device of class IIb.
The manufacturer is only responsible for the security, operational reliability and functionality of the device
if:
• the device is used in accordance with the user manual;
• the electrical installation of the location where the device will be used corresponds to the
respective current requirements of electrical safety;
• the device is not used in hazardous environments and humid locations;
• the mountings, add ons, internal adjustments, modifications or repairs are realized only by
personnel authorized for that by the manufacturer;
• the operator regulation of this EC-directive is observed within the scope of the Medical Device
Directive.
3
You may obtain technical support by the manufacturer or the dealers or service authorized by the
manufacturer. The manufacturer provides a life time of at least 10 years for this product.
STEREODYNATOR 928 is a
electronic device. Disposing has to be done according to regulations
for electronic devices. Consumables have to be disposed as garbage.
On request, the manufacturer will provide you with further technical descriptions for all serviceable parts of
the device, such as circuit diagrams, spare part lists, and adjustment instructions as far as these are of use for
the qualified technical staff of the user.
Comments on electromagnetic compatibility (EMC)
Medical, electrical devices are subject to special precautions concerning the EMC. They must be installed
and operated according to the EMC-advice given in the accompanying documents. In particular medical,
electrical devices may be influenced by portable and mobile RF-communication devices.
The manufacturer guarantees the conformity of the unit with the EMC-requirements only when using
accessories which are listed in the EC declaration of conformity. The usage of other accessories my cause an
increased emission of electromagnetic disturbances or may lead to a reduced electromagnetic immunity.
The unit must not be arranged physically close to other devices or stacked with them. If such an order is
necessary nevertheless, the unit must be observed in order to check it for the intentional operation.
You find more EMC-comments in the chapter “Warnings and Safety Precautions” of this manual as well as
in the Technical Information on the next two pages.
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STEREODYNATOR
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In accordance with the EMC-regulations for medical products we are obliged by law to
provide the following information.
Guidance and manufacturer’s declaration — electromagnetic emissions
The equipment is intended for use in the electromagnetic environment specified below. The customer or
the user of the equipment should assure that it is used in such an environment.
(*) Note: For devices with a power consumption between 75 W and 1000 W only.
Guidance and manufacturer’s declaration — electromagnetic immunity
The equipment is intended for use in the electromagnetic environment specified below. The customer or
the user of the equipment should assure that it is used in such an environment.
Immunity testIEC 60601- test levelCompliance levelElectromagnetic environment –
Electrostatic discharge (ESD),
IEC61000-4-2
Electrical fast transient/burst,
IEC 61000-4-4
Surge,
IEC 61000-4-5
Voltage dips, short
interruptions and voltage
variations on power supply
input lines,
IEC 61000-4-11
Group 1The equipment uses RF energy only for its internal function.
Therefore, its RF emissions are very low and are not likely to cause
any interference in nearby electronic equipment.
Class B
Class A
Complies
The equipment is suitable for use in all establishments, including
domestic establishments and those directly connected to the public
low-voltage power supply network that supplies buildings used for
domestic purposes.
guidance
±6 kV contact
±8 kV air
±2 kV for power supply
lines
±1 kV for input/output
lines
±1 kV differential mode
±2 kV common mode
<5% U
τ
for ½ cycle
(>95% dip)
40% U
τ
for 5 cycles
60% dip)
70% U
τ
for 25 cycles
30% dip)
±6 kV contact
±8 kV air
±2 kV for power supply
lines
±1 kV for input/output
lines
±1 kV differential mode
±2 kV common mode
<5% U
τ
for ½ cycle
(>95% dip)
40% U
τ
for 5 cycles
60% dip)
70% U
τ
for 25 cycles
30% dip)
Floors should be wood, concrete or
ceramic tile. If floors are covered with
synthetic material, the relative humidity
should be at least 30 %.
Mains power quality should be that of a
typical commercial or hospital
environment.
Mains power quality should be that of a
typical commercial or hospital
environment.
Mains power quality should be that of a
typical commercial or hospital
environment.
If the user of the equipment requires
continued operation during power mains
interruptions, it is recommended that the
equipment be powered from an
uninterruptible power supply or a
battery.
<95% U
for 5 s
(>5% dip)
Power frequency (50/60 Hz)
magnetic field,
IEC 61000-4-8
Note: Uτ is the a.c. mains voltage prior to application of the test level.
gbo Medizintechnik AG 2004Version 19
3 A/m3 A/mPower frequency magnetic fields should
τ
<95% U
for 5 s
(>5% dip)
τ
be at levels characteristic of a typical
location in a typical commercial or
hospital environment.
STEREODYNATOR
928
Guidance and manufacturer’s declaration — electromagnetic immunity
The equipment is intended for use in the electromagnetic environment specified below. The customer or
the user of the equipment should assure that it is used in such an environment.
Immunity testIEC 60601- test levelCompliance levelElectromagnetic environment –
guidance
Portable and mobile RF communications
equipment should be used no closer to any
part of the equipment, including cables,
than the recommended separation distance
calculated from the equation applicable to
the frequency of the transmitter.
Recommended separation distance:
Conducted RF,
IEC 61000-4-6
Radiated RF,
IEC 61000-4-3
3 V
rms
150 kHz to 80 MHz
3 V/m
80 MHz to 2,5 GHz
3 V
3V/m
eff
d=1,2√P
d=1,2√P
for 80 MHz to 800 MHz
d=2,3√P
for 800 MHz to 2,5 GHz
Where P is the maximum output power
rating of the transmitter in watts according
to the transmitter manufacturer and d is the
recommended separation distance in
meters (m).
5
Interference may occur in the vicinity of
equipment marked with the following
symbol:
Recommended separation distances to portable and mobile RF communication equipment
The equipment is intended to be operated in an electromagnetic environment, where radiated RF
interference is controlled. The user can help in avoiding interferences by means of meeting minimum
separation distances between portable and mobile RF communication equipment (transmitters) according
to the maximum output power of the communication equipment.
Separation distance according to the tranmission frequency (m)Rated power of the
transmitter (W)
0,010,120,120,23
0,10,380,380,73
11,21,22,3
103,83,87,3
100121223
150 kHz to 80 MHz
d=1,2√√√√P
80 MHz to 800 MHz
d=1,2√√√√P
800 MHz to 2,5 GHz
d=2,3√√√√P
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EC - DECLARATION OF CONFORMITY
Name of manufacturer:gbo Medizintechnik AG
Address:Kleiststrasse 6
D - 64668 Rimbach
Germany
We hereby declare under our sole responsibility that the product described below conforms in design and
make as well as in the versions delivered to the corresponding safety and protection requirements defined in
the applicable EC regulations.
Harmonized standards have been used for all conformity checks, national standards have not been applied.
Any change to the product design that is not validated by us will render this declaration invalid.
Bow electrode011-0-0024
Handle with finger-tip45-38-401EH725
Rubber electrode 3 x 4 cm
Rubber electrode 6 x 8 cm
Rubber electrode 8 x 12 cm
Tin plate electrode 9 x 12 cm
Patient cable45-38-435EH725
Suction electrode 34 mm45-38-518EH722
Suction electrode 70 mm45-38-526EH722
Suction electrode 50 mm45-38-500EH722
Ultrasound probe 2,5 cm
Ultrasound probe 5 cm
Vaginal electrode014-0-0006
Rectal electrode014-0-0007
Star electrode small45-38-708EH725
Star electrode standard45-38-716EH725
Star electrode large45-38-724EH725
Stereo suction electrode45-38-856EH722
4.4.9Transcutaneous Electrical Nerve Stimulation With Impulse Groups41
4.4.10 Micro-Stimulus Current42
4.4.11 Universal Therapy42
4.5 Special types of current Menu42
4.5.1Impulse Galvanization43
4.5.2Frequency Modulation43
4.5.3Diadynamic Currents MF Monophasé Fixe and LP Longues Périodes43
4.5.4Rectangular Current for Incontinence43
4.6 GYM44
4.6.1GYM current44
4.6.2GYM Training45
4.6.3Burning mode45
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5GALVANOPALPATION46
6ELECTROKINETIC THERAPY47
6.1 Detection of Trigger Points With the Electrode Handpiece47
9
6.2 Stimulation Massage47
7ELECTRODES48
7.1 Electrode Positioning48
7.1.1Monophase Electrode Techniques49
7.1.2Biphase Electrode Techniques49
7.2 Single-Pole Electrodes49
7.3 Three-pole electrodes51
7.4 Suction Electrodes51
7.4 Suction Electrodes52
7.5 Electrode Handpiece52
8TROUBLESHOOTING53
9MAINTENANCE54
9.1 Safety Controls54
9.2 Cleaning, Disinfection and Care54
9.2.1Current Stimulation Device54
9.2.2Electrode Fleece, Electrode Pockets or Felts54
10 WARNINGS AND SAFETY PRECAUTIONS55
11 EXPLANATION OF THE SIGNS USED57
12 TECHNICAL DATA58
13 ACCESSORIES61
INDEX57
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APPENDIX: STORING OF THERAPEUTIC CURRENT TYPES 59
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Overview
Chapter 1describes the basic characteristics of the current stimulation device.
Chapter 2explains the start of operation of the current stimulation device. It describes its setting
possibilities.
Chapter 3describes all functions of the device and their operation.
Chapter 4explains the realization of therapies.
Chapter 5explains the realization of galvanopalpation.
Chapter 6explains the realization of electrokinesis.
Chapter 7refers to the arrangement and the use of the electrodes.
Chapter 8explains the error messages andgives some hints in the case of faults.
Chapter 9refers to safety controls in accordance with the MDD and to routine maintenance.
Chapter 10shows the possible threats when using the current stimulation device. Furthermore, it
indicates how to avoid possible threats.
Chapter 11explains the signs used.
Chapter 12speifies all relevant technical data of the current stimulation device.
Chapter 13shows the scope of supply of the device and informs about further accessories indicating
their order number.
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1 Introduction
1.1 Intended Use
The devices with interference current are microprocessor controlled electrical stimulus devices for Electro
Therapy. Their wide range of usage predestinates these medical devices for use in physiotherapeutic
departments of clinics as well as in modern well-equipped private practices.
The devices with interference current represent a continued development, based on the 8
All accessories of the 8
th
series can also be used with the 9th generation in the same manner. A suction
th
series equipment.
application aid for vacuum therapy as well as a module for ultrasound therapy with continuous and impulse
ultrasound waves are optionally available. The control elements for suction application aid and ultrasound
have already been integrated on the keyboard.
A stereodynamic interference current is generated through the superposition of three middle-frequency
currents flowing in different directions. The stimulating lower frequencies are already generated through
interference of two phase shifted circuits in the area being stipulated. The additional third circuit generates,
as opposed to classical interference methods, on one side a slow change in intensity and on the other side a
rhythmic shifting of the interference field. These dynamics of the stimulation location and the intensity
dynamics decrease the habituation effect and therefore improve the therapeutic effect. The
STEREODYNATOR 928 uses the three-dimensional interference method. The special characteristics are
as follows:
• Local stimulation effect.
• Multi-site stimulation effect.
• Intensity dynamics.
• Dynamic behavior of stimulation site coupled with endogenous/exogenous stimulation shifting.
Automated programs improve the handling: The STEREODYNATOR 928 is equipped with several
programs which automatically adjust the treatment frequency and the treatment time. Treatment frequencies,
particularly for sedation, myokinetics and vegetative stimulation, are available.
The stimulating effect can alternatively be administrated endogenously or exogenously. During endogenous
application, the interference is generated through superposition of the electrical circuits in the body. This
allows an intense effect. During exogenous application, the interference is created in the medical device.
The stimulating effect takes place directly underneath the electrodes on the body surface.
In addition to the three-circuit interference current, STEREODYNATOR 928 offers a complete selection of
single circuit currents for all known therapeutic procedures.
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13
The STEREODYNATOR 928 is particularly suitable for:
• Pain therapy with three-dimensional interference current.
• Muscle toning and muscle detoning.
• Galvanization and iontophoresis.
• Pelvic floor stimulation.
• Treatment of urinary and fecal incontinence.
• Neurodiagnostic examination with galvano-palpations.
• Treatment of paralyses with complete or partial muscular degeneration.
• Treatment of atrophies due to inactivity or weakened muscles after longer periods of inactivity.
• Electrical stimulation therapy without electrolytic side effects and only slight muscle fatigue.
• Treatment of pain, muscle spasms, functional diseases of the locomotor system, such as sports injuries,
peripheral circulatory disturbances, influencing of the vegetative system with diadynamic currents,
ultrastimulation current, microstimulation current, TENS- and TENS Burst currents, high-voltage
currents and middle-frequency currents.
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1.2 Operating Concept
”One-Touch”-Philosophy
Immediately after pushing the key for the desired current type, the therapy or diagnosis can be started.
Ergonomic Control Panel
Function keys are colored black and modification keys are white. Keys for identical functions on different
models are located in the same position on all devices. They are easy to recognize – which is particularly
important for the visually handicapped - and also have a pressure point. The parameter settings can be
carried out with keys or the modification knob.
The
modification knob has an upper and lower limit stop by software. So the values can only be modified
in a defined range of values even by overturning the knob. The according limit stop can be equipped with a
signal tone with the device setting, see chapter 2.3.1 .
In case of key operating there is no limit stop; after the last setting possibility it will restart with the first
one. Here it is also possible to have a key click by the appropriate device setting, see chapter 2.3.1.
After the expiration of the therapy time, the current to the patient automatically is switched off and the
intensity
is set to ”0.0”.
Display
All devices are equipped with a high-resolution graphic display. The selected stimulation current type is
shown graphically. The parameters are also shown. They are modified using the white modification keys
located around the display or by the modification knob.
LED keys
Optical user support is furnished in the form of LED lights incorporated into the keys:
∗ flashing -
∗ constantly lit -
∗ not lit -
key was selected and remains active
key is active and operational
key is not active and not operational
Menu
In addition to the ”One-Touch” operation, a user-guided method for selection can also be chosen by way of
the menu. By selecting the desired effect (analgesia, hyperemia, muscle toning, muscle detoning) and the
site of action (head and neck, spinal column and trunk, upper extremities, lower extremities), the
appropriate current type is automatically selected and a recommendation for the electrode application is
provided. The menu also allows the use of special types of current.
gbo Medizintechnik AG 2004Version 19
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1.3 Short Instructions
Galv. base Operation mode
Therapy time Graphic display Menu Polarity
Types of therapy
stimulation currents
Frequency lock Soft key
15
mono-/biphase pulse rise
End./ex. change
Stereodynamic
interference currents
Stim. frequency
Ultrasound therapy unit*Pulse-/Pause Modification- Suction aid for- Intensity knob
Patient cable connection
and/or vacuum cable I
= socket (1)
Vacuum cable II
= socket (2)
*)
depending on unit configuration
Application part ungrounded, protection BF
Service interface
duration knob vacuum therapy*
Surge parameter
ttention! Observe the instructions for use !
Carrying
Connection for
ultrasound probe
= socket (3
Power inlet
Fuses and voltage
selector
*
Mains
switch
handle
Automatic programs
Figure 1: STEREODYNATOR 928
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STEREODYNATOR
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1. Switch on with the mains switch at the back of the device. The device carries out an automatic test of all
its functions. The faultless selftest ends with the acoustic signal.
2. Connect the accessories with the according socket on the right side of the device.
3. Optical user support is furnished in the form of LED lights incorporated into the keys:
∗ flashing -
∗ constantly lit -
∗ not lit -
key was selected and remains active
key is active and operational
key is not active and not operational
4. The three-ray star display serves as stimulation frequency display and electrode contact display. The
green luminous bars are lit in the three circuit mode and show the frequencies effective in the body. The
red LEDs indicate:
∗ Red LEDs lit- there is current flowing
∗ Red LED not lit - there is no current flowing
5. Furthermore, an acoustic user support is furnished
∗Confirmation beep 1 x- admissible pressing of a
key
∗Information sound 1 x- inadmissible pressing of a key
- disconnection of the patient plug during operation
∗Alarmca. 2 s - insufficient electrode contact, dropping electrodes during the
-therapy (
- in case of unintended current increase during therapy
CC)
∗Triad-gong 1 x- at the beginning of the automatic check to control the gong
3 x- at the end of therapy
- the key of the electrode handpiece has not been pressed for
2 min
- in operating mode CV no current has flown for 2 min
6.Put the electrodes on to the patient (exception: in case of using the suction application aid the
key
and the Types of stimulation current key have to be pressed first).
Vacuum
7. Select the current type by pressing the corresponding current key or select it from the Menu.
8. The default setting of the current type is activated automatically.
9. Select additional modifications:
• By pressing the desired
• By turning the
Modification knob or repeatedly pressing of the Modification key until the desired
Modification key.
value has been set.
10. Increase the current slowly with the
Intensity regulator until the desired stimulation effect occurs.
11. At the end of the therapy the triad gong will sound three times. The current to the patient will be faded
out within 10 s.
gbo Medizintechnik AG 2004Version 19
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1.4 Modes of Action of the Therapeutic Current Types
Current
Galvanic current
Ultrastimulation
current
Faradic current
Strong muscle
stimulation
Micro-stimulus
current
Universal therapy
Diphasé fixe
Courtes périodes
MF I / surged
MF II / sinus surged
MF III / 50 Hz
KeyGraficsIII III IV
Galv
UR
F1
SMS
Micro
T/
DF
CP
MF...
Current
Tens Burst I /
50 Hz
Tens Burst II /
3 - 10 Hz
Tens Burst III /
10 - 30 Hz
Tens Burst IV /
30 - 60 Hz
Tens Burst V /
100 - 200 Hz
Special currents
Monophasé fixe
MF
Longues périodes
LP
Impulse
galvanization
IG 30
Impulse
galvanization
IG 50 / surged
Frequency
modulation
FM / 7 - 14 Hz
KeyGraficsIII III IV
Te ns
Burst...
Menu
17
MF IV / 3 - 10 Hz
MF V / 10 - 30 Hz
MF VI /
30 - 60 Hz
MF VII /
100 - 200 Hz
HV I / 50 Hz
HV II / 3 -10 Hz
HV III /
10 - 30 Hz
HV IV /
30 - 60 Hz
HV V /
100 - 200 Hz
Tens I / 100 Hz
Tens II /
3 - 10 Hz
Tens III /
10 - 30 Hz
Tens IV /
30 - 60 Hz
Tens V /
100 - 200 Hz
HV...
Ten s. ..
Incontinence
Stereodynamic
Interference
currents
Sedat
200 Hz
Myomot
50 Hz
Vegetat. Stim I
2.5 - 25 Hz
Vegetat. Stim II
10 Hz
Vegetat. Stim III
0.1 - 1 Hz
Universal
1 - 200 Hz
…
With depth effect
No effect Good effect
Slight effect Very good effect
I Analgesia III Muscle toning
IIHyperämia IV Muscle detoning
Table 1:Modes of action of the therapeutic current types
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2 Start of Operation
2.1 Transport and Assembly
The current stimulation device is a portable unit. There is a carrying handle in the form of a recessed grip in
the base plate. To place the unit, each flat surface is appropriate. A wall distance of at least 20 cm has to be
provided. The device should not be placed in front of radiators.
The current stimulation device corresponds to the regulations DIN/VDE 0750, EN 60601. It is a device of
protection class I. Within the scope of the Medical Device Directive (MDD) the current stimulation device
belongs to class IIb (see also chapter 10 Warnings and Safety Precautions).
Attention
The unit is not designed to be operated in places with the inherent risk of explosions. If it is
used in dangerous areas of anesthesia departments, the possibility of an explosion cannot be
excluded.
If the patient and/or the patient cable is directly exposed to a radiator of a medical device for
high frequency heat therapy, the damage of the device or a danger to the patient cannot be
excluded. As a rule, a distance of 3 m is sufficient.
2.2 Connection and Switch-On
The current stimulation device has been adjusted for the connection to a supply voltage of 230 V. If needed,
the device can be switched over to the following supply voltages:
• 240 V
• 230 V
• 120 V
• 100 V.
Irrespective of the adjusted supply voltage, the device is appropriate for mains frequencies of 48 to 62 Hz.
Voltage Selection and Fuses:
1. Unplug the mains plug.
2. The device is protected by 2 fuses on the mains side that are located in a pluggable box at the back of the
device next to the power inlet (see Figure 1).
3. The adjusted supply can be seen through the small window of the box.
4. With a screw driver the box can be pulled out of the line filter unit by the small slot.
5. Remove the voltage selector out of the holder and set the usual supply voltage.
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Attention
The mains socket has been sealed with a scotch tape. This is to remember to check
prior to switch-on, whether the adjusted voltage corresponds to the supply voltage of
the treatment room.
The scotch tape over the mains socket is easy to remove. Connect the current stimulation device with the
mains cable to a (grounded) safety power outlet.
The current stimulation device is switched on by the mains switch at the back of the device. By this
arrangement erroneous, unintended disconnection of the device during normal operations shall be avoided.
After switching on the device, an automatic selftest of all device functions will be performed (see chapter
1.3 Short Instructions).
2.3 Settings
2.3.1 Device Settings
Once the unit has been switched on and is ready, you can start immediately with the standard settings.
Device settin
Signal for adjustment knob
Signal for keysyes / noyes
Max. value of therapy time20 min / 40 min20 min
Ultrasound power emissionW / W/cm
Automatic pump switch offyes / noYes
Signal volumebargraph 0 - 157
LanguageGerman
Contrast of display0 - 157
Inverse representationyes / noNo
Display mode of actionyes / noyes
Therapy time adjustment1 min – max. valuestandard
Vacuum default intensity0 % - 100 %0 %
sSettin
es / no
English
Italian
Portuguese
Spanish
Czech
French
ossibilitiesDeliver
es
2
W/cm
German
2
Table 2: Device settings
gbo Medizintechnik AG 2004Version 1.9
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If you would like to change them, please proceed as follows:
1) Press the black
2) You are in the Main menu.
3) Move the scroll bar with the
4) Confirm by pressing the white
5) You are in the Device settings menu.
6) Move the scroll bar with the
7) Confirm by pressing the white
8) Move the cursor with the
9) Confirm by pressing the white
10) Exit the Device settings menu by pressing the black
11) On the display the Main menu appears again.
Menu key.
Modification knob to Device settings.
Soft key.
Modification knob to the device setting to be changed.
Soft key.
Modification knob to the desired value.
Soft key.
Menu key.
STEREODYNATOR
!!Note
On Vacuum default intensity setting the pump is switched off, if no suction electrodes are connected.
If suction electrodes are connected the pump will run corresponding to the set value.
928
2.3.2 Basic Settings of the Current Types
Upon pressing the desired current type key, the default settings for this current type are set. Altered
parameters are canceled by pressing the current type key again, i.e. the default settings are available again.
Modifications will not be stored.
!!Note
If the default settings for the therapy time have been modified by therapy time adjustment, the new
settings are permanently stored and recalled each time after pressing the current type key.
gbo Medizintechnik AG 2004Version 1.9
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