Lympha Press® 201Max™
Contents
1. Lympha Press 201 Max Lympha Press USA Ltd User Manual 1 Introduction The Lympha Press 201Max System Lympha Press 201Max is a calibrated gradient pneumatic compression therapy system for treatment of lymphedema venous insufficiency venous stasis ulcers and dysfunction of the muscle pump The Lympha Press 201Max system consists of e The pressure control unit sometimes called compressor or pump supplying air at fixed pressures to a compression garment that 1s worn over the area to be treated e Hoses that transfer the air from the pressure control unit to each of the cells in the compression garment e The compression garment sometimes called a sleeve fastened around the area to be treated Each garment contains up to 24 overlapping air cells These air cells are filled with air from the pressure control unit in sequence applying a compressive massage Once the entire limb has been compressed Lympha Press 201Max releases the pressure and there is a brief pause Then the process starts over again and is repeated until the treatment session 1s complete The compress and release massage action of Lympha Press 201Max stimulates lymphatic vessels in the treated area to take up and transport lymphatic fluid The directional massage action encourages transport of the fluid towards the torso for collection by healthy lymphatics and return to the blood circulation The directional compres2. Set up the pressure control unit prior to getting into the pants and locate the unit so that you can reach the device controls easily during treatment 12 Lympha Press 201Max Lympha Press USA Ltd User Manual Putting on the pants d First connect the hoses to the two air outlets at the front of the pressure control unit making sure they snap into place Lay the pants on the treatment area bed or sofa and open up the white zipper on each side up to mid leg One legged pants have only one white zipper you can also open up the zipper on the short side unbuckle the abdominal flaps and spread them out Get into the pants from a sitting lying position until you are all the way inside Fold the abdominal section over your belly and fasten the buckles for a slightly loose fit Slender patients may find that this section overlaps considerably Zip up the zippers to the top Place a cushion under the leg sleeve where your foot ends to slightly elevate the sleeve in the shape of a boot You may need assistance to do this the first time until you decide on a comfortable position for pillows etc Before turning on the pressure device lightly flex the feet so that they will be in a comfortable position as the pants are filled with air If the weight of the hose bundle pulls down on the feet support the hose bundle by hanging it over a chair or the bed rail or by placing a pillow under the hos
3. lympha press USA Lympha Press 201Max Calibrated Gradient Pressure Compression Therapy System User Manual Lympha Press USA Ltd 232 Park Avenue Manalapan NJ 07726 Toll Free 888 596 7421 Email info lympha press com Web www lympha press com Version No 2 0 Catalog No L9810163 Publication Date 2010 08 19 Lympha Press 201Max Lympha Press USA Ltd User Manual Table of Contents 1 Introduction The Lympha Press 201Max SyS lO KA 1 Hs TOVI Nk IA AA AA AA T AA l 12 gt The Maa Acioa ee ee ee 2 kos WAANDAA Pressure serrian aT a ET 3 LA Pressure KNO LOCK Aa 4 Pees eam E E E E E O E E E E E E A E A AE A T EEA 4 2 Components of the Lympha Press 201Max Wi E A E A 5 2 1 Pressure Control Unit Hoses and ACCESSOLPIES cccccsseeccesscccessccesssccesssccesscccesscceessccessscceencees 5 22 Opiopal ACCSSsOr E ainsana a T N 6 20 COMPS Onr Cram aaa secant sans sae see ee 7 Ds COCLUNES UD CME Wi aa EET EE 9 Sle Detlime up the Pressure C onerol AA ate Madea 9 3 2 Attaching the Hoses tothe Garments ssi ictesiecdidesnaladcaseiad tubeiabedianiateaniadceunad a Ea 9 3 3 SPURNS One an TSO lati Garment IIIA 11 34 Putine onthe Compression Garment sesura R E Ul aeed ade aeanaeea onan 11 Jele ZIPPE E VE S eR eRe EEEE UA VOL EVO E E ETTE EEEIEE AWA 11 Ds E AI CO SIC CV Gs EA A T A E E WAWA I MWA A T EAO 12 JA COME COVE S aa OE AAA WAWA AA EO aeateetacdanapncsecustia assess 12 JaA 6373 40 0
4. 02 Wl Pants OE erana WAA EO OE AA WAWA AWA TAA 12 343 CV mphaJackei Ma Lympha Jacket IIM naiseen na Seere EEE kutakua kabanwa kikuu kutakua ikakua 14 Sa WI 15 3 5 Attaching the Hose Bundle to the Pressure Control Untt weenennnannnnnanena 17 4 Operating Lympha ISSA VA AI BA AKAA ATANUNUA AKO AAA SEA MUTU ANNA 18 A MADII MA ers eee ee ean coe ee ie E T tne sa 18 Ard TNE IE VICE Aaaa 19 Ss SECDE CHE PRESSUNE Aa 20 Sls Proessors Gradient Setup AA etait sare 20 5 2 Fine tuning Pressure While the Unit is in Operation eeennnnanannnnnnnnannnnnnnw 21 0s Preparing for Treatment AA 22 Js Starine he VC ACM ssn a EEEE 23 S Endine the Treatment SESSION AWA 24 9 Using the HOLD Mode Treatment Timer Deactivated ssss ss 24 10 Maintenance Ai e osoin naar EE ONEA EE 26 10 1 Cleaning the Pressure Control Ahaa 26 0 2 Cleamine the Compression Garmen aa EE E E REE 26 103 Storage and Lransportal iON eorne parne nrnna aR E E pE RE ORE EE AE aO REE ATE TRAA 27 TES koubles ho nA iraient srete raia a aaa oaaae EEES ENOS 28 11 Repairs and Technical SUPPO eisir aa a e e TE a S 29 LE OW 10 Contact US aa aei a N a A S 29 EE Manni U anan anaa a aa a A AWA WAA 29 A Manuli uer WA e a A E A E OEN E A E E ieee 29 Appendi SPECIFICATIONS sccssicci es ccteceuuaseceletcbebcuussd Ena OR EE S ENEA SE ESEESE Eas 30 Table of Content
5. 1 System Components The Pressure Control Unit supplies air to the compression garments There are two air outlets on the front of the unit The Hose Bundles connect to these two outlets The pressure control unit can operate two compression garments of up to 12 cells each or one 24 cell garment simultaneously Power cord the power cord is equipped with a hospital grade plug The Hose Bundle transfers the compressed air from the pressure control unit to the compression garment The type of hose bundle will vary according to the garment used Lympha Press 201 Max Lympha Press USA Ltd User Manual Plugs used to seal unused hoses or air outlets e 12 prong Plug when using only one garment or hose you must seal the second air outlet located on the front of the pressure control unit to keep air from escaping Use this 12 prong Plug to seal the unused outlet on the front of the pressure control unit Double sided Plug amp Nozzle Unused hoses of active Hose Bundle must be capped off to keep air from escaping using a Nozzle and Double sided Plug see Figure 3 amp A single Double sided Plug can be used to Nozzle aa i Double sided Plug seal off two hoses by utilizing its both sides see Figure 3 12 prong Plug 2 2 Optional Accessories Table 2 Optional Accessories Remote Stop Used to stop the operation of the pressure control unit by hand without having to get up from the treatment positio
6. The Massage Action Lympha Press 201Max applies directional massage that starts at the base of the treated area starting over the foot or hand and progressing upwards towards the torso This gradual directional compression assists the flow of lymphatic fluid out of the swollen area and towards the lymphatic collectors in the torso It prevents reflux wrong way flow of lymphatic fluid that could occur if only one discrete area was compressed each time When the compression wave reaches the top of the limb the pressure is released for a brief intermission allowing for lymphatic and venous refill 33 TE Py OP idi mmy Figure 1 The Compression Massage Cycle Lympha Press 201 Max Lympha Press USA Ltd User Manual 1 3 Calibrated Gradient Pressure o Lympha Press 201Max has three zones of pressure The pressure level can be set individually for each zone according to physician prescription o The pressure can be set at a gradient if desired or can be set uniformly across the garment with a slight drop in pressure between zones The maximum pressure that can be set is 80 mmHg The minimum therapeutic pressure that can be set is 20 mmHg We do not recommend setting pressures lower than 20 mmHg Pressure readings below 20 mmHg will not be displayed during operation N Note The minimum pressure displayed during operation RUN or HOLD modes is 20 mmHg o Lympha Press 201Max will not allow the sett
7. the unused air outlet at the front of the pressure control unit with the 12 prong Plug you will find this in the zipper accessory bag supplied with the pressure device It is important to plug this outlet If it is left open air will escape and the pressure control unit will not function Note When only one air outlet is in use insert the 12 prong Plug to seal the second unused air outlet If you do not plug this outlet the pressure control unit will not operate efficiently and may not inflate the garment properly Caution If immediate garment deflation is necessary disconnect the hose bundle from the pressure control unit to immediately deflate the air pressure in the garment 17 Lympha Press 201 Max Lympha Press USA Ltd User Manual 4 Operating Lympha Press 201Max Following is a description of the pressure control unit operating panel and the various settings and displays see Figure 4 Please read this section before operating the pressure control unit for the first time 0 RUNT aL F 45 F Any DISTAL MEDIAL PROXIMAL mmHg mmHg mmHg STATUS Figure 4 The Pressure Control Unit Operating Panel 4 1 Initial Display When Lympha Press 201Max is switched On the display screen shows READY Press Start see Figure 5 DISTAL MEDIAL PROXIMAL mmHg mmHg mmHg STATUS Figure 5 Initial Display 18 Lympha Press 201 Max Lympha Press USA Ltd User Manual 4 2 The Device
8. wear a comfortable long sleeved cotton T shirt 3 4 Putting on the Compression Garment Your Lympha Press dealer will select a garment for you according to your measurements and physician prescription The garment should fit snugly but not too tight Find your garment on the list below and follow the instructions 3 4 1 Zipper Sleeves These sleeves have three zippers for circumferential adjustment Select the Zipper that gives you a snug but not tight fit If the sleeve 1s too small an expander can be added to increase the circumference As the treatment progresses the circumference of the limb changes At that point the sleeve can be adjusted by switching to another zipper to improve the fit a First attach all the hoses as described in Section 3 2 above Be sure to cap any unused hoses If you are using the optional shoulder attachment zip it into place at the top of the sleeve and insert hose 11 into the air inlet on the shoulder attachment b Close the zipper half way and insert the arm or leg see the following note Then zip the sleeve closed all the way The shoulder attachment has a belt that you fasten around the back and chest This helps support the sleeve and keeps it from sliding down N Note Leg treatments with zipper sleeves may require the use of a separate boot 11 Lympha Press 201 Max Lympha Press USA Ltd User Manual 3 4 2 Velcro Leg Sleeves Velcro Leg sleeves are fastened with hook and l
9. Controls Table 4 Device Controls Pressure Knob Three rotatable pressure regulators each equipped with a Locking Button Locking Button Pressure e Normally Released Disables rotating the app Pressure Knob to prevent unintentional change of Locking pressure settings Button e Press and Hold Enables rotating the Pressure Knob see Section 1 4 Figure 2 START STOP Button Press this button to start or Stop treatment Main Switch Turn the switch to I to turn On the unit or to O to turn Off the unit e USB Connector For service use only e Remote Stop Connector used to connect the optional remote stop accessory 19 Lympha Press 201Max Lympha Press USA Ltd User Manual 5 Setting the Pressure 5 1 Pressure Gradient Setup The following procedure describes how to set up the pressure gradient of Lympha Press 201Max according to physician prescription 1 Press and hold the START STOP button 2 Turn On the device while pressing the START STOP button 3 Release the START STOP button only after the following display appears WAIT DISTAL MEDIAL PROKIMAL STATUS mmHg mmHg mmHg 4 Wait until the following display appears within 30 seconds SET Pressure Protocol 44 40 DISTAL MEDIAL PROXIMAL erates mmHg mmHg mmHg 5 Adjust the pressure gradient according to physician prescription starting from distal Pressure Knob DISTAL 1 to proximal Pressure Knob PROXIMAL 3 e The m
10. ated If your physician has prescribed a treatment time longer than 60 minutes use the HOLD mode This allows treatment to run continuously until the START STOP button is pressed l To access HOLD mode press and hold the START STOP button for around five seconds until the unit starts operating During operation in HOLD mode HLD is displayed instead of RUN This will inform you that the timer is deactivated DISTAL MEDIAL PROXIMAL mmHg mmHg mmHg Figure 7 HOLD Mode Display To end treatment while in HOLD mode press the START STOP button Wait up to 30 seconds to allow the garment to deflate STATUS When the garment has deflated remove the garment and turn Off the Main Switch Ending the treatment or powering Off the system returns the system to regular timed operation mode Warning In HOLD mode treatment will run indefinitely unless stopped by pressing the START STOP button 24 Lympha Press 201Max Lympha Press USA Ltd User Manual Note e To operate the system with the 60 minute timer press and release the START STOP button The screen will display RUN To operate the system continuously without the timer press and hold the START STOP button for around five seconds The screen will display HLD Pressing START STOP or powering Off the system will reset the timer to 60 minutes Caution In case of power failure or when immediate garment deflation is necessary disconnect the hose bundle f
11. ce from where it will not slip or fall and locate it so that the patient can easily reach the controls during treatment Do not place the pressure control unit on a tablecloth fabric cushion or mattress as this will block the air intake which is at the base of the pressure control unit Plug the pressure control unit into an appropriate 115 Volt wall outlet Note The air supply intake is at the base of the pressure control unit Do not place the pressure control unit on a tablecloth mattress or other fabric surface as this will block the air intake 3 2 Attaching the Hoses to the Garment s Note If you use the Lympha Pants II Lympha Jacket H or Comfy Sleeves the hoses are already attached so you can proceed to step 5 Place the garment on a flat surface so that the sleeve air inlets face upward 2 Note the numbers at the end of the hoses see Figure 3 Each hose inflates one air cell 3 Attach the hoses one by one to the air inlets starting with hose 1 at the base the hand or foot end of the garment securely into the air inlet Lympha Press 201 Max Lympha Press USA Ltd User Manual 4 Continue attaching the hoses to the air inlets in increasing numerical order until all the air inlets have been fitted with a hose Hoses must be connected in the correct order so that the air cells will inflate in the proper sequence Once properly connected it is best to leave the individual hoses connected t
12. comfortably snug fit across your chest and abdomen If the jacket is too small additional expanders can be added at the arm or at the back zipper Caution Using pressure over 40 mmHg on the abdominal area with the Lympha Jacket or Lympha Jacket II is not recommended Caution The abdominal area should not be treated during pregnancy If Lympha Jacket or Lympha Jacket II is to be used during pregnancy the air cells over the abdomen must be disconnected and plugged prior to use 14 Lympha Press 201 Max Lympha Press USA Ltd User Manual 3 4 6 ComfySleeve 1 75 a ComfySleeve 1 75 can be used lying down or in a seated position with the treated arm comfortably elevated on a chair arm or sofa back During treatment the arm should be positioned at approximately 90 degrees straight out from the torso This will enable full contact of the garment with the armpit and shoulder during treatment b Make sure the pressure control unit is located where you can reach it easily during treatment c Attach the hose to either air outlet of the pressure control unit and cap the other air outlet with the gray 12 prong Plug provided Note ComfySleeve 1 75 is a modular garment consisting of torso sleeve arm sleeve and side fastener which are all zipped together Follow the steps below for putting on and removing the assembled garment d Lay the garment on a flat surface With the front of the garment facing
13. ditions e Known or suspected deep vein thrombosis or pulmonary embolism e During the inflammatory phlebitis process e Acute infection of the affected limb e Decompensated cardiac failure e Severe arteriosclerosis or other ischemic vascular disease e Any circumstance where increased venous and lymphatic return is undesirable Due to movement of fluids in the body when using the device be careful with patients that have heart disease Using high pressure is not recommended for patients having peripheral occlusion disease The abdominal area should not be treated during pregnancy If an abdominal garment Lympha Pants Lympha Jacket groin abdomen garment or torso abdomen garment 1s to be used during pregnancy the air cells over the abdomen must be disconnected prior to use Caution Federal law USA restricts this device to sale and use by or on the order of a physician Lympha Press 201Max Lympha Press USA Ltd User Manual Safety Warnings and Precautions Warning Explosion Hazard Do not use Lympha Press 201Max in the presence of flammable gases including flammable anesthetics Warning Electrical Shock Hazard Do not allow liquid to enter any part of the Lympha Press 201Max system Do not immerse To clean follow instructions given in Sections 10 1 and 10 2 of this User Manual Warning Electric Shock Hazard To prevent electric shock do not open the pressure control unit Do not attempt t
14. e bundle where it exits the pants Caution Using pressure over 40 mmHg on the abdominal area is not recommended Caution The abdominal area should not be treated during pregnancy If Lympha Pants II is to be used during pregnancy the air cells over the abdomen must be disconnected and plugged prior to use 13 Lympha Press 201Max Lympha Press USA Ltd User Manual 3 4 5 Lympha Jacket amp Lympha Jacket IT Your Lympha Press dealer will assemble a modular garment for you by attaching the torso abdomen garment to one or two arm sleeves The Lympha Jacket II can also be supplied as a single unit Expanders may be added as necessary to increase the circumference Lympha Jacket II 1s a unique treatment system for the entire upper body When used to treat both arms it will inhibit your mobility so please follow these instructions a Set up the pressure control unit where you can reach it easily from the treatment position Be sure you are sitting within easy reach of the pressure unit controls b Open the jacket at the front zipper and put it on c If you are treating both arms open up one arm zipper to just above the wrist to free one hand to operate the pressure control unit Warning If you cannot operate the pressure control unit you will need to have someone with you during treatment to help you turn Off the unit if necessary d Close the front zipper Adjust the front fasteners for a
15. he hose bundle Store the electric cord lightly wrapped and secured Caution The system can be transported or stored for short periods of time within temperature ranges of 40 F to 158 F 40 C to 70 C relative humidity of 10 to 93 non condensing and atmospheric pressure of 190hPa to 1060hPa Allow the system to reach reasonable room temperature 50 F to 86 F 10 C to 30 C before operating 27 Lympha Press 201 Max Lympha Press USA Ltd User Manual 11 Troubleshooting Table 5 Troubleshooting Problem Display Cause How to fix the problem Indication External air e Verify that hose bundle leakage connector 1s securely connected to the pressure control unit Device operates No pressure but the garment displays on does not fill with LCD air to required pressure Verify that all hoses in use are securely inserted into the garment Verify that all unused hoses are securely capped see Section 3 2 Step 6 If using only one garment verify that the unused air outlet is securely plugged with the 12 prong Plug Internal air Contact Lympha Press USA for leakage service No electric supply e Make sure device is plugged into the appropriate wall outlet Main Switch is not illuminated when switch is turned to ON position Pressure e Verify that the power cord 1s securely inserted in its socket at the back of the device control unit does not turn On Internal electr
16. hite You can also do this before you put on the garment if it is easier for you to do so at that time Zip the wrist zipper closed Follow the directions for operating the pump Caution Stop treatment and consult your medical practitioner 1f there is onset of pain bruising or irritation during or after treatment Caution Using pressure over 40 mmHg on the abdominal area with the ComfySleeve 1 75 is not recommended Caution The abdominal area should not be treated during pregnancy If ComfySleeve 1 75 is to be used during pregnancy the air cells over the abdomen must be disconnected and plugged prior to use 16 Lympha Press 201Max Lympha Press USA Ltd User Manual 3 5 Attaching the Hose Bundle to the Pressure Control Unit l Locate the big gray hose connector at the other end of the hose bundle All twelve hoses join at this gray connector Note the snap tooth on the top of the hose connector Also note the two air outlets on the front of the pressure control unit You can insert the air hose into either outlet Insert the hose connector into one of the two air outlets at the front of the pressure control unit making sure the snap tooth 1s facing UP The hose connector will click into place If you do not hear a click move it gently to make sure it 1s secure a To remove the hose connector press down on the snap release and pull out the connector b If you are treating only one limb plug
17. ic Contact Lympha Press USA for malfunction service Main Switch Internal electric Contact Lympha Press USA for illuminated but malfunction service the display does not appear on screen Loud abnormal Internal Contact Lympha Press USA for noise mechanical service vibration 28 Lympha Press 201Max Lympha Press USA Ltd User Manual 11 1 Repairs and Technical Support Contact your Lympha Press dealer or call us at Lympha Press USA 11 2 How to Contact Us Lympha Press USA 232 Park Avenue Manalapan New Jersey 07726 Toll Free 888 LYMPHA 1 Tel 732 792 9677 Fax 732 792 9745 Web www lympha press com Email info lympha press com 11 3 Manufacturer Mego Afek AC Ltd Kibbutz Afek 30042 Israel 11 4 Manufacturer Warranty Mego Afek AC Ltd warrants the Lympha Press 201Max Compression Therapy pressure control unit and Lympha Press compression garments to be free of defects in materials and workmanship for a 12 month period from the date of purchase During this period if properly handled and maintained a defective pressure control unit hoses and or garment s shall be repaired free of charge Warranty does not cover malfunctions caused by misuse noncompliance with usage guidelines and or maintenance instructions or damage caused by repair work performed by unauthorized personnel 29 Lympha Press 201 Max Lympha Press USA Ltd User Manual Appendix Specifications Sequential Therapy Dev
18. ice Model 201Max appliance coupler transportable rated 115 VAC 60 Hz 1 5 A Degree of protection against electric shock Type BF Degree of protection against ingress of water IPX0O Degree of safety of application in the presence Equipment not suitable for use in the presence of a of a flammable anesthetic mixture with air or flammable anesthetic mixture with air or with oxygen with oxygen or nitrous oxide or nitrous oxide Environmental Conditions wish 30
19. ill be reset every time the unit is turned OFF or START STOP is pressed If longer treatment Sessions are required you may deactivate the timer by using the HOLD mode see Chapter 9 below 1 Press the START STOP button to begin treatment The treatment proceeds according to the pressure settings o During treatment the display shows the pressure progress zone by zone see Figure 6 o The pressure is displayed both numerically and visually by a progress bar see Figure 6 o In addition RUN is displayed on the left side with a rotating icon above see Figure 6 DISTAL MEDIAL PROXIMAL STATUS mmHg mmHg mmHg Figure 6 Treatment Display 2 Ifyou wish to change the pressure while treatment is in progress you can change the pressure for each zone separately using the instructions for Fine tuning the pressure see Section 5 2 above Note At the start of treatment the garment may take several inflation cycles to fill completely as the garment must be filled from a completely empty state 25 Lympha Press 201Max Lympha Press USA Ltd User Manual 8 Ending the Treatment Session l When you wish to end the treatment session press START STOP If the START STOP button is not pressed the treatment timer will end the session automatically after 60 minutes When treatment stops wait up to 30 seconds to allow the garment to deflate before you remove it 9 Using the HOLD Mode Treatment Timer Deactiv
20. ing of a higher pressure in a more proximal zone This prevents inadvertent setting of a reverse gradient which could cause reflux or wrong way flow Note The Lympha Press 201Max pressure control unit will not allow setting a reverse gradient This helps protect against reflux wrong way flow Lympha Press 201 Max Lympha Press USA Ltd User Manual 1 4 Pressure Knob Lock The Pressure Knobs have a tamper proof locking mechanism to prevent inadvertent change of pressure settings To adjust the pressure press and hold the Locking Button while turning the Pressure Knob see Figure 2 gt A owe F p Gi oat ST ees Aa r zA a Fi mO 1 AA i DISTAL MEDIAL PROXIMAL mma i mma oo mm Hg i ob Lock _ Figure 2 Pressure Kn 1 5 Treatment Garments Lympha Press garments contain up to 24 air cells Each air cell overlaps its neighbor for smooth directional compression massage to gently direct the trapped lymphatic fluid to alternate pathways for uptake Your physician will determine whether you need an extremity sleeve arm or leg or a torso garment groin abdomen torso abdomen pants or jacket Lympha Press 201 Max Lympha Press USA Ltd User Manual 2 Components of the Lympha Press 201Max System The Lympha Press 201Max system consists of the pressure control unit compression garment s and hoses 2 1 Pressure Control Unit Hoses and Accessories Table
21. inimum therapeutic pressure that can be set is 20 mmHg We do not recommend setting pressures lower than 20 mmHg Pressure readings below 20 mmHg will not be displayed during operation e The maximum pressure that can be set is 80 mmHg Note The minimum pressure displayed during operation RUN or HOLD modes is 20 mmHg 20 Lympha Press 201Max Lympha Press USA Ltd User Manual 6 To exit the Setup mode press the START STOP button The following display appears REA DY Press Start DISTAL MEDIAL PROXIMAL mmHg mmHg mmHg STATUS Lympha Press 201Max is now ready for operation N Note Lympha Press 201Max does not allow setting a reverse gradient You can decrease the pressure of zone 1 until it reaches the pressure of zone 2 If you continue reducing the pressure of zone 1 then the pressure of zone 2 will also be reduced until it reaches the pressure of zone 3 If you continue reducing the pressure of zone 1 then the pressure of zone 2 and zone 3 will be reduced as well 5 2 Fine tuning Pressure While the Unit is in Operation To adjust pressure while the pump is in operation 1 Wait until three inflation cycles have been completed During the fourth inflation cycle when all cells in the required zone have been fully inflated proceed to Step 2 2 Press and hold the Locking Button 3 Slightly rotate the Pressure Knob while pressing the Locking Button until the required pre
22. ll range of pressure e Abdomen do not exceed 40 mmHg Lympha Pants II Groin abdomen Do not exceed 40 mmHg Groin Abdomen used with Lympha over the abdomen Garment Pants II Leg Sleeve Lympha Jacket II Arm one or both According to physician Arm Sleeve used with prescription Lympha Jacket II Torso Abdomen Garment Arm can be used at full range of pressure Abdomen do not exceed 40 mmHg Lympha Jacket II Torso chest back According to physician Torso Abdomen shoulders abdomen prescription Garment used with Lympha Jacket II Arm 40 mmH g Sleeve Abdomen do not exceed ComfySleeve 1 75 Arm torso chest According to physician back shoulders prescription abdomen Arm can be used at full range of pressure Abdomen do not exceed 40 mmHg Expander inserts Used with all garments to increase circumference Shown expander for Lympha Pants II Lympha Press 201Max Lympha Press USA Ltd User Manual 3 Setting up the System Proper setup is essential for safe and comfortable treatment Before using the Lympha Press 201Max system for the first time take care to arrange the treatment area so that the patient can reach the pressure control unit at any time during treatment Warning Use the Lympha Press 201Max system only as prescribed by your physician 3 1 Setting up the Pressure Control Unit Place the pressure control unit on a flat stable surfa
23. n Connect the remote stop to the Remote Stop Connector on the right side of the pressure control unit see Table 4 Remote Stop Connector Lympha Press 201 Max Lympha Press USA Ltd User Manual 2 3 Compression Garments Lympha Press 201Max can be used with all our Lympha Press compression garments Your Lympha Press dealer will select the appropriate garment for you according to your physician instructions Some garments have pressure limitations If your physician recommends higher pressures consult your Lympha Press dealer or call Lympha Press USA Caution Do not exceed the pressure limitations listed for your garment in Table 3 below If your physician prescribes pressures higher than the limits for your garment consult your Lympha Press dealer or call Lympha Press USA Table 3 Lympha Press Garments Zipper Sleeve Arm or leg According to physician prescription Can be used at full range of pressure Shoulder Attachment Shoulder According to physician prescription Can be used at full range of pressure According to physician prescription Can be used at full range of pressure wi Comfy Sleeve Leg According to physician prescription Can be used at full range of pressure Lympha Press 201 Max Lympha Press USA Ltd User Manual Lympha Pants IJ Leg one or both e According to physician Leg Sleeve used with prescription Lympha Pants II Groin Abdomen Garment e Can be used at fu
24. o service the pressure control unit yourself All maintenance tasks should be performed only by Lympha Press trained and authorized service personnel Service by unauthorized personnel shall void any warranty Warning Hospital grade electrical grounding is achieved only when connected to a hospital grade receptacle Caution Use only cables and accessories approved by the manufacturer Mego Afek AC Ltd Other cables and accessories may damage the system or interfere with system function Lympha Press 201 Max Lympha Press USA Ltd User Manual Labels The following labels and symbols appear on the pressure control unit garments and or packaging On model number label Located Read instructions before use on base of 7 control unit m Read instructions before use On On garment label label Temperature limitations for storage On pressure control unit carton and or transport of the device Level of protection type BF On model number label Located equipment on base of pressure control unit On garment label amp on base of pressure control unit Date of Manufacture On base of pressure control unit 2008 m i Lympha press Ec Ec Serial number of the device On back of pressure control unit CSA c us Certification with respect to electric shock fire and GB WANA tain an On back of pressure control unit C US accordance with CAN CSA C22 2 MASTER CONTRACT No 601 1 M90 AM1 AM2 and 244728 UL 60601 1 1 Edition
25. o the sleeve for future use Note Hoses must be connected in the correct numerical order with hose 1 over the hand or foot and the remaining hoses connected in increasing numerical order towards the torso so that the air cells inflate in the proper sequence 5 Disconnecting hoses If you need to disconnect a hose from the air inlet follow this procedure a Hold the air hose by its fitting b Hold down the air inlet with your other hand as you gently twist and pull the hose to work it free Do not pull on the air inlet 6 Extra hoses If your garment has less than 12 cells you will have one or more extra hoses These unattached hoses must be sealed to prevent air leaks a Cap off the first hose in each zone with a Nozzle see Figure 3 not a Double sided Plug b Cap off all the remaining hoses using the Double sided Plug see Figure 3 Hose Capped by Nozzle Two Hoses Capped by Double sided Plug Hose Bundle Figure 3 Hose Bundle Double sided Plug amp Nozzle 10 Lympha Press 201 Max Lympha Press USA Ltd User Manual 3 3 Putting on an Isolating Garment An isolating inner garment should be worn under all compression garments for hygienic reasons Stockinette can be worn under arm and leg sleeves and 1s available from your Lympha Press dealer For the Lympha Pants II you can wear light cotton tights or any light cotton unrestrictive pants such as sweats For the Lympha Jacket II
26. oop fasteners d First attach all hoses as described in Section 3 2 above capping any unused hoses Insert the foot into the boot pulling up on the sleeve to straighten it to its full length Close the fasteners snugly around the leg starting from the foot If the sleeve is too small an expander can be added to increase the circumference As the treatment progresses the circumference of the limb changes and the fasteners can be closed to a smaller circumference 3 4 3 Comfy Sleeves These leg sleeves have the hoses pre attached a b Open the zipper all the way Insert your foot into the boot and then pull up on the sleeve to straighten it out to its full length Zip the sleeve closed If the circumference is too small an expander can be added 3 4 4 Lympha Pants IT Your Lympha Press dealer will assemble these modular pants for you by attaching the groin abdomen garment to one or two leg sleeves Expanders may be added as necessary to increase the circumference Treatment with Lympha Pants II is always performed with the patient lying down Do not use the pants in a recliner or a chair The patient must have the hips in line with the legs This is to prevent formation of folds in the garment that can block the air flow Keeping the hips in line with the legs also helps promote lymphatic and venous return Pillows can be used to prop up the patient s back and shoulders as needed for comfort
27. rom the pressure control unit to immediately deflate the air pressure in the garment 25 Lympha Press 201Max Lympha Press USA Ltd User Manual 10 Maintenance amp Storage 10 1 Cleaning the Pressure Control Unit l yA J Ensure the electrical cord is unplugged before cleaning the pressure control unit Wipe clean using a slightly damp cloth Do not allow any moisture or liquids to enter the device 10 2 Cleaning the Compression Garment l Gently wipe the compression garment using a damp soft cloth moistened with a mild detergent solution e Do not use hot water the temperature should always be under 100 F e Do not allow any liquid to get into the air inlets After cleaning thoroughly wipe the compression garment dry using a soft towel only e The compression garment may be surface wiped with a light application of appropriate hospital grade disinfectant such as 50 alcohol e Do not use bleach Allow to air dry completely before using the garment Caution Do not hand or machine wash Surface wipe only Do not allow liquid to get into the air inlets Do not use bleach Do not dry clean Do not wring iron tumble or force heat dry 26 Lympha Press 201Max Lympha Press USA Ltd User Manual 10 3 Storage and Transportation O Keep the pressure control unit hoses and garments away from direct sunlight Store in a dry shaded place see Caution below Do not twist or fold t
28. s Lympha Press 201 Max Lympha Press USA Ltd User Manual Copyright 2010 by Lympha Press USA Ltd All rights reserved No part of this manual may be reproduced or copied in any form by any means including graphic electronic or mechanical media photocopying typing or other information retrieval systems without the written permission of Lympha Press USA Ltd Lympha Press 201Max Lympha Press USA Ltd User Manual Notes Lympha Press 201Max Lympha Press USA Ltd User Manual Important Before you Start l Please read this entire manual before using the system for the first time Keep this manual handy for your reference Please record the contact information of your Lympha Press dealer from whom you purchased the device We suggest you write the dealer contact name phone number and address on the inside page of this manual Please keep all packing materials in case you ever need to transport the pressure control unit The packing materials have been specially designed to protect the system from damage during shipment You may register your product at www lympha press com Lympha Press 201Max Lympha Press USA Ltd User Manual Indications e Primary lymphedema e Secondary lymphedema e Venous insufficiency e Venous stasis ulcers e Dysfunction of the muscle pump Contraindications Use of the Lympha Press 201Max system is not recommended in the presence of one or more of the following con
29. sive massage also helps reduce venous edema and stimulates venous return 1 1 How it Works Lympha Press 201Max provides compression with short cycles of pneumatic pressure applied in short steady cycles An air compressor in the unit distributes calibrated gradient pressure through a series of three individual regulators to the compression garment The compression garment is fastened around the area to be treated The compression cycle is applied from distal the hand or foot to proximal near or at the torso applying pressure to the cells one after the other Lympha Press 201 Max Lympha Press USA Ltd User Manual The pressure control unit allows setting pressure in three distinct zones along the garment Pressure is adjusted as follows o Pressure regulator DISTAL 1 provides pressure to cells 1 to 4 zone 1 o Pressure regulator MEDIAL 2 provides pressure to cells 5 to 8 zone 2 o Pressure regulator PROXIMAL 3 provides pressure to cells 9 to 12 zone 3 The inflation and emptying cycle is 26 seconds for inflation and four seconds for deflation and intermission This short cycle time allows application of pressure to the treated area without discomfort The overlapping design of the air cells and the short duration of the treatment cycle enable smooth and efficient application of compression to the treated area Note Treatment pressure time and frequency must be prescribed by your physician 1 2
30. ssure 1s displayed 4 Release the Locking Button 5 Repeat steps 2 to 4 for the remaining zones until reaching the required pressures 6 You may need to repeat these steps as the device 1s cycling during the procedure Zi Lympha Press 201 Max Lympha Press USA Ltd User Manual 6 Preparing for Treatment Now you are ready to operate the pressure control unit and begin your treatment l Ensure that all tubes are properly connected to the garment and that the hose bundle is securely attached to the pressure control unit Verify that the Main Switch at the back of the pressure control unit is in the OFF position Connect the power cord to the pressure control unit and then connect the power cord to the electrical outlet Note Before connecting the pressure control unit to the electrical outlet make sure that the power supply is 115 Volts and verify that the electrical outlet is grounded Turn On the Main Switch located at the back of the pressure control unit Get into a comfortable seated reclining or lying position from where you can easily reach the pressure device controls Put on the garment following the directions in Section 3 4 above 22 Lympha Press 201Max Lympha Press USA Ltd User Manual 7 Starting the Treatment Note Lympha Press 201Max is set to operate for 60 minutes If not turned Off manually the unit will automatically stop after one hour The 60 minute timer w
31. you locate the zipper of the side fastener which will be toward the front when you put on the garment The front and back of the garment look very similar so orient yourself according to the arm sleeve e Open up the zipper of the side fastener toward the front DO NOT open the zipper towards the back of the garment f Open the zipper at the wrist of the arm sleeve This will allow you to use both hands to fasten the garment once you have put it on g Loosen the side straps to nearly their full length This will enable you to grasp them once you have put on the garment h Put on the garment as you would a jacket 1 Pull the inner padded section of the side fastener attached to the side straps around your torso and lightly fasten the Velcro at the top and bottom so that the garment is closed around you This allows you to let go of the garment and grasp the zippers j Find the zipper of the side fastener and zip the garment closed at the front 15 Lympha Press 201Max Lympha Press USA Ltd User Manual k m n Tighten the fasteners at the side for a comfortable fit It does not need to be tight in fact you may feel the massage better on your torso 1f it is not too snugly fastened If during treatment the compression feels uncomfortable you may slightly release any of the fasteners at the side to loosen the fit Insert the connectors on the sleeve to the connectors on the hose gray to gray and white to w
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