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ERBE erbotherm 1100 P - Frank`s Hospital Workshop

1. 90 8 Triplode 500 cm 200 9 Condenser applicator diameter 4 2 cm and 21 condenser applicator elastic 8x14 cm 10 Condenser applicator diameter 8 5 cm and 80 condenser applicator elastic 12x18 cm 11 Condenser applicator diameter 13 cm 200 applicator determines the maximum dosage Deviations are possible in dependence on the heat sensation of the patient 20 CHAPTER 4 What to do when problems occur Experience has shown that the most problems by far occur because of inadvertent operating errors Therefore before suspecting a fault in the appliance please check whether the present operating instructions have been correctly followed When after switching on the appliance the displays 14 and 15 and the indicator lamp in power switch 1 do not lit check whether the appliance is correctly connected to the mains socket outlet and the last one is alive If so check he fuses at the mains voltage connection of the appliance 33 To do this lift the latch and take the drawer with the fuses out of the mains voltage connector 33 After checking and if required replacing a fuse re insert until the latch catches Fuses shall only be replaced by ones of the same rating and type If fuses blow more frequently please contact our after sales service If the error message FE 0 appears on the Dosage display 15 when turning the dosage knob 17 to the right check whether all parameters mode of operation
2. be selected when the dosage display 15 shows 0 Choice of the applicator The choice of the appropriate applicator is made according to area and volume of the body parts to be treated and according to preferring the coil or condenser field application 14 By pressing key 6 7 8 or 9 10 11 in the APPLICATOR key pad the dosage output power is limited according to the selected applicator so that an unintended overheating of the tissues is avoided The following keys are assigned to the corresponding applicators Key Applicator Symbol 6 Coil applicator 50 cm D 7 Coil applicator 150 cm D 8 Triplode 500 cm rn 9 Condenser applicator diameter 4 2 cm and 4k condenser applicator elastic 8x14 cm 10 Condenser applicator diameter 8 5 cm and JF condenser applicator elastic 12x18 cm 11 Condenser applicator diameter 13 cm 4 As mentioned above any programming is only possible with the dosage display 15 showing 0 Connection of the applicator Applicators are electrically connected to the sockets 30 or 31 The coax cable of the coil applicator is connected to socket 30 In doing the threaded cap of the plug is to be completely screwed onto the socket The cable pairs of the condenser applicators are to be connected to socket pair 31 Insert the plug pins into the socket up to the stop Please observe that in any case only the connectors of the condenser applicator cables or
3. heat sensation in the treated area The dosage and treatment time values given in the application table should be observed During all the treatment time the patient must contact the triplode If the patient is excessively heated up do not change the body triplode contact but decrease the output power or the patient turns of the 00 P by pulling the ripcord Intermediate checks are to be performed if required In doing observe the actual dosage shown on display 15 and readjust if necessary due to the automatic tuning to obtain reproducible results within a treatment series An excessive output power dosage and missing intermediate inspections by the therapist often result in mismatching in the practice because the patient often does not switch off the 7700 P by means of ripcord and emergency off switch but changes his her position so that the necessary body triplode contact does not exist This is indicated by the luminous band indicator in the way that not 8 to 10 LED s as required but only a few are lit Due to this the 19 adjusted electric output power is not converted into heat only in the patient but also in the triplode itself which possibly can damage the last For safety reasons the side wings of the triplode are equipped with small ventilators starting forced cooling with medium and higher output powers Unfortunately we must point out that failures due to erroneous operation are not covered by the claims of
4. the appliance and during the operation the microcon troller provided for the entire control functions of the unit automatically performs many control sequences to ensure the safety of patient and appliance In doing any detected error is shown on the Dosage display 15 and the output power dosage if applying is immediately switched off This error condition is additionally indicated by an intermittent acoustic signal The error messages are indicated by the symbols FE 1 FE 2 FE 4 FE 6 FE 6 FE 7 FE 9 FE a FE b FEC If anyone of these error messages is displayed the appliance must be switched off and the after sales service informed The FE 0 message means the parameter settings are incomplete This condition is to be eliminated No acoustic signal follows this error message 17 CHAPTER 3 Treatment Preparation of the patient To ensure an optimum therapy the patients and especially the parts of their bodies that are to be treated should be completely relaxed A comfortable lying or seating position is the best condition for this Patients shall never be treated on metal chairs or beds Hearing aids watches rings chains bracelets and other metal objects are to be removed for safety reasons before the treatment is started This also applies to persons close to the appliance or applicators and cables e g the operating staff The parts of the body involved should be treated in unclothed condition Esp
5. to their special training or knowledge and practical experience and which have been trained for the correct operation on the basis of the present operating instructions The training shall be only performed by people which are suited for instructing the handling of the device due to their knowledge and practical experience As the manufacturer of this appliance we only consider ourselves responsible for the technical safety qualities if the 7700 P is used according to the present operating instructions Any repair including opening the unit shall only be performed by our staff or after sales service shops especially authorized by us In the interest of functional safety of the appliance we recommend at least one annual safety check by the after sales service Prior to the application the appliance has to be checked by the user for convincing that its function and condition are correct This includes regular inspections of all cables and lines for possible insulation defects In the result of the safety tests performed according to DIN IEC 601 and VDE 0750 the TUV GS sign and the BZT Registration Number of the Bun desamt fiir Post und Telekommunikation were granted to the 7700 P With the card attached please make the application for the operation license According to its designation the appliance generates high frequency electric and magnetic fields that penetrate even walls ceilings and floors It cannot be excluded that component
6. warranty and may be very expensive The good matching between patient and triplode by body contact is indicated by the fact that 8 to 10 LED s of the luminous band indicator are lit i e the optimum of about 80 to 100 per cent oft he adjusted output power is converted into heat in deeper tissues of the patient In special applications e g both knees at the same time where the maximum matching can be obtained with only about five LED s 50 are lit the output power shall only be adjusted to 50 percent of the maximum one i e 100 W The following rule applies The value of the adjusted dosage shall not exceed the number of the illuminated LED s of the luminous band indicator times the factor 20 With too weak coupling higher output powers dosages can result in heating up the triplode and possible damage it Loadability of the applicators The loadability of the individual applicators depends on their surface Overheating of the applicators in particular the coil applicators on the one hand and an unbearable heating of the tissue on the other hand is avoided as the appliance automatically limits the output power dosage of the applicato to its admissible level The following table shows the limited dosage values of the individual applicator types When different condenser applicators are combined the smallest type of Key Applicator Limited power in Watts 6 Coil applicator 50 cm 30 7 Coil applicator 150 cm
7. anesthesia rooms where inflammable narcotics are simultaneously used an explosion cannot be ruled out Mains connection The standard appliance is to be connected to a mains voltage of 230 V 15 50 60 Hz However a special version is also available for the connection to 115 V 15 50 60 Hz The actual value is shown on the rating plate at the rear of the unit Before connecting to the supply mains check the conformity of the voltage values of the available mains and appliance The appliance is to be only connected to a properly installed earthed socket outlet by means of the shielded mains connecting cable included in the basic accessories For the fuse to be applied with the 230 V mains we recommend a slow acting 10 A one Switching on Switch on the power with switch 1 on the left of the operating panel Now the appliance is in the stand by mode of operation The indicators Dosage 15 and Treatment time 14 are lit Further settings are to be made on the keyboard cf figure Mode operation Select the mode of operation with the keys 3 4 and 8 in the MOGE field Pressing key 3 turns the appliance to the continuous mode of operation Different pulsed modes of operation can be selected by pressing key 4 or 5 They differ in pulse width and pulse repetition frequency The chosen mode is shown by the indicator light in the corresponding key marked by the symbol The mode of operation can only
8. applicator time were chosen or not If display 16 shows only little or no coupling during the automatic tuning process indicated by Ab on display 14 check whether the applicator s used correspond s to that chosen by the actuated APPLICATOR key s Furthermore check whether the applicator cable connection and the applicator seat are correct The area to be treated should be larger than or at least as large as the applicator surface Incorrect adjustment at the appliance during the treatment is acoustically signalled For safe operation of the appliance and thus the safety oft he patient a number of control measures were programmed which in case of error result in switching off the output power and displaying the type of error 21 CHAPTER 5 Summary of operations e Connect the appliance to the mains socket outlet e Connect the applicator s to the appliance e Attach the applicator s to the patient e Turn on the appliance with switch 1 e Select the mode of operation keys 3 4 5 e Select the applicator s keys 6 to 11 e Set the treatment time keys 12 13 e Set the dosage knob 17 e Electric power is applied to the output the treatment timer starts operation e After the chosen treatment time has elapsed the appliance automatically turns off and emits an intermittent acoustic signal for about 10 s This signal is repeated every minute until the dosage knob 17 is reset by turning to the lef
9. cator is used at a time In the last case both arms can remain fixed to the appliance and be equipped with different applicator types to enable a quick change of applicators as the case demands Due to its stable structure and five hin ges the arm can safely fix the applicators in widely differing treatment positions As the arms are made of high quality flame resistant plastic material they can be used to guide and hold the applicator cables for avoiding inadvertent contact between patient and cable Apart from the horizontal swing of the aim and hinge 20 in the applicator holder 19 all hinges can be adjusted by the user as the treatment demands With lock knob 26 for the lower rotating hinge 25 the whole arm is fixed also with the arm maximally extended depending on the different weights of the applicators With the other main hinges 21 23 the length and height which are mutually dependent can be varied after the appropriate knobs have been loosened In doing it is practical to support the arm at an upper hinge 20 or 21 Condenser Schliephake and coil applicators are inserted into the aperture of applicator holder 19 with their shafts until the slide 18 catches which is clearly noticeable With using coil applicators the connection cable should also be fed first through the aperture For removing the applicator push back slide 18 and draw the applicator out of the holder The central joint of the arm joint be
10. ecially clothes made of synthetic materials are to be removed because they absorb moisture insufficiently gathering moisture on the skin skin folds can local overheating Before starting the treatment the ripcord is to be handed to the patient so that he she can switch off the appliance when he she feels nausea or unbearable heat sensation Implants High frequency heat therapy is contra indicated for patients with pacemakers Body parts with metal insertions e g bone fixation nails grenade splinters etc shall not be treated Pregnant women endangered organs Treatment of pregnant women is contra indicated in the abdominal area Other contra indications are growing grooves tumors tuberculosis disturbed arterial blood circulation of stages Ill and IV varicose veins general tendency to bleeding The doses must be carefully selected for organs with low vascularization and low blood circulation e g eyes testicles Heat effect of the applicators The evaluation of the heat effect of applicators on the basis of the subjective heat sensation by the patient is strongly influenced by a number of factors e g 18 the thickness of fat layers treatment through clothes or bandages blood circulation temperature of the skin etc Therefore the following subclauses generally explain the operation of the applicators used with the 00 P The heat effect of the electrodes differs fundamentally between the inductive and capac
11. enser applicator diameter 4 2 cm and Condenser applicator elastic 8x14 eM 2 a 4 10 Key Condenser applicator diameter 8 5 cm and Condenser applicator elastic 12x18 cm 2 aaa a f 11 Key Condenser applicator diameter 13cm aoaaa aaa a a H 12 Key Decrease treatment time o ooa a a a a a a a 13 Key Increase treatment time 2 0 ee eee lt 14 Display Treatment time in minutes 15 Display Dosage 16 Display Coupling with patient 17 Dosage knob 18 Silde for fixing the applicators 19 Applicator holder 20 Hinge 21 23 Lock knobs for arm hinges 24 Lower part of arm 25 Lower rotating hinge 26 Lock knob for vertical movement 27 Clasp for fastening 30 Socket for coil applicators 31 Sockets for condenser applicators 33 Mains voltage connection 34 Emergency OFF switch ripcord 35 Screw holes for arm attachment Contents Chapter 1 2 Title svsstccsscsacnansaiasasnaanstsvasterknanwaaveatxeinsaasiaacinasaannaessciancecianinaatiaveniantaces Page General information sccccaveccndeeczencebaarteencanagetadeanmnesmecuisseetanieetamensdvoneusignennies 9 COMMISSIONING sss scczsasbocdnande rae e 14 NES AUINGI NT aeeiio pear e eta de th E AAEE EAE RRE 18 What to do when problems occur soiccicctsasccstaceesceenssaccentsecontecdsstccenderccnns 21 S mmary Of Operati NS aesssatronien isinen iaaa aeaa 22 TOGHIMGAl Catal ccs crtcccsncu
12. erbotherm 1100 P User manual ERBE erbotherm 1100 P SB o 6 a o applicator time A tuning intensity 07 1998 ERBE erbotherm 1100 P Operating Instructions Manual part number 80120 041 erbotherm 1100 P No 10204 020 All rights reserved No part of this document may be translated stored in information retrieval systems or transmitted in any form or by any means electronic or mechanical including photocopying recording or otherwise without the written permission of ERBE Elektromedizin Printed by ERBE Elektromedizin Printed in Germany Copyright ERBE Elektromedizin GmbH Tiibingen 1998 Key foil 14 16 15 i paconaraenaiccneninsenn 19 18 20 21 Middle part of arm 23 Lower part of arm 24 26 27 Fixing bolt opposite side Arm 25 Slotted nut Cover Rear side of unit Operational elements displays parts of appliance and symbols 1 Power switch with light indicator 2 2 a 2 RESET KY 240 2G 84 Sie ewe eee ee oe ae PoE be ee we O 3 Key Continuous mode of operation oaoa a ea a a a a E 4 Key Pulsed mode of operation 70 HZ 2 MS oaoa aoaaa a a a a TI 5 Key Pulsed mode of operation 350 Hz 0 4 MS ooo cauaa aaa NWL 6 Key Coil applicator 50 em ooa DO 7 Key Coil applicator 150 em aoaaa aa e a a a D 8 Key Coil applicator 500 cm triplode o a a a MA 9 Key Cond
13. iedtuaecdbaxtannteesieentapnacteceaschanneuaeentameneetateunanend 23 CHAPTER 1 General information Application of the high frequency heat therapy The 00 P is an appliance for high frequency heat therapy that operates at the well proved frequency of 27 12 MHz wave length 11 m It enables the classical therapy in condenser and electromagnetic coil fields in both the continuous and the modern pulsed modes of operation and therefore it is suited for all heat therapy treatments in clinic as well as practice The use of high frequency energy for heat therapy has the advantage of larger penetration depth in contrast to the conventional methods such as hotpacks baths infrared light and heat pillows and even to the microwave The heat endogenically generated by this appliance induces a whole range of physiological processes which for example spasmodically influence the muscular system tendons and other connective tissue structures increase the cell metabolism and rate of enzyme reaction and improve the blood circulation in the area under treatment As the high frequency energy can be applied in short but high energy shocks pulsed mode the penetration depth can be increased further particularly the positive effect on the blood circulation while the thermosensitive skin hardly feels the heat High frequency heat therapy can be applied in a wide field It is particularly suited for all rheumatic ailments of the joints and muscular s
14. itive method of application Capacitive method of application With the capacitive method of application the transformation of energy into heat mainly takes place in tissues with low blood circulation e g fat connective tissues Thus the greater part of heat is generated in areas near the surface upper skin fat tissue so that not only the transformed energy but also the distance between applicator and skin is important for the subjective sensation of heat Depending on the size of the applicator the condenser applicators of the 00 P are designed with an optimum electrode to skin distance On this way every good distribution of heat in the tissue is ensured by the choice of the appropriate applicator size Inductive method of application The high frequency magnetic field of a coil applicator generates eddy currents that are transformed in the tissue These currents increase with the electric conductivity of the corresponding tissue region tissues with good blood circulation e g muscle tissue and inner organs To reach these deeper tissues the coil applicators of the 00 P are provided with an electrostatic shielding that prevents the technically unavoidable electric field of the coil applicator from effecting the upper skin fat tissue and its heating Therefore the feeling of heat is basically delayed and it is recommended to start the treatment with a dosage level below the desired one and increase then guided by the patients
15. l by turning dosage knob 16 further to the right First the desired dosage level is shown on display 15 and at the end of the tuning process it is changed to the active value Then this dosage level is stored and automatically readjusted by the appliance in case the patient moves or the mains voltage fluctuates Thus any accidental increase of the dosage due to patient movements is safely avoided too Switching off emergency disconnection by the patient The high frequency power or the entire appliance can be switched off as follows a Turn off the power switch 1 Entire appliance b Press the RESET key 2 The appliance is set to the stand by mode as after switching on the power switch c Simultaneously press the time keys 12 and 13 The mode of operation and applicator type remain stored 16 d Turn dosage knob 17 to the left until 0 appears on display 18 The mode of operation applicator type and remaining treatment time are kept stored e End of the adjusted treatment time The mode of operation and applicator type remain stored Cancel the acoustic signal by turning the dosage knob to the left f Emergency off by the patient by using the ripcord 84 Any use of the ripcord is indicated by an intermittent beep sound and FEC appearing on display 15 Switching back to the stand by mode is done by pressing the RESET key 2 Switching off by the safety circuit After switching on
16. ob 17 has no right and left stops Turning to the right increases the dosage in dependence on the dosage range in the following steps per lock point Up to 30 W in 3 W steps From 30 W to 90 W in 5 W steps From 90 W to 200 W in 10 Wsteps This applies for both the continuous and pulsed modes of operation In order the appliance can deliver the high frequency dosage level selected with dosage knob 17 it is automatically tuned to the patient data after a short right turning of dosage knob 17 During this process the tuning symbol Ab appears on the 7reatmenttime display 14 instead of the treatment time and no further operator settings are accepted by the unit in this time period Termination is only possible by pressing RESET key 2 The effect of the tuning process is shown on the display Coupling with the patient 16 The best RF power transfer to the patient is achieved when display 16 is totally lit As the tuning takes place with minimum dosage the position of the applicator s to the patient can be changed during this process to enhance the dosage transfer After the tuning process is terminated the treatment time is shown on display 14 again and starting at this moment the actual output power dosage is shown on display 15 The tuning process can be repeated by turning dosage knob 17 to the left up to 0 and subsequently turning it to the right again Now the dosage can be increased to the desired leve
17. patient s body The optimum distance between applicator and skin is achieved with thick felt spacers that have to be placed in a cloth bag together with the applicator Velcro fastener or rubber bands can be used for fastening this applicator arrangement Three different sizes of different effective surfaces can be used for adjusting to size and volume of the different treatment areas This applicator type uses the high frequency magnetic field of the coil of an electric resonant circuit Yartherapy To support this effect as efficiently and focusedly as possible all coil applicators of the 00 P are electrically shielded and connected to the appliance with shielded cables too This means electric disturbances of nearby appliances current stimulators etc are avoided to a great extend Highly flexible low loss special cables 29 are used to connect the condenser applicators A hooked connector is provided to avoid damaging kink strains in the applicator connection area Electrically superior flame resistant silicone insulating materials have been applied to avoid cable defects also when used incorrectly e g in case the cables touch to each other To avoid any unwanted and inadmissible heat application to the patient he she should not touch a cable Therefore abundant cable length should be fed through the lower arm part 24 to secure it Cleaning and disinfecting Before cleaning or disinfecting the appliance must be swi
18. s of these fields exists in the vicinity of the appliance Sensitive electronic instruments which are arranged in the immediate vicinity of the 00 P can be disturbed This danger largely depends on the distance between the devices Therefore during the installation of the 12 appliance it should be taken into consideration that the distance to other sensitive devices should exceed 5 m if possible and the applicators are not directed to sensitive devices as for instance current stimulators This problem can be completely eliminated when the appliance is accommodated in a shielded room that means in a Faraday cage A Faraday cage enclosed by a metal housing or grid prevents the penetration of electric fields Often a sufficient interference suppression is obtained by only connecting the devices to isolated mains circuits or using screening curtains special curtains between the treatment cabins Supplier is nsp Sicherheitsprodukte GmbH Hauptstr 17 86695 Nordendorf Germany Phone 049 82 73 10 31 To stay within the limits given by DIN 0848 Part 2 we recommend that the operators and other persons keep a distance of at least 2 meters to the applicators and cables In case of doubt it is recommended to measure the field strength Pregnant women should not operate the appliance 13 CHAPTER 2 Commissioning The appliance is not designed to be operated in environments in which there is danger of explosion If used in
19. t counter clockwise e When an error is displayed except for FE 0 press RESET key 2 and readjust if required e The entire appliance is switched off by actuating switch 1 again 22
20. tched off and the mains plug disconnected For cleaning and disinfecting the appliance and accessories except for the felt spacers of course we recommend commercially available surface disinfectants to be used according to their instructions for use For reasons of material acceptance only surface disinfectants basing on agents like aldehydes alcohol s or ammonium compounds are suitable or wipe and spray disinfection They are to be used according to their instructions for use and duration of action 11 WARNING AN WARNING AN WARNING AN Examples Hexaquart Ultrasol Bazillotox Hansa Sept Buratron 10F Lysoform Dismozon Incidur Frekanol Melsitt Nucosept o F For users in the Federal Republic of Germany we basically recommend the use of disinfectants published in the DGHM Deutsche Gesellschaft f r Hy giene und Mikrobiologie list The DGHM list contains also the basic agent of the corresponding disinfectant For reasons of possible material damage also products basing on halogen splitting compounds strong organic acids and oxygen splitting compounds solvents benzene and similar agents are not suitable While cleaning and disinfecting it is to be observed that no fluid penetrates into the appliance accessories Sockets that have become wet are to be thoroughly dried before any further use T V tests safety This electromedical device shall only be applied by people which ensure the correct handling due
21. the connectors of the coil applicator cable are plugged into sockets 30 or 31 respectively Never connect all three cables simultaneously Treatment time Set the treatment time with keys 12 increasing or 13 decreasing The actual value is shown on display 14 Pressing the keys for a short time will set the time in 1 minute intervals pressing them continuously will set the time in 5 minute intervals When both keys are simultaneously pressed the time is reset to 0 The maximum time that can be set is 30 minutes Changing the time during the treatment is also possible After the clock is set it starts automatically when dosage knob 1n is shortly turned to the right display Ab fades and the selected treatment time appears again on display 14 During the treatment the remaining time is shown on display 14 The end oft he programmed time is acoustically signalled This signal is constantly repeated every minute until dosage knob 17 is shortly turned to the left 15 Setting the dosage After the settings have been completed the dosage can be selected with dosage knob 17 An incomplete setting results in the error message FE 0 appearing on Dosage display 15 Cancel the error message by turning the dosage knob to the left and make up the missing setting Keep in mind that the dosage is to be only selected with the applicator s correctly adjusted to the patient s body and connected to the appliance Dosage kn
22. tween the middle and lower arms item 23 in the figure is adjusted to a basic braking force by the manufacturer After long term application it can be necessary to readjust the basic braking force due to abrasion of plastic parts and brake disks For this purpose remove the blue cover by means of a screwdriver and tighten the hexagon bolt below cf figure by about a half revolution At the joint at the appliance item 25 braking the horizontal motion of the arm the readjustment can be done by means of the slotted nut below it cf figure 10 Condenser applicators distance applicators according to yochliephake Condenser applicators elastic Coil applicators Applicator connection cables WARNING AN Applicators and applicator Cables Coil as well as condenser applicators can be used with the 7700 P Three pairs of different diameters are available Characteristic for applicators used with the 7700 P is the optimum ratio of the fixed electrode to skin distance measured from the outside of the applicator casing to the inner electrode plate and the corresponding electrode area This results in low loss transmission of the high frequency energy from the generator via applicator to the patient These applicators are available in two different sized pairs The permanently attached highly flexible cable ensures maximum flexibility at the point of applicator connection and high adaptability to bent or curved parts of the
23. ystem inflammatory ailments of respiratory organs kidneys and urinary tracts and all ailments caused by poor blood circulation Please observe the table of application For acute conditions the pulsed mode of operation offers advantages Structure of the appliance The appliance is trolley mounted with castors two of which are fitted with brakes that can be actuated fort the required stability The top part of the appliance is designed as control panel On the panel covered by an easily to be cleaned and thus user friendly protective foil there are arranged all the necessary control and display elements By means of dosage knob 17 the output power is adjusted via an angular momentum generator Power switch 1 ON OFF is provided on the left side of the panel At the rear of the appliance there are the screw holes for attaching the arms 36 the sockets for connecting the cables of the condenser 9 31 and coil 30 applicators and the connection part of the detachable mains supply cable 33 including fuses The ripcord 34 for the patient emergency OFF switch passes through a bushing mounted in the arm fastening area so that it can be pulled from all directions Arms By means of clasp 27 the arms are mounted at the rear of the appliance 35 Condenser applicators according to Schliephake are used in pairs therefore both arms are necessary Only one arm is required for using coil applicators as only one appli

ERBE erbotherm 1100 P - Frank`s Hospital Workshop

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