Gymna PULSON 200 User Manual

User Manual
PULSON 200
Pulson 200
4
ABBREVIATIONS
EMC Electromagnetic Compatibility ESD Electrostatic Discharge HAC Hospital Antiseptic Concentrate US Ultrasound
SYMBOLS ON THE EQUIPMENT
SYMBOLS IN THE MANUAL
Read the manual.
Warning or important information.
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TABLE OF CONTENTS
1 SAFETY................................................................................................. 7
1.1 P
URPOSE ...................................................................................... 7
1.2 S
AFETY INSTRUCTIONS................................................................... 7
1.3 M
EDICAL DEVICES DIRECTIVE ........................................................ 9
1.4 L
IABILITY ....................................................................................... 9
2 INSTALLATION................................................................................... 11
2.1 R
ECEIPT ...................................................................................... 11
2.2 P
LACING AND CONNECTION .......................................................... 11
2.3 P
ERFORMING THE FUNCTIONAL TEST ............................................ 11
2.4 S
ETTING CONTRAST AND SELECTING LANGUAGE............................ 11
2.5 T
RANSPORT AND STORAGE........................................................... 12
2.6 R
ESELLING .................................................................................. 12
3 DESCRIPTION OF THE EQUIPMENT ................................................ 13
3.1 C
OMPONENTS OF PULSON 200 .................................................... 14
3.2 D
ISPLAY ...................................................................................... 15
3.3 D
ISPLAY SYMBOLS ....................................................................... 16
3.4 P
ARAMETER SYMBOLS.................................................................. 16
4 OPERATION........................................................................................ 17
4.1 T
HERAPY SELECTION.................................................................... 17
4.2 S
ET AND START THERAPY ............................................................ 20
4.3 U
LTRASOUND THERAPY ................................................................ 21
4.4 P
ROGRAMS.................................................................................. 24
4.5 S
YSTEM SETTINGS ....................................................................... 26
5 INSPECTIONS AND MAINTENANCE ................................................ 29
5.1 I
NSPECTIONS ............................................................................... 29
5.2 M
AINTENANCE ............................................................................. 31
6 MALFUNCTIONS, SERVICE AND GUARANTEE .............................. 33
6.1 M
ALFUNCTIONS............................................................................ 33
6.2 S
ERVICE...................................................................................... 34
6.3 G
UARANTEE ................................................................................ 34
6.4 T
ECHNICAL LIFE TIME ................................................................... 35
7 TECHNICAL INFORMATION .............................................................. 37
7.1 G
ENERAL..................................................................................... 37
7.2 U
LTRASOUND THERAPY ................................................................ 37
7.3 E
NVIRONMENTAL CONDITIONS....................................................... 38
7.4 T
RANSPORT AND STORAGE........................................................... 38
7.5 S
TANDARD ACCESSORIES............................................................. 39
7.6 O
PTIONAL ACCESSORIES .............................................................. 39
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8 APPENDICES...................................................................................... 41
8.1 EMC
DIRECTIVE........................................................................... 41
8.2 T
ECHNICAL SAFETY INSPECTION ................................................... 45
8.3 D
ISPOSAL .................................................................................... 47
9 REFERENCE....................................................................................... 49
9.1 T
ERMINOLOGY ............................................................................. 49
9.2 L
ITERATURE................................................................................. 49
9.3 F
UNCTION OVERVIEW ................................................................... 51
9.4 I
NDEX .......................................................................................... 53
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1SAFETY
1.1 Purpose
The Pulson 200 is intended solely for medical applications. You can use the Pulson 200 for ultrasoundtherapy. The device is suited for continuous use.
1.2 Safety instructions
1.2.1 General
Only qualified people who are trained in the application of the therapies may use the appliance.
Only a technician authorised by GymnaUniphy N.V. may open the equipment or the accessories.
Follow the instructions and directions in these user instructions.
Place the equipment on a horizontal and stable base.
Keep the ventilation openings at the bottom and rear of the equipment free.
Do not place any objects on the equipment.
Do not place the equipment in the sun or above a heat source.
Do not use the equipment in a damp area.
Do not let any liquid flow into the equipment.
Do not disinfect or sterilise the equipment. Clean the equipment with a dry or moistened cloth. See §5.
Only treat patients with electrical implants (pacemaker) after obtaining medical advice.
The 'Medical Devices Directive' from the European Commission (93/42/EEG) requires that safe devices are used. It is recommended to perform a yearly technical safety inspection. See §5.1.2.
For optimum treatment, a patient investigation must first be performed. On the basis of the findings of the investigation, a treatment plan with objectives will be formulated. Follow the treatment plan during the therapy. This will limit possible risks, related to the treatment, to a minimum.
Always keep these user instructions with the equipment.
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1.2.2 Electrical safety
1.2.3 Prevention of explosion
1.2.4 Electro Magnetic Compatibility
1.2.5 Ultrasound therapy
Only use the equipment in an area with facilities that meet the applicable legal regulations.
Connect the equipment to an outlet with a protective earth terminal. The outlet must meet the locally applicable requirements for medical areas.
Do not use the equipment in an area where combustible gases or vapours are present.
Switch off the equipment when it is not used.
Medical electrical equipment requires special precautions for Electro Magnetic Compatibility (EMC). Follow the instructions for the installation of the equipment. See §2.
Do not use mobile telephones or other radio, shortwave, or microwave equipment in the vicinity of the equipment. This kind of equipment can cause disturbances.
Only use the accompanying accessories that are supplied by GymnaUniphy. See §7.6. Other accessories can lead to an increased emission or a reduced immunity.
Move the US head evenly over the skin during the treatment. This prevents internal burns.
The US treatment heads are exchangeable. The device detects the characteristics and supplies the right power at the right frequency.
Handle the US heads carefully. With rough handling, the characteristics can change. Test the US head if it falls on the ground or knocks against something. See §5.1.1.
Check the US head at least once a month. During the check, look for dents, cracks and other damage that could allow liquids to ingress. Check whether the insulation of the cable is still intact. Check whether all pins are present and straight in the connectors. Replace the US head if the head, the cable or the connector is damaged. See §5.1.
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1.3 Medical Devices Directive
The device complies with the essential requirements of the Medical Device Directive of the European Committee (93/42/EEC) as most recently changed.
1.4 Liability
The manufacturer cannot be held liable for injury to the therapist, the patient or third parties, or for damage to or by the equipment used, if for example:
an incorrect diagnosis is made;
the equipment or the accessories are used incorrectly;
the user instructions are wrongly interpreted or ignored;
the equipment is badly maintained;
maintenance or repairs are performed by people or organisations that are not authorised to do so by GymnaUniphy.
Neither the manufacturer nor the local GymnaUniphy dealer can be held liable, in any way whatsoever, for the transfer of infections by accessories.
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2INSTALLATION
2.1 Receipt
1. Check whether the equipment has been damaged during transport.
2. Check whether the accessories are intact and complete. See §7.6.
Inform your supplier of any damage or defects by no later than within
3 working days after receipt. Report the damage by telephone, fax, e­mail or letter.
Do not use the equipment if it is damaged or defective.
2.2 Placing and connection
1. Place the equipment on a horizontal and stable base.
Keep the ventilation openings at the bottom and rear of the
equipment free.
Do not place the equipment in the sun or above a heat source.
Do not use the equipment in a wet area.
2. Check whether the mains voltage that is stated on the rear of the equipment corresponds with the voltage of your mains supply. The equipment is suited for a nominal mains voltage from 100 V to 240 VAC / 50-60 Hz.
3. Connect the device to an outlet with protective earth terminal.
2.3 Performing the functional test
1. Switch the equipment on with the switch at the rear of the equipment.
2. When the equipment is switched on, it automatically performs a test.
2.4 Setting contrast and selecting language
1. Press for 5 seconds The System setting menu appears. See §4.5.
2. Press next to Contrast, 1
st
key from the top.
3. If necessary, change the contrast with and .
4. Press next to Language.
5. If necessary, change the language with and .
6. Press to return to the start menu.
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2.5 Transport and storage
Take account of the following matters if the equipment has to be transported or stored:
Transport or store the equipment in the original packaging.
The maximum period for transport or storage is: 15 weeks.
Temperature: -20 °C to +60 °C.
Relative humidity: 10% to 100%.
Atmospheric pressure: 200 hPa to 1060 hPa.
2.6 Reselling
This medical equipment must be traceable. The equipment, the US head and some other accessories have a unique serial number. Provide the dealer with the name and address of the new owner.
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3DESCRIPTION OF THE EQUIPMENT
1. Pulson 200. See §3.1.
2. Power cord
3. Contact gel
4. US head
3
2
1
4
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3.1 Components of Pulson 200
1. Display. See §3.2.
2. Ultrasound therapy
3. Memory
4. Start menu
5. Stop
6. Pause
7. Intensity
8. Return to previous menu
9. Enter
10.Indication: Read manual
11.Down
12.Up
13.Select parameter or menu
14.Connector for US head
15.Indication: Floating patient circuit
16.On/off switch
17.Connection to mains supply
18.Type plate
19.Ventilation opening
20.Fuse holder
!
2
3 4
596
7
8
1
12
13
11 10
14 15
16 17 18 19
20
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3.2 Display
1. Channel
2. Ultrasound therapy
3. Type of US head
4. Title of the screen
5. Program number
6. Parameters with selection knobs
7. Explanation or recommendation
8. Screen for channel A. See
§4.3.2.
9. Remaining treatment time
10.Îset
11.Ppk
12.Contact of the US head
Pulse time
40 s
US+Conv
.
TENS
34
Pulse form
Min.
frequency
frequency
Max.
80
100
Hz
Hz
Sweep mode
Treatment
time
15:00
15:00
red+
0
CV
set
0
0
0
0
.
.
Perceptibe, comfortable
123 4
5
6
7
8
9
11
10
12
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3.3 Display symbols
3.4 Parameter symbols
Ultrasound therapy Treatment time
Channel A Treatment completed
US duty cycle 10% Set US intensity
US duty cycle 20% Peak US output power
US duty cycle 30%
Unit of the set US intensity
US duty cycle 40%
US duty cycle 50%
US duty cycle 100%
A
0:00
1
10ms
10%
set
2
10ms
20%
pk
P
3
10ms
30%
W
cm
2
/
4
10ms
40%
5
10ms
50%
100%
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4OPERATION
4.1 Therapy selection
You can select a therapy in different ways, with the therapy key or with the parameters in the Start menu:
Therapy key: Quickly select a therapy with the therapy key . See
§4.1.1.
Objectives: Select a therapy on the basis of an objective. See §4.1.2.
Indication list: Select a therapy on the basis of a medical indication. See
§4.1.3.
Program number: Select a certain program number or a program number that you previously saved. See §4.1.4.
Diagnostic programs: Perform a diagnosis. See §4.1.5.
Contra-indications: Display an overview with contra-indications for the ultrasound therapy. See §4.1.6.
Besides this, you can change the system settings. See §4.5.
4.1.1 Therapy key
Press : Ultrasound therapy. The Ultrasound screen appears.
4.1.2 Therapy selection via objectives
1. Press to go to the start menu.
2. Select Objectives.
3. Select the desired treatment with
.
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4.1.3 Therapy selection via indication list
1. Press to go to the start menu.
2. Select Indication list.
3. Go to the following indications with or . See §9.3.4.
4. Select the desired indication with
.
US: Ultrasound therapy
4.1.4 Program number selection
1. Press to go to the start menu.
2. Select Program number.
3. Select the desired program with
or . See §9.3.
4. Press .
See §4.4.
4.1.5 Diagnostic program selection
With the diagnostic programs, you can search for stress fractures.
1. Press to go to the start menu.
2. Select Diagnostic programs.
3. Select Stress fracture search with .
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