NEURODYN 10 CHANNELS
Contents
1. NEURODYN 10 CHANNELS Manufactured by Ibramed Industria Brasileira de Equipamentos M dicos EIRELI Made in Brazil 10 edition 12 2012 Anvisa n 10360310023 TABLE OF CONTENTS SMD OL DERN LA VE 3 CARTON EE 4 ABREVIATIONS GLOSSARY WEE A FIGURES GLOSSARY EE 5 REI el EE 6 PRODUCT DESCRIPTION O ve 6 SAFETY PRECAUTIONS RR 7 PRECAUTIONARY DEFINI ag aE 7 ELECTROTHERAPY INDICATIONS CONTRAINDICATIONS PRECAUTIONS AND ADVERSE REA ENEE 9 INDICATIONS FOR USE REENEN 9 CONTRAINDICATIONS EENEG ss ool 10 WARNINGS eee eee ee ee re 10 PRECAUTIONS seess xxx d TD TD DD 10 ADVERSE REACTIONS pero ai S i GENERAL EQUIPMENT CARE dB EE E A 11 SHIPPING DAMAGE EE 11 INSTALLATION CARE AND CLEANING 11 ELECTROMAGNETIC COMPATIBILITY GUIDANCE 12 ELETROMAGNECTIC COMPATIBILITY d 13 NOMENCLATOR Eirenn ana sa sds Sadi ss ada aaa amadas 19 CONTROLS INDICATORS AND SIE ee Ke LEE 19 ch d lei DNR UNT E La E 20 SPECIFICATION E 23 Oyo FEM SPECIFICATIONS E 23 AR KE RE 26 OPERATING INSTRUCTIONS EE 27 PROGRAMMING EQUIPMENT sunchevenmsiucasatendsetraseseaene 28 E E RO D Ezali EA TTT DEET 30 ELECTROTHERAPY PATIENT BEEN ETET 30 EJECT Soe POSL IO IL ee 30 USING THE PROG MENU 1 1 KEE 34 USING THe MEN BUFFON EE 34 e oe i AROS S ETT 34 CLINICAL RESOURCES LIBRARY EUNICE OO O ho ne nee ee ere eee eee 35 Mo a OSS a 4 5 TTT 38 A2. maza on osema OOO OOO Em or Poemon OOOO OO Desa or Leonie O OOOO OOOO O Edit Waveform Parameters This list of replacement accessories are designed for use with the NEURODYN 10 CHANNELS Electro Stimulator When ordering provide the respective part numbers description and quantity desired The use of accessories cables and electrodes other than those intended for this specific equipment may significantly degrade the performance of the emissions and immunity DO NOT USE accessories cables and electrodes from NEURODYN 10 CHANNELS equipment on other equipment or medical electro systems ss X TROUBLESHOOTING What may initially look like a problem is rarely a defect Before calling customer support please check the items described below PROBLEMS SOLUTIONS The equipment does not turn on 1 The equipment does not turn on 2 The equipment is turned on but does not emit current to patient 1 The equipment is turned on but does not emit current to patient 2 The equipment does not turn on and or work properly e Is the cable properly connected If not connect it Also check the wall socket e Have you checked the safety fuse Check if there is a bad contact Check if the value is correct as stated in the instructions power e Have you followed the recommendations for correct use the equipment as mentioned in the instructions Check and repeat the steps in the controllers ind
3. Current Mode CNT Continuous 1 2 3 4 5 6 7 8 9 amp 10 channels SYN Synchronous 1 2 3 4 5 6 7 8 9 amp 10 channels REC Reciprocal 1 2 3 4 5 amp 6 7 8 9 10 channels SEQ Sequential 1 2 3 4 5 6 7 8 9 amp 10 channels DES Desobstruction 1 2 3 4 5 6 7 8 9 amp 10 channels Burst Duration 2 or 4 ms Carrier Frequency 1 or 4 kHz TE a ap TE a ee EE a Ai 1 kHz 2 ms dd Rise Time of Increase Gradient 1 20 s On Time of Muscular Contraction 1 60 s Decay Time of Decrease Gradient 1 20 s Off Time of Muscular Relaxation 1 60 s Treatment Time 1 60 min Set Intensity Individual Channel Intensity Setting Available on Channels 1 2 3 4 5 6 7 8 9 or 10 Option T T T T T T T Oms 20ms Ins 4 ms Sims 6inms 7 mns Sims Sims KE 110ms 4 kHz 4 ms 28 X ACCESSORIES USED RUSSIAN CURRENT and AUSSIE CURRENT pin connector ELECTROLIPOLYSIS cables with banana ends 2 mm and conductive rubber oo a electrodes and neutral gel Figure 6 Figure 8 Pin cables with banana ends 2 mm connected to alligator clip adapters to fix the needles to electrolypolisis in the same cable has two channels with individual controls Figure 6 A Pin cables with banana ends 2 mm in the Same cable has two channels with individual controls B CAUTION Conductive electrodes The connector screws must be firmly affixed to your connection on th
4. English Figure 15 Short press PROG MENU to set the chosen language BE Ge Menu gt Language Englis Figure 15 LCD displays the selected language USING THE PROG BUTTON Connect the equipment as described above Briefly press PROG and the following information will appear on the LCD Figure 16 This is the first equipment to offer a choice of Treatment Protocols Use the SET SET buttons to select another protocol 37 E DI Original Russian current for flaccidity 1 lla fibers Re Figure 16 Selection of Treatment Protocols Prog 1 If this is the protocol chosen press the PROG key once again The LCD displays the parameters of the equipment scheduled for the selected protocol Figure 17 Then simply press the START button and select the desired current density Proceed the same way to select any of the 8 protocols available Simply follow the steps above Figure 17 Parameters of the Pre Programmed Protocol 1 Program CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS PROGRAMMING USER PROTOCOLS Prog 1 Russ To program new protocols briefly press the key PROG With Gricinal kuscan curent for Parameters vales the SET or SET buttons choose one of the available seach 1 Ila fibers Parameters valves protocols from User 01 to 10 Enter the parameters Y according to therapeutic needs Press START The last e Description Increase of set parameters w
5. Aussie Prog 21 Aussie Pain control descending Electrolipolysis 1 Parameters values mechanism Description Stimulation of Description Modulation of lipolysis in the treatment of fat pain through activation of located the descending mechanism Current Mode Cont Continuous to promote the analgesia by Carrier Frequency release of endorphins Burst Duration dida patient s tolerance Positioning of needles Bipolar cables with stimulation electrodes banana probe 2 mm Positioning of electrodes Bipolar one pair of alligator clip adapters electrodes positioned and acupuncture on the pain point needles which and the other pair of must be inserted in electrodesontheneural pairs at the place of root corresponding to treatment respecting the pain point the techniques for inserting the needle properly into the tissue CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 22 Aussie Prog 23 Aussie Electrolipolysis 2 Parameters values Electro Acupuncture Low Parameters values Description Stimulation of Frequency lipolysis in the treatment of fat located Current Mode Cont Continuous Carrier Frequency Burst Duration Burst Frequency Treatment time Intensity Positioning of needles electrodes According to the sensitivity and patient s tolerance Bipolar cables with banana probe 2 mm alligator clip adapters and acupuncture needles which must be inserted in pairs at the place of treatme
6. ABREVIATIONS GLOSSARY Hertz pulses per second Kilohertz Milliampere Volt Ampere Miliseconds kilograms Russian Current Time of Increase Gradient Time of Muscular Contraction Time of Decrease Gradient Time of Muscular Relaxation Continuous Synchronous Reciprocal Sequential Desobstruction Series of pulses FIGURES GLOSSARY Figure 1 Upper Access ane 19 Figure 14 Electrode sizes and current density 33 Figure 2 Rear Access Panel sssssssssssnsnnnsnrrrrrrrrerenne 19 Figure 15 LCD displays the selected language 34 Figure 3 Front Access banel 19 Figure 16 Selection of Treatment Protocols Prog 1 34 Figure 4 Lower Access Panel 19 Figure 17 Parameters of the Pre Programmed Figure 5 NEURODYN 10 CHANNELS LCD 20 Protocol A PO A sind IG E COS a 34 Figure 6 A Pin cables with banana ends 2 mm Figure 18 User 01 17 3 seo 35 in the same cable has two channels with individual controls B Self adhesive conductive electrodes 26 Figure 7 Pens for facial stimulation with conductive electrodes on the tiPS a EEE 26 Figure 8 Pin cables with banana ends 2 mm connected to alligator clip adapters to fix the needles to electrolypolisis in the same cable has two channels with individual controls 088 WE LW 0 1200 26 Figure 9 A and B LCD Messages C NEURODYN 10 CHANNELS Electro Stimulator Default Screen 2M
7. Hz Channels 3 and 4 Lead Wire Connectors Carrier Frequency Aussie Current 1 kHz or 4 kHz CHANNEL CHANNEL 6 Channels 5 and 6 Lead Wire Connectors Time of Increase Gradient Russian Current and Aussie Current 1 to 20 seconds Channels 7 and 8 Lead CHANNEL 7 CHANNEL 6 Wire Connectors Time of Muscular Contraction Russian Current egenen Channel o and 10 Lead n 10 and Aussie Current 1 to 60 seconds CHANNEL 9 CHANNEL 10 Wire Connectors 24 SYMBOL DEFINITIONS Button used to start or stop the Move Next treatment Always press the center key Move Back Dual function Button PROG selection of pre programmed protocols 20 programs or programming of new Parameters increase protocols MENU function menu to select language Portuguese English or Spanish Parameters decrease CHIP 3 INTENSITY mA Up or Down Intensity Channels 1 2 3 4 5 6 7 8 9 and 10 Observe the colors related to channels Note the colors related to channels 25 SPECIFICATIONS SYSTEM SPECIFICATIONS Dimensions Regulatory Compliance Width 17 5 cm 6 8 in IEC 60601 1 Depth 31 5 cm in 12 40 4 IEC 60601 1 2 Height 12 5 cm 4 8 in IEC 60601 2 10 Standard Weight without accessories 2 5 kg Temperature Range During Transport and Storage Between 55 50 C 59 and 104 F Power Environment operating temperature range Input 100 240V 50 60 H
8. Mackler L Garrett M Roberts M A comparison of torque generating capabilities of three different electrical stimulating currents J Orthop Sports Phys Ther 1989 10 8 297 301 Snyder Mackler L Delitto A Stralka SW Bailey SL Use of electrical stimulation to enhance recovery of quadriceps femoris muscle force production in patients following anterior cruciate ligament reconstruction Phys Ther 1994 74 10 901 907 ST Pierre D Taylor AW Lavoie M et al Effects of 2500 Hz sinusoidal current on fibre area and strength of quadriceps femoris J Sports Med Phys Fitness 1986 26 1 60 66 Ward AR Robertson VJ Sensory motor and pain thresholds for stimulation with medium frequency alternating current Archives of Physical Medicine and Rehabilitation 1998 79 3 273 278 52 Ward AR Robertson VJ The variation in torque production with frequency using medium frequency alternating current Archives of Physical Medicine amp Rehabilitation 1998 79 11 1399 1404 Ward AR Robertson VJ The variation in fatigue rate with frequency using kHz frequency alternating current Medical Engineering and Physics 2000 22 9 637 646 Ward AR Robertson VJ The variation in motor threshold with frequency using kHz frequency alternating current Muscle and Nerve 2001 24 1303 1311 Ward AR Robertson VJ Makowski RJ Optimal frequencies for electrical stimulation using medium frequency alternating current Archives of Physi
9. in the areas of physical rehabilitation and esthetics Special attention is also given to those interested in visiting our structure covado q 59 Manufactured by IBRAMED Industria Brasileira de Equipamentos M dicos EIRELI Av Dr Carlos Burgos 2800 Jd Italia 13901 080 Amparo SP Brazil phone 55 19 3817 9633 www ibramed com br ibramed ibramed com br
10. laryngeal and pharyngeal muscles may occur and the contractions may be strong enough to close the airway or cause breathing difficulties e Stimulation should not be applied transthoracically to avoid the introduction of electrical current into the heart which may cause cardiac arrhythmias e Stimulation should not be applied transcerebrally e Stimulation should not be applied over swollen infected or inflamed areas or skin eruptions such as phlebitis thrombophlebitis varicose veins etc e Stimulation should not be applied on or near cancerous lesions e Stimulation should not be applied in the presence of electronic control equipment eg heart monitors ECG alarms which can not work properly when the device electrical stimulation is in use e Stimulation should not be applied when the patient is in the bath or shower INDICATIONS CONTRAINDICATIONS PRECAUTIONS AND ADVERSE REACTIONS PRECAUTIONS e Stimulation should not be applied while the patient is Sleeping e Stimulation should not be applied while the patient is driving Operating machinery or during any activity in which electrical stimulation can putting the patient at risk of injury e Consult the patient s physician before using this device because the device may cause disturbances lethal rhythm cardiac individuals e The stimulation should be applied only in normal skin intact clean and healthy e Safety of powered muscle stimulators for use d
11. location in a typical commercial or hospital environment ELETROMAGNECTIC COMPATIBILITY Guidance and Manufacturer s Declaration Electromagnetic Immunity The NEURODYN 10 CHANNELS is intended for use in the electromagnetic environment specified below The customer or the user of the NEURODYN 10 CHANNELS should assure that it is used in such an environment IEC 60601 Compliance Electromagnetic Environment Guidance Test Level Level Immunity Test Portable and mobile RF communication equipment should not be used no closer to any part of NEURODYN 10 CHANNELS including cable than be separation distance calculated from the equation applicable to the frequency of the transmitter 3 Vrms 150 kHz to 80 MHz Recommended separation distance 3 V d Fg d 1 2 VP 80 MHz to 800 MHz d 2 3 VP 800 MHz to 2 5 GHz Conducted RF IEC 61000 4 6 Radiated RF 10 V m IEC 61000 4 3 80 MHz to 2 5 GHz RA Where p is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range ELETROMAGNECTIC COMPATIBILITY Guidance and Manufacturer s Declaration Electromagnetic Immunity The NEURODYN 10 CHANNELS is intended for use in the electromagnetic environment specifi
12. session time At the end of the scheduled time you will heara beep indicating that the emission current has been interrupted Press the STOP button the sound signal turns 30 X Figure 9 A and B LCD Messages C NEURODYN 10 CHANNELS Electro Stimulator Default Screen OPERATING INSTRUCTIONS PROGRAMMING EQUIPMENT off and the equipment goes back to the programming Example Suppose that to treat a specific pathology status you need to select the following parameters Current Type Aussie Aussie Current Current Mode Sync Synchronous Prepare and Install Patient Switch Carrier Frequency 1 kHz Prepare the patient for therapy as described and read Burst frequency 60 Hz about the use of electrodes Burst Duration 4 ms Rise 3 s Start Treatment On 2s Press the START button to begin Decay e s START Off 5s ak therapy session OG Treatment time 15 min STOP Stop Treatment Press the STOP button to end 1 Connect the equipment to start programming the therapy session pattern described above Note the blinking cursor in the CURRENT TYPE field Waveform Intensity The Waveform Intensity may be increased or decreased at any time during the session Press the INTENSITY button up or down 31 PROGRAMMING EQUIPMENT 3 With the NEXT BACK and SET SET keys scroll through the other parameters and select the values shown in the example 2 Press the SET button until Aussie Aussie C
13. CCESSORIES ACCOMPANYING D NRE NN S ET 51 Hei e Le ER LEE 53 MAINTENANCE WARRANTY AND TECHNICAE SUPPOR EE 53 H NN AING Ep csncenuvawscesnataniannanaeconmnesuanmceteeaaaate 53 WARRANTY EE 53 WARRANTY Te Sicencnecunauacanicdcmenene nce a 54 TECHNICAL ASSISTANCE sssapcawereietahwanasonetunranedts 55 CEFAI IBRAMED Center for Education and Advanced Training 56 SYMBOL DEFINITIONS BELOW ARE THE DEFINITIONS OF THE SYMBOLS USED ON THE EQUIPMENT AND THROUGHOUT THE INSTRUCTIONS FOUND IN THIS MANUAL UNDERSTAND THESE SYMBOLS AND THEIR DEFINITIONS BEFORE OPERATING THIS EQUIPMENT Ay Caution Refer to user manual Ki RX TYPE BF Electrical equipment AN Dangerous voltage O CLASS II Electrical equipment IPXO Not protected against the harmful effects of water penetration AA Sensitivity against electrostatic discharge Start treatment Stop treatment Off switch On switch Od V m Voltage in AC Alternating Current Electrical Network in AC geg line Alternating Current SYMBOL DEFINITIONS CARTON This side up H Limits of temperature for storage and packaging in C Celsius Degrees i k A Keep away from the rain Stacking up Refer to operating instructions for correct product use E Om Manufacturer s name and address Do not use if the packaging is damaged Russ Rise Decay Off Cont Sync Rec Seq Des Burst
14. Figure 10 Bipolar Electrode Placement Technique 30 Figure 11 Monopolar Electrode Placement Technique 31 Figure 12 Facial Electrode Placement Technique 31 Figure 13 A Electrolypolisis Electrode Needles Placement TECHNIC EE 32 FOREWORD This user manual allows the user to efficiently use the NEURODYN 10 CHANNELS Electro Stimulator It also gives suggestions for treatment protocols so that you can use your equipment to its full potential Consult other resources for additional information regarding the uses of electrotherapy before attempting any treatment on a patient Users must read understand and follow the information in this manual for each mode of treatment available as well as the indications contraindications warnings and precautions The specifications and instructions in this manual are in effect at the time of its publication These instructions may be updated at any time at the manufacturer s discretion Visit our website for updates PRODUCT DESCRIPTION NEURODYN 10 CHANNELS transcutaneous neuromuscular stimulator is a ten channel stimulator with independent controls for current therapies used in RUSSIAN CURRENT Burst Modulated Medium Frequency and AUSSIE CURRENT Burst Modulated Medium Frequency Treatment should be administered only under the direct Supervision of a health care professional Certified Company Du V P AUSSIE CURRENT EC SEO Go
15. ISPR LI Harmonic The NEURODYN 10 CHANNELS is suitable for use in Emissions Applicable all establishments other than domestic those directly IEC 61000 3 2 connected to the public low voltage power supply network that supplies buildings used for domestic purposes Voltage fluctuations flicker emissions Applicable IEC 61000 3 3 ELETROMAGNECTIC COMPATIBILITY Guidance and Manufacturer s Declaration Electromagnetic Immunity The NEURODYN 10 CHANNELS is intended for use in the electromagnetic environment specified below The customer or the user of the NEURODYN 10 CHANNELS should assure that it is used in such an environment Immunity Test Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transitory burst IEC 61000 4 4 Surge IEC 61000 4 5 IEC 60601 Test Level t6 kV by contact 8 kV by air t2 kV for power Supply lines t1 kV for input output lines t1 kV diferencial mode t2 kV common mode Compliance Level t6 kV by contact 8 kV by air t2 kV for power Supply lines t 1 kV for input output lines t1 kV diferencial mode t2 kV common mode Electromagnetic Environment Guidance Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environme
16. OMPATIBILITY The NEURODYN 10 CHANNELS is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the NEURODYN 10 CHANNELS can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the NEURODYN 10 CHANNELS as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Rated maximum power m f output of transmitter 150 KHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz ERA ECO AE d 0 35 VP d 0 7 VP For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 80 MHz to 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people NOMENCLATURE 1 Power ON OFF Switch 2 Power On Indicator LED 3 BACK NEXT Buttons 4 SET SET Buttons 5 LED Display 6 START STOP 7 PROG MENU Button PROG Clinical Resources Library MENU Sele
17. acial Electrode Placement Technique Electrolypolisis Electrode Needles Placement Technique Facial Electrode Placement Techniques should be used to provide stimulation to facial muscles groups Electrodes are placed at each end of the muscle The NEURORYN 10 CHANNELS offers the possibility 34 X ELECTRODE GUIDELINE subcutaneous stimulator for treatment with Electrolipolysis for treatment of localized fat Aesthetics Medicine and Electro Acupuncture Practice of Medicine Chinese Acupuncture We suggest Vinco Brand Acupuncture Figure 13 A Electrolypolisis and B Electro Acupuncture Electrode Needles Placement Technique Placement of the electrodes near the chest may increase the risk of cardiac fibrillation ELECTRODE GUIDELINE Electrode Sizes and Current Density The size of the electrodes and the energy density used during therapy must comply with IEC 60601 2 10 i e the current density per area of electrode should not exceed 2 mA cm2 Follow the manufacturer s instructions We recommend the use of electrodes provided by Axelgaard Manufacturing Co Ltd Fallbrook CA 92028 USA FAX 1 760 723 2356 www axelgaard com Figure 14 Electrode sizes and current density 36 USING THE PROG MENU BUTTON USING THE MENU BUTTON The PROG MENU button is used to select the language Press PROG MENU until you hear three beeps Select the desired language Portugu s Espanol or
18. cal Medicine and Rehabilitation 2002 83 7 1024 1027 Ward AR Shkuratova N Russian electrical stimulation the early experiments Phys Ther 2002 82 10 1019 1030 Ward AR Robertson VJ Ioannou H The effect of duty cycle and frequency on muscle torque production using kHz REFERENCES frequency range alternating current Medical Engineering and Physics 2004 26 7 569 579 Ward AR Oliver W Buccella D Wrist extensor torque production and discomfort associated with low frequency and burst modulated kHz frequency currents Phys Ther 2006 86 10 1360 1367 Ward AR Lucas Toumbourou S Lowering of sensory motor and pain tolerance thresholds with burst duration using kHz frequency alternating current electrical stimulation Archives of Physical Medicine and Rehabilitation 2007 88 8 1036 1041 Ward AR OLiver W A comparison of the hypoalgesic effectiveness of low frequency and burst modulated kHz frequency currents Phys Ther 2007 87 8 1056 1063 Ward AR Laufer Y TausherH Esh R Sensory transcutaneous electrical stimulation fails to decrease discomfort associated with neuromuscular electrical stimulation in healthy individuals Am J Phys Med Rehabil 2011 90 5 399 406 53 Ward AR Electrical stimulation using kilohertz frequency alternating current Phys Ther 2009 89 2 181 190 Ward AR Chuen WL Lowering of sensory motor and pain tolerance thresholds with burst duration using kilohertz
19. ct Language 8 Channel indicator LEDs 9 UP DOWN Buttons Figure 1 Upper Access Panel 21 NOMENCLATURE 1 12 MM Figure 2 Rear Access Panel Figure 4 Lower Access Panel 10 Channel Lead Wire Connectors 11 Line Cord Connection 12 Fuse 13 General Technical Information 10 Figure 3 Front Access Panel 14 Current output Label characteristics 15 Serial Number 16 Federal Law USA 22 SYMBOL DEFINITIONS Read and Understand these symbols and their definitions before operating this equipment Before using and operating the NEURODYN 10 CHANNELS Electro Stimulator please read and learn the symbols on the LCD device Figure 5 F CE KS bila Figure 5 NEURODYN 10 CHANNELS LCD 23 SYMBOL DEFINITIONS S igelz ing Russian Current Russ and Electrolypolisis DECAY tel Time of Decrease Gradient Russian Current KM Aussie Current Aussie O and Aussie Current 1 to 20 seconds MAD ann shat iia EE SE UFF Time of Muscular Relaxation Russian Current E S SS SEET alae SES Lal and Aussie Current 1 to 60 seconds Des Desobstruction ane Stites Burst Duration Aussie Current 2 ms or 4 ms mir Treatment Time 1 to 60 minutes IEN Burst Duration Russian Current 50 j CHANNELO ERREI Channels 1 and 2 Lead TR P PLIST FREI Burst Frequency Aussie Current 1 Hz to 120 Hz Wire Gonneeiorcs Hz Burst Frequency Russian Current 1 Hz to 120
20. de dois protocolos de estimula o el trica neuromuscular sobre a for a muscular isom trica do quadriceps Rev fisioter Univ Sao Paulo 2000 7 1 2 10 15 Kwon YD Pittler MH Ernst E Acupuncture for peripheral joint osteoarthritis a systematic review and meta analysis Rheumatology Oxford 2006 Nov 45 11 1331 7 Epub 2006 Aug 27 51 Laufer Y Ries JD Leininger PM Alon G Quadriceps femoris muscle torques produced and fatigue generated by neuromuscular electrical stimulation with three different waveforms Phys Ther 2001 81 7 1307 1316 McManus FJ Ward AR Robertson VJ The analgesic effects of interferential therapy on two experimental pain models cold and mechanically induced pain Physiotherapy 2006 92 2 95 102 Ozcan J Ward AR Robertson VJ A comparison of true and premodulated interferential currents Archives of Physical Medicine and Rehabilitation 2004 85 3 409 415 Robertson VJ Ward AR Use of electrical stimulation to strengthen the vastus medialis muscle following a lateral patellar retinacular release Journal of Orthopaedic and Sports Physical Therapy 2002 32 9 437 446 Selkowitz DM High frequency electrical stimulation in muscle strengthening A review and discussion Am J Sports Med 1989 17 1 103 111 REFERENCES Shanahan C Ward AR Robertson VJ A Comparison of the analgesic efficacy of interferential therapy and TENS Physiotherapy 2006 92 4 247 253 Snyder
21. e back panel of the device Fletrecdices Bore cha de Indicedor Urina Ca pessegam Silicone Condatvo da corrente To remove the electrodes conductive rubber pins banana is required to pull them by their protective cover never pull Cuntrale de Inlensidade Tecles Up and Droen the cord Figure 7 Pens for facial stimulation with conductive electrodes on the tips 29 X OPERATING INSTRUCTIONS Prepare Device Note that entering the default screen will cause the word Turn the power switch LCD displays the message device Russ to flash This is to do with the selection cursor presentation for a few seconds followed by the software parameters function which displays whenever the device model of the device default screen programming Figure 9 is being programmed Edit Waveform Parameters 3 The BACK NEXT buttons allow youto selectthe parameters required for the treatment Press the NEXT button for the cursor to move to the next parameter Press the BACK button for the cursor to move back to the previous setting The SET SET buttons allow you to select the values of each parameter required for the treatment IBRAMED Select Waveform NEURODYN 10 CHANNELS v3 0 rr FE ame P Press SET or SET to select the device waveform you want to use for the treatment RUSSIAN CURRENT Burst Modulated Medium Frequency or AUSSIE CURRENT Burst Modulated Medium Frequency Time Parameters pP Set the
22. e motor re learning Gui Ueno Current Mode Sync Synchronous Carrier Frequency n Burst Duration Rise Burst Frequency O O S On 8 Decay S S Treatment time Decay Above threshold Off motor Treatment time 15 min Bipolar or monopolar Above threshold motor Positioning of electrodes Bipolar or monopolar o Intensity Positioning of electrodes Intensity CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 18 Aussie Prog 19 Aussie Oedema reduction Parameters values Pain control ascending Parameters values lymphatic drainage mechanism Description To control and Description Modulation of reduce the edema as well as for pain through activation of lymphatic drainage procedures the ascending mechanism to romote analgesia by activation Current Mode Sync Synchronous j i 9 of the pain gate Carrier Frequency Current Mode Cont Continuous Burst Duration Burst Frequency Carrier Frequency 4 kHz Burst Duration 4 ms Rise On Burst Frequency 100 Hz 20 min Short and preferably equal to the time of a second Treatment time Treatment time l intervention such Intensity as kinesiotherapy DAS exercises Positioning of electrodes Bipolar in the center that correlates directly stimulation Positioning of electrodes Bipolar on the dermatome related to the referred pain Decay Off with the edema 47 CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 20
23. ed by IBRAMED d Removal or adulteration of the equipment serial number e Damage during Transport 5 The legal warranty does not cover expenses incurred during product installation or transport to the plant or sale point labor materials parts and adjustments necessary to the readiness of the premises in view of the installation of the device such as but not limited to electric net masonry hydraulic network grounding system as well as their requirements 6 The warranty does not cover parts subjected to natural wear such as but not limited to control buttons control keys handles and moving parts radiofrequency applicators cooling applicator cables connectors device cabinets pedal infrared thermometer 7 The selling points are neither authorized to alter the conditions mentioned in this document nor take any commitment on behalf of IBRAMED MAINTENANCE WARRANTY AND TECHNICAL SUPPORT TECHNICAL ASSISTANCE If you have any doubts or problems related to the operation of your equipment please contact IBRAMED USA REPRESENTATIVE DANGER 18851 NE 29th Avenue Suite 720 Do not alter this equipment Any unauthorized Aventura Florida USA modification can affect the safety of this Zip Code 33180 equipment Telephone 305 377 0077 or 305 206 6777 Never make unauthorized repairs E mail posvendas ibramed com br Website www ibramed com br 58 CEFAI IBRAMED Center for Education and Advanced Train
24. ed below The customer or the user of the NEURODYN 10 CHANNELS should assure that it is used in such an environment IEC 60601 Compliance Electromagnetic Environment Guidance Test Level Level Immunity Test Conducted RF 3 Vrms Interference may occur in the vicinity of equipment IEC 61000 4 6 150 kHz to 80 MHz marked with the following symbol Radiated RF 10 V m tte IEC 61000 4 3 80 MHz to 2 5 GHz A NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths set by fixed transmitters such as radio base stations telephone cellular cordless telephones and land mobile radios amateur radio AM FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength at the location in which the NEURODYN 10 CHANNELS is used exceeds the applicable RF compliance level above the NEURODYN 10 CHANNELS should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorientation or relocating the NEURODYN 10 CHANNELS b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m ELETROMAGNECTIC C
25. ents should stop using the appliance and should consult their therapists feel the adverse reactions from the use of the device GENERAL CARE WITH THE EQUIPMENT SHIPPING DAMAGE Your NEURODYN 10 CHANNELS Electro Stimulator is shipped complete in one carton Upon receipt inspect carton and unit for visible and hidden damage In case of damage keep all shipping materials including carton and contact the shipping agent responsible for the delivery of the unit All claims relating to damage during transport Should be filed directly with them The manufacturer will not be liable for any damage during shipping nor allow for adjustments unless proper formal claim has been filed by the receiver against the carrier The carton in which your NEURODYN 10 CHANNELS Electro Stimulator was received is specially designed to protect the unit during shipping Please keep all shipping materials in case you need to return your unit for servicing 12 INSTALLATION CARE AND CLEANING Installation instructions 1 Connect the line cord to the back of the NEURODYN 10 CHANNELS Electro Stimulator 2 Plug the line cord into a grounded wall outlet 100 240V 50 60 Hz 3 Plug the electrode cables into the electrode cable connections 4 Switch on your equipment Electro Stimulator Care Instructions e Avoid areas Subject to vibrations Install the equipment on a firm and level surface in open air e Do not block ventilation e Avoid hum
26. frequency alternating current electric stimulation part II Arch Phys Med Rehabil 2009 90 9 1619 1627 Ward AR Lucas Toumbourou S McCarthy B A comparison of the analgesic efficacy of medium frequency alternating current and TENS Physiotherapy 2009 95 4 280 288 Wu HC Liu YC Ou KL Chang YH Hsieh CL Tsai AH Tsai HT Chiu TH Hung CJ Lee CC Lin JG Effects of acupuncture on post cesarean section pain Chin Med J Engl 2009 Aug 5 122 15 1743 8 ACCESSORIES ACCOMPANYING NEURODYN 10 CHANNELS Ibramed NEURODYN 10 CHANNELS contains accessories designed to meet the requirements of electromagnetic comparability accessories accessories code C 008 K 652 K 653 K 654 K 655 K 656 54 ACCESSORIES ACCOMPANYING NEURODYN PART NUMBER QUANTITY ITEM DESCRIPTION cos or RECETTE ees or Flectrotherapy Lead Wire Banana Plug Channel 1 orenge Channel 2 Black 1 5 m ees or Elecirotherapy Lead Wire Banana Plug Channel 3 blue Channel 4 green 1 5 m Eeer or Flectrotherapy Lead Wire Banana Plug channel 5 pink Channel gray 2 5m Kees o1 Flectrotherapy Lead Wire Banana Plug Channel 7 white Channel 8 yellow 1 5m 656 o1 Elecirotherapy Lead Wire Banana Plug Channel 9 brown Channel 10 purple 15 m 6 066 10 Blackalligatorcip Cod OTS 6067 10 Redaligatorcip Cod 60705 O O OSO oS OO E284 os Electrode Valu Trode Model CFF202 our electrode pko
27. from the protective backing and apply to the treatment area as prescribed e Ensure the entire electrode surface is in contact with patient skin by pressing into place e Check the electrode contact regularly during treatment e Examine the skin again after the treatment f l s Figure 10 Bipolar Electrode Placement Technique ELECTRODE POSITIONING Bipolar Electrode Placement Technique Monopolar Electrode Placement Technique The Monopolar Electrode Placement Technique has been Bipolar Electrode Placement Techniques should be used found to be especially useful for muscle stimulation to provide stimulation to larger muscle groups such as of the upper extremities and small muscle groups The the quadriceps or the hamstrings Equal size electrodes smaller electrode is placed over the muscle motor 33 ELECTRODE GUIDELINE point and the larger electrode is placed over the painful or muscle group The symmetrical waveforms of the area Monopolar Techniques may be used with the Biphasic and Medium Frequency are usually applied to Waveforms Symmetrical Biphasic and Medium Frequency the face using the Facial Technique The NEURODYN The NEURODYN 10 CHANNELS Electro Stimulator offers 10 CHANNELS Electro Stimulator offers waveforms Waveforms of the RUSSIAN CURRENT and AUSSIE of the RUSSIAN CURRENT and AUSSIE CURRENT CURRENT Figure 11 Monopolar Electrode Placement Technique Figure 12 Facial Electrode Placement Technique F
28. ication may result in patient injury For any additional information regarding the applications of question related to the correct electrode size consult a Electrotherapy l l l licensed practitioner prior to therapy session To prevent electrical shock disconnect the unit from the e power source before performing any maintenance task Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns SAFETY PRECAUTIONS Patients with an implanted neurostimulation device must not be treated with or be in close range of any shortwave diathermy microwave diathermy therapeutic ultrasound diathermy or laser diathermy anywhere on their body Energy from diathermy shortwave microwave ultrasound and laser can be transferred through the implanted neurostimulation system can cause tissue damage and can result in severe injury or death Injury damage or death can occur during diathermy therapy even if the implanted neurostimulation system is powered off It is not envisaged the use of these units in places where risk of explosion such as departments anesthesia or in the presence of an anesthetic mixture flammable with air oxygen or nitrous oxide INDICATIONS CONTRAINDICATIONS PRECAUTIONS AND ADVERSE REACTIONS INDICATIONS FOR USE Indications for Russian and Aussie 1 kHz 2 ms waveforms e Relaxation of muscle spasms Prevention or retardation
29. ications and operation section e Have you checked the electrodes and the connecting cables to the patient Check if the cable plug is adequately inserted in the equipment Check if the electrodes are adequately placed on the patient s body e Check if the amount of gel is enough e Check if the electrodes are worn properly 56 MAINTENANCE WARRANTY AND TECHNICAL SUPPORT MAINTENANCE For safe use of the equipment it is recommended to have it inspected and undergo preventive maintenance at IBRAMED Or an authorized technical center every 12 months The manufacturer IBRAMED only assumes liability for the technical features and equipment safety provided the unit is used according to the instructions for use contained in the manual when maintenance repairs and modifications are undertaken solely by the factory or authorized agents and in the event of a breakdown when the components that can cause a security risk to the appliance are replaced by original spare parts If requested IBRAMED will provide technical documentation circuit diagrams lists of parts and components etc necessary for the repair of any equipment We assume no responsibility for repairs without prior explicit written permission from IBRAMED WARRANTY IBRAMED Industria Brasileira de Equipamentos M dicos EIRELI here identified to the consumer through the following address and telephone number Av Dr Carlos Burgos 2800 Jd It lia Amparo SP Te
30. id hot and dusty environments e Make sure the area around the network cable is free e Do not insert objects into device holes GENERAL CARE WITH THE EQUIPMENT Cleaning the NEURODYN 10 CHANNELS Electro Stimulator Disconnect the system from the power source wipe with N CAUTION a clean lint free cloth moistened with water and mild THE DEVICE AND PARTS CONSUMABLES antibacterial soap If a more sterile cleaning is needed BE ELIMINATED THE END OF LIFE use a cloth moistened with an antimicrobial cleaner Do USEFUL IN ACCORDANCE WITH FEDERAL not place the system in liquids STANDARDS AND Environmental protection OR STATE AND OR LOCAL COUNTRY NEURODYN 10 CHANNELS is an electronic device and has heavy metals such as lead Thus there are risks of contamination to the environment associated with the disposal of this equipment and its accessories at the end of their useful lives NEURODYN 10 CHANNELS parts and accessories should not be disposed of as waste Contact the distributor site for information on rules and laws concerning disposal of waste electrical electronic equipment and its accessories 13 ELECTROMAGNETIC COMPATIBILITY GUIDANCE e It is not envisaged the use of this unit where there is risk of explosion such as anesthesia departments or presence of a flammable anesthetic mixture with air oxygen or nitrous oxide e Using cables electrodes and other accessories from other manufacturers and or differen
31. ier Frequency Burst Duration Burst Duration Burst Frequency Burst Frequency Rise Rise n n Decay Decay Off Off Treatment time Treatment time Strong motor Strong motor l Intensity l l stimulation stimulation Positioning of electrodes Positioning of electrodes Intensity 42 CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 11 Aussie Aussie current for flaccidity Parameters values 1 IIb fibers Prog 10 Aussie Aussie current for flaccidity Parameters values 3 IIa fibers Description Increase of muscular strength emphasis on type Ila fibers advanced phase Sync Synchronous Current Mode Carrier Frequency Burst Duration Burst Frequency Rise n Decay Off Treatment time Strong motor stimulation Intensity Positioning of electrodes 43 Description Increase of muscular strength emphasis on type IIb fibers initial phase Sync Synchronous Current Mode Carrier Frequency Burst Duration Burst Frequency Rise n Decay Off Treatment time Strong motor stimulation Intensity Positioning of electrodes CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 12 Aussie Prog 13 Aussie Aussie current for flaccidity Parameters values Aussie current for flaccidity Parameters values 2 IIb fibers 3 IIb fibers Description Increase of Description Increase of muscular strength emphasis muscular strength emphasis on type IIb fibers inter
32. ill be recorded in the device memory To muscular strength emphasis on access Protocols saved by the user simply select the PROG ea type Ila fibers initial phase key and the SET or SET keys to choose the protocol number desired Figure 18 Current Mode Sync Synchronous On Treatment time Intensity Strong motor stimulation Figure 18 User 01 Protocol Positioning of electrodes 38 CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 2 Russ Original Russian current for flaccidity 2 IIa Fibers Description Increase of muscular strength emphasis on type IIa fibers intermediate Parameters values Prog 3 Russ Original Russian current for flaccidity 3 IIa Fibers Description Increase of muscular strength emphasis on type Ila fibers advanced Parameters values Current Mode Sync Synchronous Treatment time Strong motor stimulation Positioning of electrodes Treatment time Strong motor stimulation Positioning of electrodes Intensity Intensity 39 CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 4 Russ Prog 5 Russ Original Russian current for Parameters values Original Russian current for Parameters values flaccidity 1 IIb Fibers flaccidity 2 IIb Fibers o Description Increase of Description Increase of muscular strength emphasis muscular strength emphasis on en on type IIb fibers intermediate type IIb fibers in
33. ing IBRAMED Equipment goes beyond technology It also Whatever your professional development needs we ll provides knowledge Science constitutes our differential be right by your side to provide you with unconditional value and we effectively take advantage of its benefits in Support order to ensure patient safety and thereby maximize results We are happy to assist you Access to the knowledge database is guaranteed by CEFAI Contact marketing ibramed com br IBRAMED Center for Education and Advanced Training 55 19 3817 9633 whose goal is to provide technical and scientific support as well as current literature on therapies and their applicability Thanks while our treatment choices are always thoroughly selected according to the best and latest clinical criteria IBRAMED A matter of respect CEFAI rormacao avan ava BRAVE D IBRAMED Scientific Committee designs scientific support in view of developing new products and services and so all our equipment and actions are based on the results of the most recent medical studies published in major scientific journals CEFAI takes into account the personal and professional development of all its partners and customers With r Hold My Hand concept we invite both students and professionals in the fields of Physical Rehabilitation Esthetics Physiotherapy Dermatology and Esthetic Medicine to take part in free courses workshops and the best Postgraduate Lato Sensu courses
34. itial phase Current Mode Sync Synchronous Current Mode Sync Synchronous Treatment time Treatment time Strong motor Strong motor l l Intensity l l stimulation stimulation Positioning of electrodes Positioning of electrodes Intensity 40 CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 6 Russ Prog 7 Russ Original Russian current for Parameters values Russiancurrentforlymphatic Parameters values flaccidity 3 IIb Fibers drainage Description Increase of Description Stimulation Tor muscular strength emphasis increase of lymphatic drainage on type IIb fibers advanced Current Mode Seq Sequential phase 4 channels Current Mode Sync Synchronous Treatment time Above threshold Intensity i motor Positioning of electrodes Bipolar from distal to proximal in the Strong motor stimulation Positioning of electrodes direction of the lympho nodes Intensity 41 CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 8 Aussie Prog 9 Aussie Aussie current for flaccidity Parameters values Aussie current for flaccidity Parameters values 1 IIa fibers 2 IIa fibers a Description Increase of Description Increase of muscular strength emphasis muscular strength emphasis on l l Na on type Ila fibers intermediate type Ila fibers initial phase phase Current Mode Sync Synchronous Current Mode Sync Synchronous Carrier Frequency Carr
35. l 55 19 3817 9633 provides product warranty for eighteen 18 months insofar as the conditions set for warranty terms are followed by the user as mentioned below MAINTENANCE WARRANTY AND TECHNICAL SUPPORT WARRANTY TERMS 1 IBRAMED warrants that this product is free of manufacturing defects for eighteen 18 continuous months provided the set terms presented in these instructions for use are followed 2 The warranty period takes effect from the date of purchase and applies to the original purchaser only even in the event of a product being transferred to a third party The warranty covers the replacement of component parts and labor required to repair defects whenever the presence of such manufacturing defects can be determined 3 Customer Service during the warranty period will be provided exclusively at IBRAMED sale points by IBRAMED itself or another agent designated by the manufacturer 4 The warranty does not cover damage caused to the product resulting from a Failure to follow the specifications and recommendations detailed in these instructions for use during installation or use of the product b Accidents or acts of God connections to electrical System with inappropriate voltage and or subjected to excessive fluctuation or overcharge 57 c Misuse lack of reasonable care product alterations modifications or repairs undertaken by individuals or repairs undertaken by individuals or entities not authoriz
36. mediate on type IIb fibers advanced phase phase Sync Synchronous Sync Synchronous Current Mode Sync Synchronous Current Mode Sync Synchronous Carrier Frequency Carrier Frequency Strong motor Strong motor l Intensity l l stimulation stimulation Positioning of electrodes Positioning of electrodes Intensity 44 CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 14 Aussie Prog 15 Aussie Strengthening for athletes Parameters values Motor re education Description Increase of the Description For motor muscular strength in health facilitation and motor re individuals learning Current Mode Sync Synchronous Current Mode Sync Synchronous Carrier Frequency Carrier Frequency On Treatment time 20 min or the number of Above threshold Motor stimulation at geg motor maximum muscular Positioning of electrodes Bipolar or monopolar contraction Positioning of electrodes Bipolar or monopolar Intensity 45 CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 16 Aussie Prog 17 Aussie Strengthening following Parameters values FES post stroke disuse atrophy Description Electrical Description For patients that functional stimulation after present muscular atrophy due stroke to prevent muscular to lack of use atrophy due to lack of use Sync Synchronous prevent the shoulder sub Current Mode Sync Synchronous ju dir CE E to Carrier Frequency facilitate th
37. nt ELETROMAGNECTIC COMPATIBILITY Guidance and Manufacturer s Declaration Electromagnetic Immunity The NEURODYN 10 CHANNELS is intended for use in the electromagnetic environment specified below The customer or the user of the NEURODYN 10 CHANNELS should assure that it is used in such an environment Immunity Test Voltage dips Short interruptions and voltage variations in power input lines IEC 61000 4 11 Power frequency 50 60 Hz magnetic fild IEC 61000 4 8 NOTE U is the A C mains voltage prior to applications of the test level IEC 60601 Test Level lt 5 U gt 95 voltage drops in UI 0 5 by cycle 40 U voltage drops in 60 U by 5 cycles 70 U 30 voltage drops in U by 25 cycles lt 5 U gt 95 voltage drops in U by 5 seconds Compliance Level lt 5 U gt 95 voltage drops in U by 0 5 ciclo 40 U 60 de voltage drops in U by 5 cycles 70 U 30 voltage drops in U by 25 cycles lt 5 U gt 95 voltage drops in U by 5 seconds Electromagnetic Environment Guidance Mains power quality should be that of a typical commercial or hospital environment If the user of the NEURODYN 10 CHANNELS requires continued operation during power mains interruptions it is needed that the NEURODYN 10 CHANNELS be powered from an uninterruptible power supply or battery Power frequency magnetic fields should be at levels characteristic of a typical
38. nt respecting the techniques for inserting the needle properly into the tissue Description Use of electro acupuncture for diseases and disorders that can be treated with acupuncture Current Mode Carrier Frequency Burst Duration Burst Frequency Treatment time Intensity Positioning of needles electrodes Cont Continuous Intense sensorial stimulation Acupuncture points CLINICAL RESOURCES LIBRARY CLINICAL PROTOCOLS Prog 24 Aussie Prog 01 to 10 User Protocols Electro Acupuncture High Parameters values Frequency Description Use of electro acupuncture for diseases and disorders that can be treated with acupuncture Current Mode Cont Continuous Burst Frequency 100 Hz Intense sensorial Intensity l stimulation Positioning of needles Acupuncture points electrodes 50 REFERENCES DeSantana JM Walsh DM Vance C Rakel BA Sluka KA Effectiveness of transcutaneous electrical nerve stimulation for treatment of hyperalgesia and pain Curr Rheumatol Rep 2008 10 6 492 9 Delitto A Rose SJ McKowen JM et al Electrical stimulation versus voluntary exercise in strengthening thigh musculature after anterior cruciate ligament surgery Phys Ther 1988 68 5 660 663 Gersh MR Wolf SL Applications of Transcutaneous Electrical Nerve Stimulation in the management of patients with pain Phys Ther1985 65 3 314 336 Guirro R Nunes CV Davini R Comparacao dos efeitos
39. od A HEALTH CARE SAFETY PRECAUTIONS PRECAUTIONARY DEFINITIONS The precautionary instructions found in this section and throughout this manual are indicated by specific symbols Understand these symbols and their definitions before operating this equipment prior to therapy session N CAUTION Text with a CAUTION indicator refers to potential safety infractions that could cause minor to moderate injury or damage to equipment Ah WARNING Text with a WARNING indicator refers to potential Safety infractions that could cause serious injury and equipment damage N DANGER Text with a DANGER indicator refers to potential safety infractions that represent immediately life threatening situations that would result in death or serious injury Read understand and practice the precautionary and operating instructions Know the limitations and hazards associated with the use of any electrical stimulation Observe the precautionary and operational labels placed on the unit DO NOT operate this unit in an environment where other devices intentionally radiate electromagnetic energy in an unshielded manner Check cables and associated connectors before each USE e The NEURODYN 10 CHANNELS Electro Stimulator is not designed to prevent the infiltration of water or other liquids The infiltration of water or other liquids could cause malfunction of internal components of the system and the
40. of disuse atrophy e Increase local blood circulation Muscle re education Maintaining or increasing range of motion Additional Indications for Aussie 4 kHz 4 ms waveform e Symptomatic relief and management of chronicintractable pain e Increase local blood circulation e Post traumatic acute pain e Post surgical acute pain Indications for Electrolipolysis e Stimulation of lipolysis in the treatment of fat located e Temporary reduction in the appearance of cellulite e Temporary improvement of local blood circulation INDICATIONS CONTRAINDICATIONS PRECAUTIONS AND ADVERSE REACTIONS CONTRAINDICATIONS e Powered muscle stimulators should not be used on patients with cardiac demand pacemakers e This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed e Other contraindications include patients suspected of carrying infectious diseases and or disease where it is advisable for general medical purposes to suppress heat or fevers WARNINGS e The long term effects of chronic electrical stimulation are not known e Stimulation should not be applied over the carotid sinus nerves particularly in patients with a known sensitivity to the carotid sinus reflex 10 INDICATIONS CONTRAINDICATIONS PRECAUTIONS AND ADVERSE REACTIONS WARNINGS e Stimulation should not be applied over the neck or mouth e Severe spasm of the
41. refore create a risk of injury to the patient Disconnect the power plug from the outlet when left unused for long periods of time SAFETY PRECAUTIONS e Stimulation should not be applied over the anterior neck or mouth l l Severe spasm of the laryngeal and pharyngeal muscles e To protect against the risk of fire only use replacement l may occur and the contractions may be strong enough fuses of the same types and ratings to close the airway or cause breathing difficulties Be sure the unit is grounded by connecting it to a l l l l Stimulation should not be applied transthoracically to grounded electrical outlet compliant with the applicable l l avoid the introduction of electrical current into the heart national and local electrical codes l l which may cause cardiac arrhythmia e Powered muscle stimulators should be used only with l Stimulation should not be applied over swollen infected the lead wires and electrodes recommended for use by and inflamed areas or skin eruptions such as phlebitis the manufacturer thrombophlebitis varicose veins etc Prior to patient treatment become familiar with the Stimulation should not be applied on or near cancerous operating procedures for each mode of treatment lesions available as well as the indications contraindications l l e Output current density depends on the electrode size warnings and precautions Consult other resources for l l l Improper appl
42. t from those specified herein and replacement of internal components NEURODYN 10 CHANNELS may result in increased emissions or decreased immunity of the equipment e NEURODYN 10 CHANNELS is intended for use only by health care professionals NEURODYN 10 CHANNELS may cause radio interference or disrupt equipment operations nearby It may be necessary adopt mitigation procedures such as reorienting or relocating the equipment or shielding the location e RF communication equipment mobile or portable can cause interference and affect the functioning of NEURODYN 10 CHANNELS 14 ELETROMAGNECTIC COMPATIBILITY NEURODYN 10 CHANNELS is an electromedical equipment that belongs to Group 2 Class A Electromedical devices require special attention in relation to electromagnetic compatibility EMC and must be installed and operated in accordance with the EMC information provided in the following tables Guidance and Manufacturer s Declaration Electromagnetic Emissions The NEURODYN 10 CHANNELS is intended for use in the electromagnetic environment specified below The customer or the user of the NEURODYN 10 CHANNELS should ensure that it is used in such an environment Emission Test Compliance Electromagnetic environment Guidance The NEURODYN 10 CHANNELS must emit RF Emissions nr Group 1 electromagnetic energy in order to perform it s intend CISPR 11 l function Nearby electronic equipment may be affected RF Emissions Class B C
43. uring pregnancy has not been established e Caution should be used for patients with suspected or diagnosed heart problems e Caution should be used for patients with suspected or diagnosed epilepsy Caution should be used in the presence of the following a When there is a tendency to hemorrhage following acute trauma or fracture b Following recent surgical procedures when muscle contraction may disrupt the healing process 11 INDICATIONS CONTRAINDICATIONS PRECAUTIONS AND ADVERSE REACTIONS c Over the menstruating or pregnant uterus and d Over areas of the skin which lack normal sensation e Some patients may experience skin irritation or hypersensitivity caused by the electrical stimulation or electrical conductive medium The irritation can usually be reduced by using an alternate conductive medium or alternate electrode placement e Electrode placement and stimulation settings should be based on the guidance of the prescribing practitioner e Powered muscle stimulators should be kept out of the reach of children e Powered muscle stimulators should be used only with the lead wires and electrodes recommended by the manufacturer ADVERSE REACTIONS e Skin irritation and burns beneath the electrodes have been reported with the use of powered muscle stimulators e Patients may experience headaches and other sensations pain during or after application of stimulation electric near the eyes head and face e Pati
44. urrent displays as shown below 4 Now press the START button to start treatment Note 6 At the end of the programmed time the emission that the flashing cursor disappears while the LDC display current is interrupted and an audible alarm will signal now shows the intensity the treatment end 5 Press the UP or DOWN channel in use to select the 7 Press the STOP button to stop the alarm The equip amount of current needed to treat ment can now be switched off repeat the same pro gramming task or undertake a new programming task 32 ELECTRODE GUIDELINE ELECTROTHERAPY PATIENT PREPARATION are placed at each end of the muscle or muscle group The symmetrical waveforms of the Biphasic and Medium Frequency are usually applied to the body using the Bipolar Technique The NEURODYN 10 CHANNELS Electro Stimulator offers waveforms of the RUSSIAN CURRENT and AUSSIE CURRENT e Electrode Placement can be achieved using the Bipolar or Monopolar Techniques Proper positioning and contact will insure treatment comfort and efficiency e Examine the skin for any wounds and clean the treatment area by rubbing the skin with medical grade alcohol e Before placing the electrodes clean the area with soft soap and water to remove oil and possible skin fragments thus reducing the resistance to the passage of the electrical current Rinse and dry the area well before placing the electrodes e Remove the self adhesive electrodes
45. z 5 45 C 41 113 F Input Power 85 VA Fuses 5A 250V 20AG Electrical Class CLASS II Electrotherapy TYPE BF A 26 SPECIFICATIONS WAVEFORM SPECIFICATIONS Output Mode Electrodes Russian Current Output Intensity 0 140 mA Russian Current is a medium frequency alternating current Current Mode 2 5 kHz modulated bursts with rectangular frequency 50 CNT Continuous 1 2 3 4 5 6 7 8 9 amp 10 channels Hz and a duty cycle of 50 is used to produce muscle SYN Synchronous 1 2 3 4 5 6 7 8 9 amp 10 channels strengthening REC Reciprocal 1 2 3 4 5 amp 6 7 8 9 10 channels SEQ Sequential 1 2 3 4 5 6 7 8 9 amp 10 channels DES Desobstruction 1 2 3 4 5 6 7 8 9 amp 10 channels Burst Duration 50 i KE E Burst Frequency 1 120 Hz Ramp Rise Time of Increase Gradient 1 20 s On Time of Muscular Contraction 1 60 s Decay Time of Decrease Gradient 1 20 s eS Off Time of Muscular Relaxation 1 60 s Treatment Time 1 60 min Set Intensity Individual Channel Intensity Setting Available on Channels 1 2 3 4 5 6 7 8 9 or 10 Option 27 X SPECIFICATIONS Aussie Current The Aussie current Australian current is a medium frequency alternating current released in short bursts 1 kHz burst duration Output Mode Electrodes of 2 ms or 4 kHz burst length of 4 ms used to produce maximum Output Intensity 0 140 mA muscle torque or analgesia respectively
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