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TRIOMED COMPACT 1, 5 (31-38)
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1. function programme 4 Overall dimensions no more than 75x45x13 mm 5 Weight no more than 0 1 kg 6 Mean time between no less than 1500 hours failures 7 Lifecycle no less than 8 years TRIOMED COMPACT 1 5 31 38 USER MANUAL 19 Body material polycarbonate plastic Ambient temperature between 10 and 35 C during use 10 Rated air humidity com 80 at 25 C bination of relative hu midity and temperature 11 Rated direct voltage 3 0V 12 Consumption current no more than 30 mA 13 Power consumption no more than 100 mVA The device comes with a CR2032 battery Millimeter electromagnetic radiation is modulated by a simple low frequency or complexly modulated signal The frequency duration and form of modulating signals are changed during the treatment session according to original programmes labelled by identification numbers The mod ulation of millimeter radiation in accordance with various programmes ensures multimodality of exposure enhancing the therapeutic effect The external surfaces of the device are disinfected using a 3 solution of hydrogen peroxide or a 1 water solution of chlorhexidine No special safety measures are required 20 TRIOMED COMPACT 1 5 31 38 USER MANUAL 4 2 Structure and functioning The device is a monoblock unit The top panel of the body of the device fig 1 houses the control button The followi
2. VII Vill rat The duration of MMA 4 stimulation of 4 one zone is 10 f KA minutes The Z E course of treat ie eN ment consists of 20 sessions 11 7 11 In the case of light depression The zone of the posterolateral surface of the lower leg on the left and on the right ll The zone at the end of the cross fold of the wrist joint on the side of the thumb on the right Ill The zone on the medial border of the foot backwards and downwards from the condyle of the first instep bone on the left and on the right IV The popliteal space on the left and on the right V The zone of the back surface of the middle third of the foot between the 1 and the 2 toes on the left and on the right VI The zone near the cross fold of the wrist joint on the inside on the left and on the right TRIOMED COMPACT 1 5 31 38 USER MANUAL 59 bd la A i J y The duration of stimulation of one zone is 10 minutes The course of treatment consists of 15 sessions 11 7 12 In the case of disturbed coordination of movements The disturbed coordination of movements may have various causes including degenerative and dystrophic con ditions of the central nervous system The palm of i The plantar poll the hand oa surface of the i foot Each zone should be stimulated for 1 minute three times a day at the beginning of each treatment course and up to 10 12 minutes at the end of
3. utes has an antihypoxic and antioxidant effect This mode enhances the resistance to hemic circulatory and tissue hypoxia The programme improves microcirculation and tissue respiration and normalises the functioning of the respiratory chain gas TRIOMED COMPACT 1 5 31 38 USER MANUAL 37 exchange in the lungs haemoglobin in the blood respirato ry ferments oxygen transport and utilisation ATP synthesis The activation of oxidation reduction processes increases the supply of energy to the body The programme also activates the system of defence from free radicals which are formed when the supply of oxy gen to the tissues of the body is insufficient Programme no 6 should be selected for conditions which create the risk of poor oxygen supply to the cells and acido sis of the blood mountaineering staying in poorly ventilated environments living in air polluted cities suffering from over fatigue It is recommended for acute and chronic diseases ac companied by intoxication and disturbed microcirculation or exacerbated by respiratory failure or circulatory deficiency V To activate antihypoxic and antioxi dant effects it is recommended to use programme no 6 in the zone at the edge of the popliteal fold when the knee joint is bent on the inside I in the projection of the radial artery in the hen A area of the wrist I in the projection 38 TRIOMED COMPACT 1 5 31 38 USER MANUAL of the
4. nervous system ischemic stroke multiple sclerosis internal brain injury traumatic encephalopathy Vi VII The projection of the radial artery in the area of the wrist on the right The middle of the left palm The temporal fossa on the left and on the right The projection of the 1st cervical vertebra The neck and collar region The projection of the carotid arteries in the neck region on the left and on the right The zone of the popliteal fold TRIOMED COMPACT 1 5 31 38 USER MANUAL 51 The duration of stimulation of one zone is 10 minutes The course of treatment consists of 15 20 sessions 11 7 4 In the case of cerebral circulatory deficiency and mild and medium discirculatory encephalopathy The device is placed on the outer surface of the shoulder joint at the level of the head of the humerus on the side oppo site to the location of the lesion of the brain and in the case of diffuse disorders preferably on the right shoulder joint The therapeutic stimulation should be carried out for 10 minutes in the morning and in the evening In total 10 15 daily sessions are needed 52 TRIOMED COMPACT 1 5 31 38 USER MANUAL 11 7 5 In the case of problems with vessels in the lower extremities chronic venous insufficiency varicose vein disease post thrombotic syndrome l The left shoulder joint at the level of the head of the humerus ll The area under the nuchal
5. Class lla equipment according to Directive 93 42 EEC and has been designed as a product with internal safe power supply The TRIOMED COMPACT 1 5 31 38 device has in built BioTrEM generator no 1 of millimeter electromagnetic radia tion carrier frequency between 40 and 43 GHz wave length between 7 5 and 6 98 mm and generator no 5 of IR radia tion wave length between 1 2 and 0 8 um The software allows to generate MM and IR radiation with various modulation and distribution of stimulation during the treatment session The device features 8 programmes 31 38 described in Section 11 18 TRIOMED COMPACT 1 5 31 38 USER MANUAL The number 1 5 following the name refers to the type of generator installed and the number in brackets 31 38 refers to one of the eight treatment programmes according to the unified register of the manufacturer For ease of use of the device and better memorisation of the programme numbers the treatment programmes in this user manual are marked with numbers 1 8 correspond ing to the programmes numbered 31 38 in accordance with the unified register of the manufacturer The main technical characteristics of the TRIOMED COMPACT 1 5 31 38 device are given in Table 1 below LET m No Characteristics Description 1 Start up time no more than 5 sec 2 Type of work with continuous specified characteristics uninterrupted 3 Automatic shutdown after the end of the
6. USE 10 1 Operating restrictions The device can be used only after reading the User Manual IT IS FORBIDDEN e to use the device without reading the User Manual e to use the faulty or damaged device e to use the device in rooms with high e to let water and chemical substances get in side the device e to handle the device roughly expose it to ex cessive mechanical vibrations or shocks crush or drop the device e to use self made power supply devices T humidity e to put the device into water TRIOMED COMPACT 1 5 31 38 USER MANUAL 27 e to keep the device in places accessible to children and animals e to use the device after it has been stored at a temperature below 0 C without leaving it first for at least 4 four hours to lie unpacked at the room temperature 10 2 Safety precautions e no special safety precautions are required for the patient in the case of device failure emergency or urgent evacuation of the medical staff e the patient can assume any comfortable posi tion during the treatment with the device 10 3 Preparing the device for use Before switching on the device inspect the outside of the device and make sure that the body is not damaged IT IS FORBIDDEN to use the device with the damaged body Fig 12 shows how to replace the battery 28 TRIOMED COMPACT 1 5 31 38 USER MANUAL Figure 12 Battery replacement e use across point screwdriver to unfasten the s
7. the course During the course of treatment the duration of stimulation of each zone should be increased by 1 minute The device is moved in slow spiral motions from the centre of the palm foot toward the pe riphery gradually covering the entire surface 60 TRIOMED COMPACT 1 5 31 38 USER MANUAL The procedure includes the stimulation of 2 symmetric zones both hands or both feet and should be repeated 3 times a day by alternating the paired zones 1st session the palms of the left and right hands 2nd session the plantar surfaces of the left and the right feet 3rd session the palms of the left and right hands etc The duration of the course is 12 14 days It is recommended to repeat the course in 2 3 weeks The interval between the subsequent courses should be 3 to 6 weeks 11 7 13 In the case of psoriasis progressive and stationary state The junction of the presternum and the body ll The popliteal space on the left and on the right Ill The zone of the back surface of the middle third of the foot between the 1Stand the 2 toes on the left and on the right IV The zone of the posterolateral surface of the lower leg on the left and on the right V The area of the projection of the liver T IIl P e N 7 F A i i TRIOMED COMPACT 1 5 31 38 USER MANUAL 61 IV The duration of stimulation of one zone is 10 minutes The course of treat ment consist
8. the risk of complications in the case of acute and chronic diseases by acti vating the general adaptation and optimis ing the response of the human body to the stress factors TRIOMED COMPACT 1 5 31 38 USER MANUAL 33 e to provide constant support in the case of chronic diseases e to produce a general invigorating effect in the case of intense physical psychological and emotional exertion Distant stimulation e helps restore the balance of activity of the sympathetic and parasympathetic parts of the autonomic nervous system e increases the total activity of neurohumoral influences in the human body e prevents the exhaustion of the sympathoadrenal system and the development of chronic stress e optimises the adaptive response of the body e helps restore the functional reserves of the body Programme no 2 Universal 10 minutes is designed to prevent the occurrence of acute conditions and exacerbations of chronic illnesses by improving the function of the autonomic nervous and immune systems and optimising the response of the body It is used for I Il degree patho logical conditions accompanied by the dis adaptation syndrome The programme ensures a 10 minute exposure The device is used in the contact mode 34 TRIOMED COMPACT 1 5 31 38 USER MANUAL Programme no 3 Healer 15 minutes is meant for extended supportive therapy in the periods between courses of main treatment carried out among other
9. the treatment the suitable programme of stimulation is selected and the device is switched on by pressing again the control button e For programmes no 2 8 the device is placed on the pa tient s body with the top panel facing up and is held by hand e To switch on the radiation and begin the treatment ses sion the control button needs to be pressed When the device is working normally the LEDs are periodically switched on in the combination that corresponds to the programme selected the speaker produces sound TRIOMED COMPACT 1 5 31 38 USER MANUAL 41 e The duration of the stimulation is determined by the programme It is recommended not to break off the ses sion At the end of the treatment session the device will switch off automatically e You can switch the device off earlier by pressing the control button at any time When stimulating broad biologically active zones it is recommended to slowly move the device in circles When stimulating the area of the spinal column as well as large and great vessels the device should be moved longitudinally The methods described include a list of the basic zones for stimulation in accordance with programme 2 In the case of disease manifestations syndromes and symp toms listed in the description of programmes no 3 8 the rel evant programme is additionally selected for the patient ATTENTION in the case of deterioration or discomfort that persists after 3 treatment se
10. 1 38 device is meant for users and medical staff The device is supplied ready for use and can be utilised only for its intended purpose in strict compliance with the operation instructions safety measures and rules of therapeutic application Please read this Manual carefully before using the device and follow all the instructions Please take notice of the contraindications for use and prohibi tions You will be able to achieve high therapeutic efficiency avoid possible risks and increase the longevity of the device In the event of improper use of the device the right to make claims shall be forfeited and the risk of possible dangers shall be exclusively with the owner This Manual is an integral part of the device To have the information at hand always keep the Manual together with the device Ifyou have any questions concerning the use of the device please refer to the information provided on the manufacturer s website at www triomed eu eu or contact your seller After its manufacture the device is carefully examined to ensure its nor mal operation as well as cleaned and disinfected using Aerodesin 2000 dis infection agent The use of the device does not eliminate the need for the patient to remain under medical supervision The document cannot be amended without prior negotiation with TRIOMED LLC Last updated on 24 07 2013 TRIOMED COMPACT 1 5 31 38 USER MANUAL A The following signs have been used in t
11. 2 15 minutes daily The course consists of 12 15 sessions Stimulation of the lumbosacral area im proves the blood circulation and the tro phism of the tissues in the zone of stimu lation in the lower extremities as well as in the pelvic organs It is indicated in the case of vascular diseases and injuries of amp the lower extremities and to stimulate the hormonal function of the sex glands The treatment has a general tonic effect on the patient s body Stimulation is carried out in slow longitudinal and circular motions vertebrally at the level of the 4th lumbar and the 3rd sacral vertebra L4 S3 on each side in turn for 20 30 sec onds The duration of one session if 12 15 minutes 2 3 times a day The course consists of 12 15 treatment sessions The anticardium houses the solar plexus which is a collector of autonomic links of the abdominal pelvic and thoracic or gans and the centres of the spinal bulb Stimulation of this area has a positive ef fect on the function of the above men tioned organs and the central nervous 46 TRIOMED COMPACT 1 5 31 38 USER MANUAL system The treatment session in the pit of the stomach should be carried out for 1 minute 1 1 5 hours after a meal in circular slow sliding motions clockwise gradually covering the central spots Then the device should be held still for 1 minute under the xiphoid process During the session that lasts 8 10 minutes the sequence mentioned sh
12. 2 times a day 56 TRIOMED COMPACT 1 5 31 38 USER MANUAL 11 7 9 In the case of diabetic polyneuropathy The zone atthe edge of the popliteal fold when the knee joint is bent on the inside on the right ll The tragus area on the right Ill The area between the 7th cervical vertebra and the 1st thoracic vertabra IV The zone near the inner edge of the knee joint 3 cm be low the edge of the kneecap on the right V The area of the inner end of the popliteal skin fold on the left VI The zone of the shoulder above the olecranon of the ul nar bone 2 cm above the elbow on the right VII The most painful spots on the inner surface of the lower leg VIII The most painful spots on the back of the foot HE at TRIOMED COMPACT 1 5 31 38 USER MANUAL 57 The duration of stimulation of one zone is 10 minutes The course of treatment consists of 20 25 sessions 11 7 10 In the case of climax and prostatitis The area of the thymus gland the spot between the internal ends of the collar bones in the hollow above the presternum The suprapubic region The lumbosacral region IV The crotch V The middle of the inner thigh VI The projection of the 1st cervical vertebra VII The projection of the adrenal glands VIII The projection of the radial artery in the area of the wrist on the right II III s A 1 g K h IV VI rat 58 TRIOMED COMPACT 1 5 31 38 USER MANUAL
13. ACTIVE MEDICAL DEVICE FOR STIMULATION BY ELECTROMAGNETIC FIELD USER MANUAL TRIOMED COMPACT 1 5 31 38 C 2274 Version 3 Introduced on 24 07 2013 Saint Petersburg 2013 Declaration of Conformity MANUFACTURER Name of the company TRIOMED LLC Address 59A Malaya Balkanskaya str 192289 Saint Petersburg Russia BSRN 1097847122416 Telephone 7 812 940 10 95 e mail triomed mail ru rec AUTHORISED REPRESENTATIVE IN THE e frer EUROPEAN UNION Name of the company TRIOMED EU Ltd ID code 12146269 Address 4 M ealuse str EE 12618 Tallinn Estonia Telephone 372 56888978 e mail info triomed eu eu TRIOMED LLC declares that the following device meet the requirements of Directive 93 42 EEC 2007 47 EC Product Active medical device for stimulation by C electromagnetic field TRIOMED COMPACT 1 5 31 38 emitters integrated with device 2 2 7 4 Options 40 43 GHz Reg No in Russia OCP 2009 06554 MEDICAL CLASSIFICATION Classification ll a Classification rule according to 93 42 EWG Annex IX Rule 9 GMDN 35169 UMDNS 18812 CONFORMITY ASSESSMENT Evaluation of this medical device was carried out with the participation of the Notified Body No 2274 T V NORD Polska Sp z 0 0 ul Mickiewicza 29 40 085 Katowice Country Poland General Director Alexey Seledtsov TRIOMED COMPACT 1 5 31 38 USER MANUAL 3 Dear Consumer This manual on howto use the TRIOMED COMPACT 1 5 3
14. IOMED COMPACT 1 5 31 38 USER MANUAL 7 The device is easy to operate safe secure and light weight and can be used in patient and out patient settings rehabilitation centres rehabilitation departments by out reach teams and independently at home in consultation with the treating physician In terms of its utilisation the device is classified as a prod uct of multiple cyclic use The invention has been patented based on the research materials registration number EE 05541 8 TRIOMED COMPACT 1 5 31 38 USER MANUAL 2 MECHANISMS OF THERAPEUTIC EFFECTS 2 1 General mechanisms of action Electromagnetic waves in the millimetre range have a low capacity to penetrate biological tissues 0 2 0 6 mm are almost fully absorbed by the upper layers of the skin and by the water hydrated proteins and collagen fibres con tained in them and do not have a thermal effect At the cel lular level electromagnetic waves in the MM range activate the metabolism through calcium dependent processes The response of the body is manifested in the skin and visceral reflexes as well in the general reaction aimed at strengthen ing the adaptation adjustment and defence capacity The healing effects are achieved through the central and periph eral nervous system as well as through the protective and regulatory systems of the body Electromagnetic waves in the MM range thus regulate the cellular biochemical activity and physiological functions o
15. NUAL 5 PACKAGE CONTENTS Package contents e TRIOMED COMPACT 1 5 31 38 device e CR2032 battery installed e user Manual e consumer packaging e warranty 6 LABELLING The marking is shown on the label placed at the bottom of the device The label Fig 11 specifies TERME name and model of the 2274 EC 0011 13 device factory number serial number two last digits of the year of manufacture e CE marking e certification body number Figure 11 Label Manufacturer handling symbols power consumption the type and amount of nutrients and other necessary infor mation is given in this manual TRIOMED COMPACT 1 5 31 38 USER MANUAL 25 7 PACKAGING The packaging protects the device from weather and mechanical damage The packaging box provides all the required information in English and the language of the seller s country about the product package contents man ufacturer and authorised representative in the EU It also contains handling symbols and data concerning the certifi cation in the European Union 8 DISPOSAL EU requirements for the content of harmful chemical substances The device should be dis posed of into a special container for radioelec tronic equipment X The device is produced in accordance with the E 9 WARRANTY The warranty is provided on a separate sheet which can be found in the box 26 TRIOMED COMPACT 1 5 31 38 USER MANUAL 10 PREPARING THE DEVICE FOR
16. ain the pro gramme selection mode by pressing and holding the con trol button Wait for the LED combination selected earlier and release the control button The device is programmed 22 TRIOMED COMPACT 1 5 31 38 USER MANUAL to switch on the sound in every other programme selection cycle The device memorises and activates at the next start up the programme used in the previous session A brief press on the control button switches the device on and activates the programme that has been memorised skipping the se lection mode The programme currently in use is indicated Having finished its operation according to the pro gramme selected the device switches off automatically The device can be switched off at any time by pressing the con trol button 4 3 Use of the device Decide on the suitable treatment programme Section 11 1 Find out the LED combination which indicates it Fig 3 10 Switch on the device and select the programme The device will activate the programme and start gener ating radiation after you release the control button If you want to use the programme that was running dur ing the previous session switch on the device by briefly pressing the control button The LED indication of the programmes in the selection and operation modes is shown in Fig 3 10 TRIOMED COMPACT 1 5 31 38 USER MANUAL 23 Programme 5 Programme 6 Programme7 Programme 8 24 TRIOMED COMPACT 1 5 31 38 USER MA
17. bone Ill The projection of the 3rd lumbar vertebra IV The popliteal space on the left and on the right V The region extending from the small of the neck to the Achilles tendon except for the front of the thighs and the front of the lower legs Slide the device slowly from the periphery to the centre up making small spiral movements Il _ III et RN s i Bi amp bis V E V The duration of Pe stimulation of WA I one zone is 10 MA We minutes The Ve Wo course of treat FNN e he ment consists of iM k A ban BE 10 sessions TRIOMED COMPACT 1 5 31 38 USER MANUAL 53 11 7 6 In the case of chronic inflammatory diseases of the respiratory tract chronic bronchitis chronic obstructive pulmonary disease asthma IV V Vi The upper third of the sternum The projection of the left subclavian vascular bundle The left iliac region The projection of the 1st cervical vertebra The neck and collar region Paravertebrally at the level of the 3rd and the 10th tho racic vertebrae The duration of stimulation of one zone is 10 minutes The course of treatment consists of 10 12 sessions a pe p Ea pA AS pa T Y Hose Hoe 54 TRIOMED COMPACT 1 5 31 38 USER MANUAL 11 7 7 In the case of chronic diseases of the spine and the joints degenerative spine diseases osteoarthrosis spondylarthr
18. carotid areas Ill and in the area of the inner edge of the popliteal skin fold IV The duration of stimulation of one zone is 12 minutes once a day The course of treatment consists of 15 sessions Programme no 7 Youth 12 minutes is used in the case of disturbed metabolism and to slow down aging This mode restores the nourishment of the tissues and normal ises the metabolism The programme helps restore cells and tissues increase the sensi tivity of the receptor system to biologically active substances and hormones and im prove the functioning of the organs Vv To activate the trophic effects it is recommended to use programme no 7 to carry out stimulation in the pathological focus trophic ulcer wound in the projection of the ra dial artery in the area of the wrist in Fo the projection of the carotid areas TRIOMED COMPACT 1 5 31 38 USER MANUAL 39 in the zone of the outer third of the subclavian area and in the zone in the middle of the ulnar fold The duration of stimulation of one zone is 12 minutes twice a day The course of treatment consists of 20 sessions Programme no 8 Photon 5 minutes low intensity IR stimulation allows to opti mise the energy supply to the cells nor malise the system of intracellular regulation and intensify biosynthetic processes It fa cilitates resonant absorption of energy by the cell helping improve metabolic proc esses and increase the energy effici
19. crews e take off the top panel e remove the battery from the battery holder e insert anew CR2032 battery into the battery holder observing the polarity e reinstall the top panel and fasten it to the bottom panel with the screws The level of the battery charge is indicated by the bright ness of the LEDs The serviceability of the device should be checked be fore every use The normal functioning of the device is de scribed in Section 4 2 Structure and functioning TRIOMED COMPACT 1 5 31 38 USER MANUAL 29 10 4 List of possible faults and suggested remedies Possible faults and suggested remedies are listed in Table 2 Table 2 No Signs of a fault Likely reason Remedy 1 The LEDs do not The Replace the switch on when battery is battery the control button defective If following the in is pressed or has sertion of a non discharged defective battery the device cannot be switched on send it to be re paired 2 Lack of sound The silent Select the pro in the speakers mode gramme with following the has been sound and ac activation of the selected tivate the pro programme gramme selected Section 4 2 If there is no sound send the device to be re paired 30 TRIOMED COMPACT 1 5 31 38 USER MANUAL 3 The device does Electric Send the device not exit the circuit to be repaired selection mode failure and does not switch off 4 The ba
20. dition and the characteristics of the MM stimulation An important role is played by the modulation of the carrying MM radiation with the low frequency signal cor responding to the physiological rhythms of the organs sys tems and the body as a whole Complex modulated signals 10 TRIOMED COMPACT 1 5 31 38 USER MANUAL demonstrate a great harmonising potential and biological effect and at the same time have a lower mean power Each therapeutic programme uses several low frequen cy modulations which have a positive directed impact on the cells of various organs as well as on blood and lymphatic vessels thus raising the efficiency of treatment Clinical tests carried out over many years using the methods of molecular medicine at the Saint Petersburg Institute of Bioregulation and Gerontology in cooperation with the centre of International Association of Gerontology and Geriatrics have shown that the use of the MM therapy through Triomed devices in elderly and old patients with various socially significant diseases helps normalise the oxi dant lipid opioid and glucocorticoid balance reduce the number of exacerbations hospitalisations and admissions for emergency medical care as well as improve the emo tional status and certain parameters of the quality of life TRIOMED COMPACT 1 5 31 38 USER MANUAL 11 3 INDICATIONS AND CONTRAINDICATIONS FOR USE MM therapy can be used in prevention programmes in comprehensive treatme
21. e chronic and subacute non purulent inflammatory dis eases of internal organs e burns and frostbites e diseases of the peripheral nervous system with the pain syndrome myositis neuralgia e consequences of musculoskeletal injuries e preparation of the skin zones for MM stimulation 16 TRIOMED COMPACT 1 5 31 38 USER MANUAL 3 2 Contraindications for using MM radiation e general contraindications to physical therapy e unknown diagnosis e idiosyncrasy to electromagnetic millimeter stimulation e febrile states of unclear aetiology e patients having an implanted device with autonomous power supply in the area of the device installation Contraindications for using IR radiation e benign or malignant neoplasms e active forms of tuberculosis e Il degree hypertension bleeding and II III degree circulatory deficiency Stimulation of the eyes should be avoided In the case of diseases which pose a serious threat to life and health the device can be used only under the su pervision of a doctor TRIOMED COMPACT 1 5 31 38 USER MANUAL 17 4 TECHNICAL AND OPERATIONAL CHARACTERISTICS 4 1 General technical characteristics The device is produced without using any harmful chem ical substances in compliance with the TRIOMED LLC tech nical documents and meets the requirements of Directives 93 42 EEC and 2007 47 EC As far as potential risks of use are concerned the device is classified as
22. ency of the cell in situations of oxygen deficiency The main indications for using infra red radiation are preparation of zones for MM stimulation cicatricial changes in tissues subacute and chronic non purulent inflammatory diseases of internal organs sluggish wounds and trophic ulcers diseases of the peripheral nervous system with the pain syndrome residual effects of burns and frostbites au tonomic dysfunctions complications of diabetes The contraindications for using infra red radiation are be nign and malignant neoplasms active forms of tuberculosis Ill degree hypertension bleeding and II III degree circulato ry deficiency Stimulation of the eyes is not recommended Stimulation using programme no 8 should be carried out locally in the pathological focus wounded surfaces 40 TRIOMED COMPACT 1 5 31 38 USER MANUAL trophic ulcers non purulent inflammatory diseases cica tricial changes at the edge of the popliteal fold when the knee joint is bent on the inside Il in the zone of the outer third of the subclavian area Il and in area between the 7th cervical vertebra and the 1st thoracic vertabra Ill IIl j p f 3 X Fi 1 X i amp ARN i The duration of stimulation of one zone is 5 minutes twice a day The course of treatment consists of 10 sessions 11 2 Treatment description e The patient assumes a comfortable position e To begin
23. eo logical properties of the blood normalise cognitive and motor functions increase the precision of simple and complex sensory motor actions improve intellectual and mnestic functions enhance focusing raise the en durance of nervous processes and restoration of nervous conductivity cerebral circulatory deficiency and mild and medium discirculatory encephalopathy to reduce headache diz ziness and buzzing in the ears lower high arterial blood pressure alleviate focal neurological symptoms pyramidal cerebellar Parkinson s syndrome and mental disturbances It has a particularly positive impact on the sleep emotions and the condition of higher cortical functions problems with vessels in the lower extremities chronic venous insufficiency varicose vein disease post thrombotic syndrome to improve local microcir culation by increasing the permeability of blood capillar ies enhance the rheological properties of the blood and intensify the regional lymph and blood flow TRIOMED COMPACT 1 5 31 38 USER MANUAL 13 e chronic inflammatory diseases of the respiratory tract chronic bronchitis chronic obstructive pulmonary disease asthma to improve bronchial permeability normalise metabolic activity stabilise the membranes of phagocyteised neutrophils lower the intensity of per oxidation of lipids lower the non specific hyperactivity of the bronchi improve the functions of external respira tion activate the dischar
24. es used locally ensures multimodal expo sure and enhances the therapeutic effect In accordance with the rules and principles of physical therapy and restorative medicine rehabilitation the de vice can be used to stimulate the following areas e the pathological focus or the area of its projection e the projection of the organs in the Head s zones e areas of biologically active points and zones e the area of the spinal column joints and great vessels 32 TRIOMED COMPACT 1 5 31 38 USER MANUAL The selection of the programme and the areas of stimula tion during MM and IR therapy of various conditions should be based on the main syndrome depending on the reason location of the pathological focus the stage of the disease and the state of the body The systemic effects of the therapy are of a prolonged character Stimulation only produces an initial positive ef fect which builds up in the next 2 3 weeks after a course of stimulation That is why a pause of 3 to 8 weeks depending on the patient s state of health is necessary between the courses The individual selection of the treatment programmes and the treatment plan takes into account the location and duration of stimulation as well as the number treatment sessions 11 1 Programme description Programme no 1 Harmony 30 minutes Distant stimulation It is used as the main mode eto prevent acute conditions and exacer bations of chronic diseases eto reduce
25. f the body in general The effects mentioned above are clinically manifested in anti inflammatory analgesic and anti oedematous ac tion improved tissue regeneration increased non specific resistance of the body through stimulation of the immune system in enhanced systemic and regional hemodynam ics normalised regulation of the autonomic nervous system and in anti stress action TRIOMED COMPACT 1 5 31 38 USER MANUAL 9 IR radiation of the band used penetrates 1 cm beneath the skin and is absorbed by acceptor molecules and cellular membranes The mechanisms of impact of IR radiation on biological tissues comprise the totality of molecular and cellular ef fects including the local activation of energy binding proc esses in pathological foci as well as the launching of a set of adaptation and compensatory reactions arising in response to the local stimulation at the cellular and molecular level The therapeutic effects include anti inflammatory lymph draining and vasodilative action The device acceler ates regression of inflammatory processes and improves tis sue regeneration local resistive capacity and anti infection defence 2 2 Mechanisms of specialised action of MM radiation Responses of biological objects tissues organs organ systems to EMR exposure in the MM band are specific The direction of the MM therapy depends on the method of use the location and duration of stimulation the patient s ini tial con
26. ge of bronchial mucus reduce the frequency of coughing fits e chronic diseases of the spine and joints degenerative spine diseases osteoarthrosis spondylarthrosis to improve the mobility of the spine and joints increase the amplitude of active movements in the joints locomotor functions reduce oedemas and relieve the pain syndrome e gastroduodenal ulcers to relieve the pain syndrome and dyspeptic complaints accelerate the healing of the ulcerous defect alleviate psychoemotional problems e diabetic polyneuropathy to reduce the severity of the pain syndrome and the sensation of numbness and burning alleviate sensory disorders improve microcircu lation help with psychoemotional problems e climacteric syndrome to reduce the frequency and in tensity of hot flashes sweating headaches and sleep disorders increase physical capacity normalise the oxidative status arterial blood pressure and emotional condition TRIOMED COMPACT 1 5 31 38 USER MANUAL chronic prostatitis to relieve pain reduce inflammation normalise urination restore erection and copulative function alleviate psychoemotional problems light depression for mild sedative and anti stress effect to lower irritability and psycho emotional distress to correct sleep disorders and raise spirits psoriasis progressive and stationary state to achieve hyposensitisation reduce circulating immune complex es in peripheral blood improve the rheo
27. he 1st and the 2nd metacarpal bones on the back of the hand IV The middle of the inner thigh V The popliteal space on the left and on the right The duration of stimulation of one zone Is 5 7 minutes The course of treat ment consists of 10 15 sessions It is recommended to carry out stimulation 1 2 times a day TRIOMED COMPACT 1 5 31 38 USER MANUAL 49 11 7 2 In the case of chronic heart failure ischemic heart disease stable FC I IV stenocardia I Il degree arterial hypertension rhythm disturbance rare ventricular arrhythmia rare supraventricular ectopy The zone of the breastbone and the zone to its left the lower half ll The zone of the shoulder girdle and the area above the collar bone on the left Il Behind and on the left above the shoulder blade be tween the shoulder blades on the left the scapular spine IV The projection of the 1st and the 2nd cervical vertebrae V The occipital region VI The projection of the radial artery in the area of the wrist on the right The therapeutic stimulation is carried out on the front surface and then on the rear surface of the body You can use small circular clockwise motions 2 3 cm in diameter The duration of stimulation of one zone is 10 minutes The course of treatment consists of 10 sessions 50 TRIOMED COMPACT 1 5 31 38 USER MANUAL V Vi 11 7 3 In the case of organic diseases of the central
28. he Manual and for labelling the device Manufacturer CE marking and _ notified body number Device serial number Important information about the device or its operation Consult instructions for use Caution consult accompanying documents Point of contact with the body of the patient m 3 1AN NIAS x z i o Authorised representative in the European Union Non ionising radiation Not for general household waste Keep dry Fragile handle with care On off press press Class Il equipment TABLE OF CONTENTS Declaration of Conformity 1 PURPOSE 2 MECHNISMS OF THERAPEUTIC EFFECTS 2 1 General mechanisms of action 2 2 Mechanisms of specialised action of MM radiation 3 INDICATIONS AND CONTRAINDICATIONS FOR USE 3 1 Indications 4 TECHNICAL AND OPERATIONAL CHARACTERISTICS 4 1 General technical characteristics 4 2 Structure and functioning 4 3 Use of the device 5 PACKAGE CONTENTS 6 LABELLING 7 PACKAGING 8 DISPOSAL 9 WARRANTY 10 PREPARING THE DEVICE FOR USE 10 1 Operating restrictions 10 2 Safety precautions 10 3 Preparing the device for use 10 4 List of possible faults and suggested remedies 10 5 Technical maintenance 11 PROCEDURE FOR USING THE DEVICE 11 1 Programme description 11 2 Treatment description 11 3 Local stimulation in the pathological focus 11 4 Use of the device in the Head s zones 11 5 Stimulation of biologicall
29. he optimal therapeutic effect during one treatment session it is recommended to stimulate 2 3 zones Treatment sessions are carried out 3 4 times a day The next day you should alternate the side of stimulation if the location is symmetrical or repeat the stimulation if the location is not symmetrical for instance the zone of the breastbone Two days later next zones are stimulated Within one programme course the programmes and stimulation spots should alternate in the morning and in the evening basic zones using programme no 2 e in the middle of the day zones specified in the description of the programme selected using programme no 3 8 In the case of such alternation the general duration of the course of stimulation using programme no 2 should be de termined based on the lengthiest one of them In these specific methods contract stimulation is com bined with distant exposure using the device in accordance with programme no 1 Harmony two times a day If necessary the course of treatment can be repeated in 1 1 5 months 48 TRIOMED COMPACT 1 5 31 38 USER MANUAL 11 7 1 In the case of colds influenza acute respiratory infections decrease in general immunity during recov ery and rehabilitation after diseases The area of the thymus gland the spot between the in ternal ends of the collar bones in the hollow above the presternum ll The region of the solar plexus Ill The vertex of the angle formed by t
30. knee joint 3 cm below the edge of the kneecap on the left and on the right TRIOMED COMPACT 1 5 31 38 USER MANUAL 63 VII VIII The duration of Wu stimulation of one zone is 10 minutes The course of treat 3 k ment consists of oo 15 sessions 11 7 16 In the case of asthma The zone of palpation of the radial artery the zone of the pulse on the left and on the right ll The zone of the rear surface of the right shoulder joint Ill The zone of the back surface of the middle third of the 64 Vi VI TRIOMED COMPACT 1 5 31 38 USER MANUAL foot between the instep bones of the 1 and the 2 toes on the left and on the right The rear surface of the shoulder above the olecranon of the ulnar bone on the left and on the right The upper third of the outer anterior surface of the lower leg on the left and on the right The area in the middle of the the Achilles tendon on the left and on the right The zone in the middle of the palm on the left and on the right The duration of stimulation of one zone is 10 minutes The course of treatment consists of 15 sessions VI TRIOMED COMPACT 1 5 31 38 USER MANUAL 65 VII 11 7 17 In the case of chronic forms of mild and medium generalised granulating granulomatous and fibrous periodontitis chronic apical periodontitis IV V Vi The junction of the presternum a
31. logical proper ties of blood and microcirculation normalise the lipid metabolism help with psychoemotional problems in crease the length of remission reduce the length of the progressive stage of the disease and lower the number of early relapses atopic dermatitis in adult and children to achieve clini cal remission of the disease within a shorter time frame positively affect the immune systems increase the anti inflammatory effect accelerate resolution of infiltrates and stimulate the processes of skin regeneration viral hepatitis to normalise pigment metabolism and hepatic enzymes stimulate the immune system and al leviate asthenoautonomic and dyspeptic syndromes bronchial asthma to reduce the activity of immune mechanisms capable of developing tissue damage re actions alleviate oxidative stress reduce coughing and short breath activate the discharge of bronchial mucus TRIOMED COMPACT 1 5 31 38 USER MANUAL 15 and normalise breathing and the psychoemotional state e chronic forms of mild and medium generalised gran ulating granulomatous and fibrous periodontitis chronic apical periodontitis to stabilise the processes of free radical oxidation and the antioxidant system of defence of the oral fluid improve rheological properties of the blood and microcirculation and increase the local immunity of oral cavity tissues IR therapy can be indicated in the following cases sluggish wounds and ulcers
32. nd the body The vertex of the angle formed by the 1st and the 2nd metacarpal bones on the back of the hand The zone of palpation of the radial artery the zone of the pulse on the left and on the right The area in the middle of the popliteal space on the left and on the right The area in the middle of the the Achilles tendon on the left and on the right The area of the left shoulder joint at the level of the head of the humerus The duration of stimulation of one zone is 10 minutes The course of treatment consists of 20 sessions TRIOMED COMPACT 1 5 31 38 USER MANUAL
33. ng can be found under the top panel a bat tery holder 4 LEDs indicating the switched on state and the stimulation programmes and a speaker The bottom panel of the body fig 2 houses the IR radia tor IR diode and two screws The generator of the MM EMR is located under the bot tom panel The side panels fig 1 house a hanging loop and a bridge for fastening a strap Figure 1 General view 6 1 light indicators 2 control button 2 3 hanging loop 4 battery holder 5 strap fastening 6 speaker Baus M Ly TRIOMED COMPACT 1 5 31 38 USER MANUAL 21 Figure 2 Bottom panel 1 IR radiator 2 location of the MM EMR generator 3 screws of the bottom panel When the control button is pressed the device switches on and programme no 1 is selected When the button is held in the pressed position the device keeps changing the programmes as indicated by the LEDs switching on briefly for approx 2 seconds in various combinations fig 3 10 If the control button is not released the programme switch ing cycle is repeated When the button is released during the indication of a particular programme the device acti vates it turning the radiation on To confirm that the device is working in accordance with the programme selected the corresponding LEDs fig 3 10 are switched on and a sound signal is produced briefly at certain intervals 3 4 sec To use the device without sound enter ag
34. nt of acute diseases and exacerba tions of chronic illnesses as well as in restorative treatment rehabilitation programmes including follow up treatment 3 1 Indications MM therapy can be indicated in the following cases colds influenza acute respiratory infections decrease in general immunity during recovery and rehabilita tion after diseases for non specific stimulation of the immune system including to achieve a general invigor ating effect chronic heart failure ischemic heart disease stable FC I IV stenocardia I Il degree arterial hypertension rhythm disturbance rare ventricular arrhythmia rare su praventricular ectopy to increase the antioxidant capac ity of the muscles enhance the rheological properties of the blood stabilise the processes of cholesterol me tabolism reduce the intensity of immune inflammation improve the endothelial function normalise lung venti lation during physical exertion develop light peripheral vasodilatation normalise the arterial blood pressure and the heart rate variability TRIOMED COMPACT 1 5 31 38 USER MANUAL l Il degree arterial hypertension to lower high arterial blood pressure by adjusting sympathetic adrenal and parasympathetic influences on the regulation of the heart function improve the overall health organic diseases of the central nervous system ischemic stroke multiple sclerosis internal brain in jury traumatic encephalopathy to improve the rh
35. of the blood intensifies the regional lymph and blood flow normalises the regulation of the activity of the central and autonomic nervous system and has a mild sedative and antidepressant effect To activate the anti stress effects it is recommended to use the programme to stimulate the projection of the radial artery in the area of the wrist I the tragus area Il and Ill the centre of the left palm in slow circular motions The duration of stimulation of one zone is 12 minutes once a day The course of treatment consists of 10 sessions 36 TRIOMED COMPACT 1 5 31 38 USER MANUAL Programme no 5 Fenix 10 minutes has a anti inflammatory effect It is used for treating wounds scratches and burns as it reduces the likelihood of infection and considerably accel erates regeneration of damaged tissues as well as various acute and exacerbated chronic incl articular inflammations as it reduces oedema and pain To activate the anti inflam matory effects it is recommended to use pro gramme no 5 to carry out stimulation locally in the zone of the inflammation focus in the projection of the radial artery in the area of the wrist I and in the area Il between the lateral malleo lus in the middle and the Achilles tendon II The duration of stimulation of one zone is 10 minutes once a day The J course of treat ment consists of 15 sessions Programme no 6 Edelweiss 12 min
36. osis The zone of pain localisation ll The projection of the damaged joint and the adjoining areas lll The projection of the 1st and the 2nd cervical vertebrae IV The projection of the left subclavian vascular bundle V The lumbosacral region VI Paravertebrally along the spinal column top down VII The area of the projection of the liver Tl IV V Tu Pa gt A T f M his VI VII The duration of 3 stimulation of one ae EE zone is 10 minutes T The course of treat i Ne ment consists of 3 ar 15 20 sessions ee TRIOMED COMPACT 1 5 31 38 USER MANUAL 55 11 7 8 In the case of gastroduodenal ulcers The vertex of the angle formed by the 1st and the 2nd metacarpal bones on the back of the hand The lateral outer surface of the knee joint lateral con dyle of the shin bone The recess under the 7th cervical vertebra The zone of the solar plexus midway between the xi phoid and the navel V The projection of pain to the anterior abdominal wall If there is no pain when the patient is at rest the zone of stimulation should be the spot of maximum painfulness or discomfort during surface or deep palpation II III oss we 4 WF a 3 A i i J i a EJO j k i The duration of stimulation of one zone is 10 minutes The course of treatment consists of 10 25 sessions It is recommended to carry out stim ulation 1
37. ould be re peated 4 5 times The treatment should be carried out daily or every other day The course consists of 10 12 sessions Clinical research has shown a connection between the skin in the lower part of the anterior abdominal wall and the internal genitourinary organs Stimulation of the anterior abdominal wall allows to actively influence the state of these organs The radiator should be slowly moved in the lower part of the ab dominal wall in alternating rectilinear circular and zigzag mo tions The duration of one session is 12 15 minutes The course consists of 10 15 treatment sessions In a number of cases it is practical to carry out the said procedure in combination with the massage of the lumbosacral area In addition to segmental reflexogenic zones there are also other reflexogenic zones on the human body which correspond to the projection of various organs and body parts to the brain cortex and are topographically localised in particular areas Such zones include the palmar surface of the hand the plantar surface of the foot the nasal region the auricle and the cranial integuments TRIOMED COMPACT 1 5 31 38 USER MANUAL 47 The methods described include a list of the basic zones for stimulation in accordance with programme 2 In the case of disease manifestations syndromes and symp toms listed in the description of programmes no 3 8 the rel evant programme is additionally selected for the patient To achieve t
38. s of 20 sessions 11 7 14 In the case of atopic dermatitis in adult and children l The vertex of the angle formed by the 1st and the 2nd metacarpal bones on the back of the hand ll The popliteal space on the left and on the right The zone of the back surface of the middle third of the foot between the 1 and the 2 toes on the left and on the right IV V on the left and on the right VI The projection of the adrenal glands The zone of the posterolateral surface of the lower leg The area of the projection of the liver The duration of stimulation of one zone is 10 minutes The course of treatment consists of 15 sessions TRIOMED COMPACT 1 5 31 38 USER MANUAL 4A 11 7 15 In the case of viral hepatitis The zone at the edge of the popliteal fold when the knee joint is bent on the inside on left and on the right The area of the internal arch of the foot on the left and on the right The zone near the wrist joint 1 5 cm above the radiocar pal fold on the side of the little finger on the left and on the right The zone under the acantha of the 2nd lumbar vertebra on the left and on the right The area of the liver The area in the middle of the popliteal space on the left and on the right The zone of the back surface of the middle third of the foot between the 1 tand the 2 toes on the left and on the right VIII The zone near the inner edge of the
39. ssions it is recommended to stop using the device and contact the treating physician 11 3 Local stimulation in the pathological focus If the pathological focus is located on the surface injury inflammation and manifested through pain reddening or swelling the stimulation should be local At the initial stage of the disease it is recommended to carry out stimulation for 5 7 minutes 4 5 times a day gradu 42 TRIOMED COMPACT 1 5 31 38 USER MANUAL ally reducing the number of treatment sessions when the patient starts feeling better The is a close regulatory link between segments of the spinal cord and internal organs That is why visceral diseases are ac companied by reflex changes in segmentally related functional formations mostly innervated by the same segments of the spi nal cord Reflex changes can occur in the skin muscles and con nective and other tissues and in their turn exert influence on the primary focus supporting the pathological process In physical therapy the majority of therapeutic effects on the damaged internal organs are achieved through the Head s zones In most cases such treatment gives positive results The figure shows the zones of increased skin sensitiv ity hyperesthesia which are called the Head s projection zones In these areas of the skin any normally painless irrita tion in the form of pressure touch heat or cold causes pain or discomfort The centres of projection zones are
40. the so called active spots of anxiety or points of concentrated pain where the af fected organs send their signals of distress Such points are easy to locate When stimulated they become sensitive and even cause pain Hypersensitivity disappears after the func tioning of the organ or system of organs has been normalised TRIOMED COMPACT 1 5 31 38 USER MANUAL 43 It is recommended to stimulate the area corresponding to the sick organ Figure 13 Head s projection zones 1 lungs 2 liver 3 stomach and pancreas 4 liver 5 kidneys 6 small intestine 7 large intestine 8 ureter 9 heart A specific zone or biologically active point should be stim ulated for 10 to 15 minutes The total duration of the stimula tion should not exceed 60 minutes per day In the initial pe riod of treatment 1 2 days it is practical use the device to activate the regulatory systems 1 treatment session per day After the body has adapted to the stimulation the intensity of the treatment is increased to 2 3 treatment sessions per day If necessary the course of treatment can be repeated in 2 3 months 44 TRIOMED COMPACT 1 5 31 38 USER MANUAL 11 5 Stimulation of biologically active zones The back of the neck the back of the head the shoulder girdle and the upper part of the back and the chest make up the so called collar area which is extremely important because it houses the nerve plex
41. things using the device in accordance with pro grammes no 2 7 It is also recommended to prepare weak or old patients for the main treatment course Stimulation helps relieve the functional deficiency of the or gans by activating the adaptation and compensatory mecha nisms It is used in pathological conditions characterised by considerable II Ill degree malfunctions of the organs To use the Healer programme first bring the device to the area selected and only then switch it on This programme is recommended for local stimulation in the pathological focus or in painful areas of the projection of the organs in the Head s zones The duration of stimulation of one zone is 15 minutes 1 2 times per day The course of treatment last for 1 1 5 months Programme no 4 Stressbuster 12 minutes is used to reduce the severity of the linger ing stress syndrome in order to prevent stress damage to the cardiovascular diges tive as well as central and peripheral nerv ous systems to relieve the pain syndrome as an auxiliary treatment during TRIOMED COMPACT 1 5 31 38 USER MANUAL 35 pharmacotherapy and to reduce the dose of the medication taken The programme is indicated in the case of increased fatigability overfatigue increased irritability psycho emo tional distress sleep disorders and low spirits It improves local microcirculation due to the increase in capillary permeability enhances the rheological properties
42. ttery in the Electric Send the device device discharges circuit to be repaired quickly within failure less than a month even if the device is used rarely 5 No radiation is Electric Send the device generated when circuit to be repaired checked with the failure EMR EHF SKIT indicator In the case of other faults please contact the Seller The addresses and contact numbers can be found in this Manual and on the package 10 5 Technical maintenance No technical maintenance is provided during the life cy cle of the product The serviceability of the device and the characteristics of the radiation it generates are checked once a year at the technical maintenance centres of the Seller TRIOMED COMPACT 1 5 31 38 USER MANUAL 31 11 PROCEDURE FOR USING THE DEVICE This User Manual regulates the therapeutic use of the device By exposing areas of the skin to a MM electromagnetic field using the TRIOMED COMPACT 1 5 31 38 device you can exert a positive effect on the internal organs and vital functions of the organism Programmes no 1 7 generate EMR in the MM band with a uniform carrier frequency and varied distribution of the low frequency modulation and integral capacity during the procedure Programmes no 6 and 7 generate millimeter EMR and infra red radiation Programme no 8 provides only infra red stimulation The combination of programme no 1 used distantly and other programm
43. uses of the neck affecting the vascular system the trophism of the brain and the functional state of the anterior lobe of the pituitary gland and of the thyroid gland Stimulation of this area is indicated in the case of hypertension sleep disorders and trophic disorders in the upper extremities Stimulation should be carried out at the level of the 4th cervical vertebra and the 3rd thoracic vertebra C4 D3 par avertebrally covering the zone of the shoulder girdle top down in slow longitudinal or zig zag motions for 1 minute on each side in turn holding the device for 5 7 seconds on the most painful spots The total duration of the treatment sessions should be gradually increased first sessions should last for 4 min utes subsequent ones for 6 8 minutes daily The treatment course consists of 10 12 sessions The lower thoracic and the upper lumbar areas are im portant reflexogenic zones by stimulating which you affect the functional state of the organs located within this meta mere in particular the kidneys and the adrenal glands Stimulation should be carried out paravertebrally at the level of the 10th thoracic and the 2nd lumbar verte TRIOMED COMPACT 1 5 31 38 USER MANUAL 45 bra D10 L2 bottom upwards several times on each side staying longer on the most painful spots The first 2 3 treatment sessions should last for 8 10 min utes each subsequent session should be increased by 1 minute until the duration reaches 1