User Manual
Myo 200
Myo 200
© 2006, GymnaUniphy N.V.
All rights reserved. Nothing from this publication may be copied, stored in an automated data file, or made public, in any form or in any way, be it electronically, mechanically, by photocopying, recordings or in any other way, without prior written permission from GymnaUniphy N.V.
2
Myo 200
User Manual Myo 200
Device for electrotherapy stimulation and feedback
Manufacturer |
GymnaUniphy N.V. |
Main office |
Pasweg 6A |
|
B-3740 BILZEN |
Telephone |
+(32) (0)89-510.510 |
Fax |
+(32) (0)89-510.511 |
info@gymna-uniphy.com |
|
Website |
www.gymna-uniphy.com |
Version 1.1
November 2008
3
Myo 200
Abbreviations
AQ |
Accomodation Quotient |
CC |
Constant Current |
CP |
Courte Période |
CV |
Constant Voltage |
DF |
Diphasé Fixe |
EL |
Electrode |
EMC |
Electromagnetic Compatibility |
EMG |
Electromyography |
ESD |
Electrostatic Discharge |
ET |
Electrotherapy |
FB |
Feedback |
HAC |
Hospital Antiseptic Concentrate |
LP |
Longue Période |
MF |
Medium Frequency: with unidirectional and interferential currents |
|
Monophasé Fixe: with diadynamic currents |
MTP |
Myofascial Trigger Point |
NMES |
Neuro Muscular Electro Stimulation |
P |
Pressure |
TENS |
Transcutaneous Electrical Nerve Stimulation |
VAS |
Visual Analogue Scale |
Symbols on the equipment
Read the manual
Manufacturer
Symbols in the manual
Warning or important information.
4
Myo 200
TABLE OF CONTENTS
1 |
SAFETY ............................................................................................ |
7 |
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1.1 |
PURPOSE .................................................................................. |
7 |
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1.2 |
SAFETY INSTRUCTIONS .............................................................. |
7 |
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1.3 |
MEDICAL DEVICES DIRECTIVE .................................................... |
9 |
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1.4 |
LIABILITY .................................................................................. |
9 |
2 |
INSTALLATION .............................................................................. |
11 |
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2.1 |
RECEIPT .................................................................................. |
11 |
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2.2 |
PLACING AND CONNECTION .................................................... |
11 |
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2.3 |
PERFORMING THE FUNCTIONAL TEST ........................................ |
11 |
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2.4 |
SETTING CONTRAST AND SELECTING LANGUAGE ...................... |
11 |
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2.5 |
TRANSPORT AND STORAGE ..................................................... |
12 |
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2.6 |
RESELLING ............................................................................. |
12 |
3 |
DESCRIPTION OF THE EQUIPMENT ............................................ |
13 |
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3.1 |
MYO 200 AND STANDARD ACCESSORIES .................................. |
13 |
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3.2 |
COMPONENTS OF MYO 200 .................................................... |
14 |
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3.3 |
DISPLAY ................................................................................. |
15 |
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3.4 |
DISPLAY SYMBOLS .................................................................. |
17 |
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3.5 |
SYMBOLS FOR CURRENT SHAPES IN MEMORY MENU ................. |
17 |
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3.6 |
PARAMETER ............................................................................ |
18 |
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3.7 |
CURRENT SHAPES ................................................................... |
20 |
4 |
OPERATION ................................................................................... |
23 |
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4.1 |
THERAPY SELECTION ............................................................... |
23 |
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4.2 |
PERFORMING THERAPY ............................................................ |
26 |
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4.3 |
ELECTROTHERAPY ................................................................... |
27 |
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4.4 |
FEEDBACK .............................................................................. |
37 |
4.5ELECTROTHERAPY STIMULATION IN COMBINATION WITH
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FEEDBACK ............................................................................... |
44 |
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4.6 |
DIAGNOSTIC PROGRAMS ......................................................... |
45 |
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4.7 |
PROGRAMS ............................................................................. |
47 |
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4.8 |
SYSTEM SETTINGS .................................................................. |
50 |
5 |
INSPECTIONS AND MAINTENANCE ........................................... |
53 |
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5.1 |
INSPECTIONS .......................................................................... |
53 |
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5.2 |
MAINTENANCE ........................................................................ |
54 |
5
Myo 200
6 |
MALFUNCTIONS, SERVICE AND GUARANTEE ......................... |
57 |
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6.1 |
MALFUNCTIONS ...................................................................... |
57 |
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6.2 |
SERVICE ................................................................................. |
58 |
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6.3 |
GUARANTEE ........................................................................... |
58 |
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6.4 |
TECHNICAL LIFE TIME .............................................................. |
59 |
7 |
TECHNICAL INFORMATION ......................................................... |
61 |
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7.1 |
GENERAL ................................................................................ |
61 |
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7.2 |
ELECTROTHERAPY ................................................................... |
61 |
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7.3 |
FEEDBACK .............................................................................. |
64 |
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7.4 |
ENVIRONMENTAL CONDITIONS ................................................. |
64 |
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7.5 |
TRANSPORT AND STORAGE ..................................................... |
64 |
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7.6 |
STANDARD ACCESSORIES ........................................................ |
65 |
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7.7 |
OPTIONAL ACCESSORIES ......................................................... |
66 |
8 |
APPENDICES ................................................................................. |
69 |
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8.1 |
AGENTS FOR IONTOPHORESIS .................................................. |
69 |
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8.2 |
DIAGNOSTIC I/T-CURVE ........................................................... |
70 |
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8.3 |
EMC DIRECTIVE ...................................................................... |
71 |
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8.4 |
TECHNICAL SAFETY INSPECTION ............................................... |
76 |
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8.5 |
DISPOSAL ............................................................................... |
80 |
9 |
REFERENCE ................................................................................... |
81 |
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9.1 |
FUNCTION OVERVIEW ............................................................... |
81 |
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9.2 |
LITERATURE ............................................................................ |
87 |
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9.3 |
TERMINOLOGY ......................................................................... |
87 |
10 |
INDEX ............................................................................................. |
91 |
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6
Myo 200
1 SAFETY
1.1Purpose
The Myo 200 is intended solely for medical applications. You can use the Myo 200 for electrotherapy and re-education. For re-education the feedback signal is measured, if chosen in combination with an electrotherapy stimulation. The device is suited for continuous use.
1.2Safety instructions
1.2.1General
•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 device 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 'Directive on Medical Devices' from the European Commission (93/42/EEG) requires that safe devices are used. It is recommended to perform a yearly technical safety inspection. See §5.1.1.
•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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Myo 200
1.2.2Electrical safety
•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.
1.2.3Prevention of explosion
•Do not use the equipment in an area where combustible gases or vapours are present.
• Switch off the equipment when it is not used.
1.2.4Electro Magnetic Compatibility
•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.
•Because the Myo200 is intended to measure extreme small potentials, its immunity level for electromagnetic radiation is lower then 3V/m. See §8.3.1 for detailed information.
•Only use the accompanying accessories that are supplied by GymnaUniphy. See §7.6 and §7.7.
Other accessories can lead to an increased emission or a reduced immunity.
8
Myo 200
1.2.5Electrotherapy
•Do not use the equipment simultaneously with high frequency surgical equipment. This combination can cause burning of
the skin under the electrodes.
•Do not use adhesive electrodes with currents that have a galvanic component, such as galvanic, diadynamic, MF rectangular, pulsed rectangular and triangular currents. With these currents, etching of the skin can occur.
•Application of electrodes near the thorax may increase the risk of cardiac fibrillation.
•Check the electrode cables, the electrodes and the probes at least once a month. Check whether the insulation is still intact. See §5.1.
•The safety standards for electrical stimulation advise not to exceed the current density of 2.0 mArms/cm2.
However, with iontophoresis treatments, we advise a maximum current density of 0.25 mÂ/cm2, because of using the MF rectangular current. Exceeding this value can result in skin irritation and burns.
•Always use sterilised gauze with iontophoresis treatments.
1.3Medical 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.
The device contains no human or animal tissue, no medical substances, and no blood or blood products from human or animal origin.
1.4Liability
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 via the vaginal, anal and rectal probes and/or other accessories.
9
Myo 200
10
Myo 200
2 INSTALLATION
2.1Receipt
1.Check whether the equipment has been damaged during transport.
2.Check whether the accessories are intact and complete. See §7.6 and §7.7.
•Inform your supplier of any damage or defects by no later than within 3 working days after receipt. Report the damage by telephone, fax, e-mail or letter.
•Do not use the equipment if it is damaged or defective.
2.2Placing and connection
1.Place the device 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.
2.3Performing 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. Check whether the indicator lamps next to 
A and 
B light briefly during the test.
3.If the lamps do not light up: See §6.
2.4Setting contrast and selecting language
1.Press 
for 5 seconds. The System setting menu appears. See §4.8.
2.Press 
next to Contrast, 1st 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 
next to Mains frequency.
7.If necessary, change the setting with 
and 
to the local mains frequency.
8.Press 
to return to the start menu.
11
Myo 200
2.5Transport 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.
2.6Reselling
This medical equipment must be traceable. The equipment and some of the accessories have a unique serial number. Provide the dealer with the name and address of the new owner.
12
Myo 200
3 DESCRIPTION OF THE EQUIPMENT
3.1Myo 200 and standard accessories
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1.Myo 200. See §3.2.
2.Power cord
3.VAS score card
4.Vaginal probe ‘Novatys’
5.Vaginal pressure probe
6.Vaginal pressure pipe
7.Test plug
8.Adhensive electrodes (4 pieces)
9.Adhensive electrodes round (4 pieces)
10.CD-ROM with Myo 200 PCsoftware
11.USB connection cable
12.Reference cable
13.Two-ply EMG electrode cable (2 pieces) and two-ply EMGincontinence electrode cable
13
Myo 200
3.2Components of Myo 200
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REF |
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B |
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P |
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1. |
Display. See §3.3.1. |
18. |
Connector for pressure |
2. |
Electrotherapy stimulation |
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feedback, channel P |
3. |
Feedback |
19. |
Indicator lamp for channel A |
4. |
Electrotherapy stimulation and |
20. |
Connector for electrode, |
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feedback |
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channel A |
5. |
Memory |
21. |
Indication: Type BF applied part |
6. |
Start menu |
22. |
Indicator lamp for channel B |
7. |
Channel selection: A or B |
23. |
Connector for electrode, |
8. |
Stop |
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channel B |
9. |
Intensity of channel A |
24. |
Connector for reference |
10. |
Pause |
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electrode |
11. |
Return to previous menu |
25. |
On/off switch |
12. |
Intensity of channel B |
26. |
Connection to mains supply |
13. |
Enter |
27. |
Type plate |
14. |
Indication: Read manual |
28. |
Ventilation opening |
15. |
Down |
29. |
Fuse holder |
16. |
Up |
30. |
USB connector |
17. |
Select parameter or menu |
31. |
Speaker grill |
14
Myo 200
3.3Display
3.3.1Display for electrotherapy
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1. |
Channel |
8. |
Explanation or recommendation |
2. |
Electrotherapy |
9. |
Screen for channel A. See |
3. |
Current shape |
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§4.3.6. |
4. |
Title of the screen |
10. |
Remaining treatment time |
5. |
Program number |
11. |
Polarity |
6. |
Parameters with selection |
12. |
Set intensity |
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knobs |
13. |
Screen for channel B |
7.Use 
to go to the next parameters
15
Myo 200
3.3.2Display for re-education
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4 5 6 7 |
8 9 |
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16 15 14 13 12 11 |
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1.Channel
2.Therapy (ET, FB or ET-FB)
3.Current shape
4.Bar graph of channel A
5.Target value of channel A
6.Remaining phase time (in seconds)
7.Remaining phase time (diagram)
8.Target value of channel P (B)
9.Bar graph of channel P (B)
10.Settings with selection knobs
11.Feedback value of channel P (B)
12.Phase symbol
13.Warning no reference electrode
14.Resolution, value of one bar graph segment
15.Zoom function active
16.Feedback value of channel A
17.Screen for channel A.
18.Remaining number of sequences or remaining treatment time
19.Polarity
20.Set intensity
21.Screen for channel B
16
Myo 200
3.4Display symbols
3.4.1General
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Electrotherapy |
A |
Channel A |
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stimulation |
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Feedback |
B |
Channel B |
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Electrotherapy |
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Channel A and B |
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stimulation and feedback |
A + B simultaneously |
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Treatment time |
P |
Channel P |
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0:00 |
Treatment completed |
SEQ |
ET: Sequential current |
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shapes |
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Number of
FB: sequences
3.4.2Current shape groups
Unidirectional currents |
2-pole medium frequency |
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Diadynamic |
4-pole Interferential |
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TENS currents |
4-pole interferential with |
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NMES currents |
Diagnostic programs |
3.5Symbols for current shapes in memory menu
Medium frequency |
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Burst TENS |
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unidirectional current |
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Unidirectional rectangular |
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Rectangular surge |
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current |
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current |
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Unidirectional triangular |
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Triangular surge current |
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current |
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Conventional TENS |
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Biphasic surge current |
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Intrapulse interval surge |
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current |
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17
Myo 200
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Random TENS |
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CP |
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CP (diadynamic) |
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DF |
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DF (diadynamic) |
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LP |
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LP (diadynamic) |
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MF (diadynamic) |
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3.6Parameter
3.6.1Electrotherapy
Red+ |
Polarity indication |
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Red- |
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Alternating polarity |
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Biphasic pulse shape, |
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symmetrical |
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Biphasic pulse shape, |
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asymmetrical |
Sweep mode
12 12s/12s
12
6 6s/6s
6
2-pole medium frequency surge current
2-pole medium frequency
4-pole interferential with rotating vector
CHR Rheobase and chronaxie
AQ Rheobase and AQ
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CC |
Constant Current |
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CV |
Constant Voltage |
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mA |
mA peak |
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V |
Volt peak (Vpk) |
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1s/5s -1s/5s |
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1s/1s |
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18
Myo 200
3.6.2re-education
To maintain the overview on the re-education display, the settings symbols disappear after a while. The settings symbols appear again by pressing on a random 
.
A |
Feedback channel A |
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Feedback channel A A B and B
Feedback channel A A P and P (pressure)
P |
Feedback P |
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Start |
Capture target
Maximum capture target method
Mean capture target method
Minimum capture target method
Time for the automatic s capture target
Manual capture target method
Zoom function
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Phase time menu |
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Myo settings menu |
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Expert menu |
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Capture target menu |
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Electrotherapy |
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parameters menu |
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Step size target change |
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A |
Adjust target channel A |
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Adjust target channel B |
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Adjust target channel P |
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A Zoom channel A |
P Zoom channel P |
B Zoom channel B
19
Myo 200
State symbols
Stimulation phase
z z z
Rest phase
Feedback phase
3.7Current shapes
3.7.1Unidirectional currents
Rectangular pulse current
2-5 current (UltraReiz)
2 ms |
5 ms |
3.7.2Diadynamic currents
MF
DF
3.7.3Interferential currents
2-pole medium frequency
4-pole Interferential
Capture target
Stimulation assessment
Warning no reference REF electrode
Triangular pulse current
Medium frequency rectangular current
CP
MF DF
LP
MF DF
4-pole interferential with rotating vector
3.7.4 |
TENS currents |
|
|
Conventional TENS, |
Conventional TENS, |
|
asymmetrical |
alternating symmetrical |
Conventional TENS,
TENS burst
alternating asymmetrical
Conventional TENS,
TENS burst, alternating
symmetrical
20
Myo 200
3.7.5NMES currents
Rectangular surge
Biphasic surge current
current
Triangular surge current
Intrapulse interval surge current
Medium frequency surge current (2- and 4-pole)
21
Myo 200
22
Myo 200
4 OPERATION
4.1Therapy selection
You can select a therapy in different ways, with the therapy key or with the parameters in the Start menu:
•Therapy keys: Quickly select a therapy with therapy keys 
, 
and 
.
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, for example to determine the rheobase and the chronaxie. See §4.1.5.
•Contra indications: Display an overview with contra indications for the electrotherapy. See §4.1.6.
Besides this, you can change the system settings. See §4.8.
4.1.1Therapy keys
Electrotherapy selection
1.Press 
: Electrotherapy.
2.Select the current shape group with 
.
3.Select the current shape with
.
23
Myo 200
Feedback selection
1.Press 
: Feedback. The Feedback screen appears.
Electrotherapy in combination with feedback selection
1.Press 
: Electrotherapy and feedback.
2.Select the current shape with
.
4.1.2Therapy selection via objectives
1.Press 
to go to the start menu.
2.Select Objectives.
3.Select Electrotherapy, Pelvic re-education or Muscle reeducation.
4.Select the desired treatment with 
.
24
Myo 200
4.1.3Therapy 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 §9.1.4.
4.Select the desired indication
with 
.
• ET: Electrotherapy
4.1.4Program number selection
1.Press 
to go to the start menu.
2.Select Program number.
3.Select the desired program with 
or 
. See §9.1.
4.Press 
. See §4.7.
4.1.5Diagnostic program selection
With the diagnostic programs, you can localise and treat pain points, etc.
1.Press 
to go to the start menu.
2.Select Diagnostic programs.
3.Select the desired diagnosis with 
. See §4.6.
25
Myo 200
4.1.6Contra indication selection
1.Press 
to go to the start menu.
2.Select Contra indications.
3.Select the therapy for which you want to see the contra indications.
4.2Performing therapy
4.2.1Channel settings
The Myo 200 has the possibility to select a therapy individual or in combination. The following channel settings are possible.
Channel A |
Channel B |
Channel P |
See |
|
|
|
|
ET |
- |
- |
§4.3.1 and §4.3.2 |
|
|
|
|
- |
ET |
- |
§4.3.1 and §4.3.2 |
|
|
|
|
ET |
ET |
- |
§4.3.1, §4.3.2 and §4.3.5 |
|
|
|
|
FB |
- |
- |
§4.4.1 |
|
|
|
|
- |
- |
FB (pressure) |
§4.4.2 |
|
|
|
|
FB |
FB |
- |
§4.4.1 and §4.4.3 |
|
|
|
|
FB |
- |
FB (pressure) |
§4.4.1, §4.4.2 and §4.4.3 |
|
|
|
|
FB |
ET |
- |
§4.4.1, §4.3.1 and §4.3.2 |
|
|
|
|
FB |
ET |
FB (pressure) |
§4.4.1, §4.3.1, §4.3.2, |
|
|
|
§4.4.2 and §4.4.3 |
|
|
|
|
ET+FB |
- |
- |
§4.5.1 |
|
|
|
|
ET+FB |
FB |
- |
§4.5.1, §4.4.1, §4.4.3 and |
|
|
|
§4.5.3 |
|
|
|
|
ET+FB |
- |
FB (pressure) |
§4.5.1, §4.4.2, §4.4.3 and |
|
|
|
§4.5.3 |
|
|
|
|
ET+FB |
ET+FB |
- |
§4.5.1 and §4.5.3 |
|
|
|
|
26
Myo 200
Channel A |
Channel B |
Channel P |
See |
|
|
|
|
ET+FB |
ET |
- |
§4.5.1, §4.3.1, §4.3.2 and |
|
|
|
§4.5.3 |
|
|
|
|
ET+FB |
ET |
FB (pressure) |
§4.5.1, §4.3.1, §4.3.2, |
|
|
|
§4.5.3, §4.4.2 and §4.4.3 |
|
|
|
|
4.2.2Set parameters
1.Select the desired parameters with 
after the therapy is selected. See §4.1. You can only change the outlined parameters. In the reeducation display the small outlined parameters disappear during treatment after a while to keep the overview on the screen. Press a random 
first to see the parameters.
2.Change the value of the parameter with 
and 
. The setting range of the parameter is shown at the bottom of the screen. You can change the parameter as long as the parameter has a black background.
4.2.3Temporary interruption of treatment
1.If the other channel has to pause: Select this channel with A B .
2.Press 
during the treatment. The treatment time of the selected channel is stopped. Pause appears on the screen. The parameter settings are retained.
3.Press on 
again to restart the treatment. The intensity now increases gradually to the set level and the treatment time continues again.
4.2.4Immediately stop treatment
1.Press 
. All active treatments are stopped immediately. Stop appears on the screen. The parameter settings are retained.
2.Set the intensity of the channel again to continue the treatment.
4.3Electrotherapy
4.3.1Performing electrotherapy with electrodes
1.Select the desired electrotherapy program. See §4.1.
2.Place the electrodes. See page 28: Placing rubber electrodes and page 28: Placing adhesive electrodes. With some treatments, the Electrode placing parameter refers to the number in the placing diagrams.
3.Rotate intensity knob A or B to start the electrotherapy and to set the desired intensity. See §4.1.2.
4.Check the patient's reaction. Repeat this check regularly during the treatment.
5.The equipment stops the treatment and indicates that the treatment is completed. Remove the electrodes.
27
Myo 200
Placing adhesive electrodes
Do not use adhesive electrodes with currents that have a galvanic component, such as galvanic, diadynamic, MF rectangular, pulsed rectangular and triangular currents. These currents can cause skin etching.
1.If possible, disinfect the parts of
the body where the adhesive electrodes are to be placed.
2. Place the electrodes on the part of the body that must be treated.
3. Connect the connectors of the adhesive electrodes to the two-ply EMG electrode cable (black and red connector).
4. Connect the two-ply EMG electrode cable to connector 
A or 
B of the Myo 200.
Placing rubber electrodes
1.Moisten two EL sponges. Use
water with a saline solution to improve the conductivity of the EL sponges.
2. Slide a rubber electrode into each sponge.
3.Place the sponges on the part of
the body that must be treated. 4. Fasten the sponges to the part of
the body with the elastic fixation straps.
5.Connect the red connector of the rubber electrode to the red connector of the two-ply (EMG) electrode cable (4 mm).
6.Connect the black connector of the rubber electrode to the black connector of the two-ply (EMG) electrode cable (4 mm).
7.Connect the two-ply (EMG) electrode cable to connector 
A or 
B of the Myo 200.
28
Myo 200
4.3.2Performing electrotherapy with a probe
•Considering the hygiene and the very personal and intimate character of these treatments, a probe may only be used for
one patient.
•Never disinfect the probes in an autoclave. The probes can be damaged by the extreme temperature.
1.Clean the probe carefully with soap and water. See §5.2.4.
2.Select the desired electrotherapy program.
3.Make sure the intensity is zero.
4.Place the probe. See page 29: Placing a vaginal or an anal probe and page 30: Placing a rectal probe.
5.Rotate intensity knob A or B to start the treatment and to set the desired intensity.
6.Check the patient's reaction. Repeat this check regularly during the treatment.
7.The equipment stops the treatment and indicates that the treatment is completed.
8.Make sure the intensity is zero.
9.Remove the probe.
10.Clean the probe. See §5.2.4.
Placing a vaginal or an anal probe
1.Connect the probe to the two-ply
EMG-incontinence electrode cable (white connectors).
2. Connect the two-ply EMGincontinence electrode cable to connector 
A or 
B of the Myo 200. The probe is immediately
detected by the equipment. To prevent unpleasant stimulations,
you can only set alternating currents with a Constant Voltage
(CV) setting, such as TENS, NMES, and 2-pole interferential currents.
3.Apply, if necessary, an antiseptic lubricant to the probe.
4.Place the probe.
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