INSTRUCTION MANUAL
Contents
1. E 12 5 44 1 48 49 Current Solutions 1 FOREWORD 1 1 General information Thank you for purchasing the ComboCare The microprocessor controlled ComboCare provides interferential 4 pole premodulated 2 pole interferential medium frequency Russian EMS and TENS waveforms You can choose between several different amplitude modulation options The interferential andpremodulated modes offer frequency modulation as well as a staticfrequency option The ComboCare can provide electrical stimulation ultrasound therapy or combination therapy 1 2 This manual has been written for the users of ComboCare Introduction t contains general information on the operation precautionary practices to This and maintenance information In order to maximize its use efficiency Manual and the life of the system please read this manual thoroughly and become familiar with the controls as well as the accessories before operating the system 2 SAFETY INFORMATION 2 1 Keep yourself informed of the contraindications Caution Read understand and practice the warnings cautions and operating instructions Know the limitations and hazards associated with using any device Observe the precautionary and operational decals placed on the unit Always foll2. 49 nore es 4s sou Pa ss messo vin 3 45 sous nore roe oni 45 sou nore cor es so ivi vo z ec o our no ones wem o rs ec o s nore aes ses more ose Onin gt IF 2P 215 sors oos omn s 2 sos som Orin 25 sos 50 omn 5 ist gt mone oe meson r cc pmo ns wes omn Dena CC 80 100 5 1MHz 50 30min 4 CC 80 100 3 30us 1 508 Omin 5 23 Current Solutions ompo 70us IMHz50 14 ae rs Omin 5 30us Omin 24 anc Current Solutions 70us CC 70us 1MHz 50 14min 3 default 2 50 4 50 0 e AULA E N 1 I N N 25 2 5kHz NIN TN 2 N N N N Phase Current Solutions ompo anc 5 0 Hz 50 0 0 NIN NINNIN A JE N N I N N A N
3. 2 6 Precautions for Therapeutic Ultrasound Current Solutions Consult with the patient s physician before using this device because the device may cause lethal rhythm disturbances to the heart in susceptible individuals and Apply stimulation only to normal intact clean healthy skin This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed Patients with arterial or venous thrombosis or thrombophlebitis are at risk of developing embolisms when electrical stimulation is applied over or adjacent to the vessels containing the thrombus patient has a history of deep vein thrombosis even many years past the affected area should not be stimulated Fresh fractures should not be stimulated in order to avoid unwanted motion Stimulation should not be applied immediately following trauma or to tissues susceptible to hemorrhage Do not apply electrodes directly over the eyes or inside body cavities Do not use electrical stimulation in conjunction with high frequency surgical equipment or microwave or shortwave therapy systems Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns Since the effects of stimulation of the brain are unknown stimulation should not be applied across the head and electrodes should not be placed on opposite sides of the head Ultrasound
4. N Z Z kHz Z Z NIN N N 9 EL N N 6 5 Stimulation set up procedure l In order to turn on the devi leas 5 Meum tial evice please pres Ia dpa E ON OFF switch to icon which is located on Traditional the side of the device 4Pole Set up 1 When you turn on the ComboCare the device Procedure will self check for 1Oseconds and then the default parameters will display the last treatment mode Press B1 Waveform button to toggle electrical stimulation mode Y then rotating the parameters control knob to select waveform untill IF 4P displays on LCD Press B2 Program button to toggle the therapeutic program and then rotating the parameters control knob to select the therapeutic programs from POI to P10 You can set and save the parameters press the stop button to save the parameters 26 Vector Vector Current Solutions 5 There are two types program for you to select Common program or specialist program Common program has only one treatment phase and the program displays P In specialist program there are three treatment phases display and the program displays S You can press and hold B2 program button to switch them 6 If you selected specialist progra
5. Guidance and manvfacturer s declaration Electromagnetic immunity The ComboCare device is intended for use in the electromagnetic environment specified below The customer or the user of the ComboCare should assure that it is used in such an environment Immunity EC 60501 Compliance Electromagnetic test test level level environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the ComboCare device including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted 3 5 150 kHz to d 1 24P 61000 4 6 80 MHz Radiated RF 3 V m IEC 80 MHz to d 1 2 P 80MHz to B00MHz 61000 4 3 2 5 GHz 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 a should be less than the compliance level in each frequency range b Interference may occur In the vicinity of equipment marked with the following symbol 46 Current Solutions Interference may occur In the vicinity of equipment marked with the following symbol NOTE At 80 MHz ends 800 MHz the higher frequency range applies NOTE 2 Th
6. electrodes stuck on patient skin an alarm buzzer sound will appear and the intensity value flashing 15 Press the Q button to stop treatment if any emergency happened Caution For protecting the device temperature detection was designed that the device will stop treatment when the feature board temperature over 80 The device cannot work again unless the temprature below 60 C 16 Press the button to pause treatment you can press it again to restart the treatment d E l For ultrasound plug the ultrasound applicator 34 11 intothe ultrasound con nector connector erapeutic Caution Don t plug or pull out the ultrasound Set up applicator when the device turned on Procedure 2 order to turn on the device please press ON OFF switch to icon which is located on the side of the device When you turn the the device will self check for 10 seconds The default parameters are displayed the last treatment mode 34 ompo Current Solutions Waveform 4 Press B1 waveform button until B indicator display on LCD means the device enter into ultrasound therapeutic mode 5 Press B8 button to toggle Ultrasound Frequency then rotating the parameters control knob to select the frequency 1 MHz or 3MHz 6 Press B8 button again to toggle Ultrasound Duty Factor then rotating the parameters control knob to se
7. ensure proper quality Apply electrodes to the exact site indicated by your physician or therapist before applying electrodes be sure the skin surface over which electrodes are placed is thoroughly cleaned and dried Make sure the electrodes are placed firmly to the skin and make good contact between the skin and the electrodes Place the electrodes over the skin attach them properly firmly and evenly Caution 1 Before applying the self adhesive electrodes it is recommended to wash and degrease the skin and then dry it 2 Do not turn on the device when the electrodes are not positioned on the body 3 Never remove the self adhesive electrodes from the skin while the device is still turns on 4 It is recommended that at minimum 50mm x 50mm self adhering based square electrodes are used at the treatment area are seated completely into the electrodes there are no bare metal of the pins exposed Remove the adhesive Electrodes from the protective backing and apply to the treatment area as prescribed Ensure that the entire electrode surface is in contact with patient skin by pressing into place If used for delivery of electrotherapy there are two conductive mediums for you to select the first one is use electrode sponges as conductive mediums another is use other conductive medium such as Transmission Gel These Rubber Electrodes should be secured to the treatment area using the Nylon Wraps shipped with the Thera
8. ompoCare INSTRUCTION MANUAL CAUTION United States Federal Law restricts this device to sale by or on the order of a physician www currentsolutionsnow com This manual is valid for the ComboCare This user manual is published by Current Solutions LLC Current Solutions LLC reserves the right to improve and amend it at any time without prior notice Amendments may however be published in new editions of this manual All Rights Reserved Rev V1 0 2012 Declaration of conformity Current Solutions declares that the ComboCare complies with following normative documents IEC60601 1 IEC60601 1 2 IEC60601 2 10 ISO 7010 15014971 15 10993 1 1S010993 5 15 10993 10 ompo anc Current Solutions Contents 1 2555 1 000 4 2 SAFETY 1 4 3 INDICATIONS 5 2 10 4 6 11 5 5 13 6 29929210515 7 0 39 8 TROUBLESHOOTING 5 4 4 4 42 40 9 5 65 0 41 M 43 1i DISPOSAL
9. on the control panel For satety using load detection was designed in this device after the output intensity surpass 10 0mA 10 0V If there are no electrodes stuck on patient skin an alarm buzzer sound will appearand the intensity value flashing 14 Press the Q button to stop treatment if any emergency happened Caution For protecting the device temperature detection was designed that the device will stop treatment when the feature board temperature over The device cannot work again unless the temprature below 60 C 15 Press gt 1 button to pause treatment you can press it again to restart the treatment 18 080 1 Quick Set up for Combo Therapeutic Ultrasound and Electrical stimulation Current Solutions 1 In Combo therapeutic mode the Ultrasound probe isthe Negative of channel 2 so you should connect the electrode wire 09 to positive of channel 2 and channel Iwill have no output intensity Caution please note the color of the wires and the color marks on the cable they should be corresponding 2 Plug the cable into the corresponding output connector 42 connector on ComboCare 3 Connect the electrodes to electrode wires 4 Place the electrodes on the patient according to section 6 1 5 For ultrasound plug the ultrasound applicator into the ultrasound connector connector Caution Don t plug or pull out the ultrasound applicator
10. phase and the program displays P In specialist program there are three treatment phases display and the program displays S You can press and hold B2 program button to switch them 6 If you selected specialist program please press the parameters control knob to select treatment phase from 1 to 3 The parameters of each treatment phase can be set according to following methods 8 Press B5 button to toggle Beat H parameter then rotating the parameters control knob 3 to set the parameter from Beat L Hz to 150Hz 1 Hz step 9 Press B6 button to toggle Beat L parameter su OF ON then rotating the parameters control knob 1 1 to set the parameter from 1 Hz to Beat H Hz 1 Hz step 10 Press B7 button to toggle Treat time parameter then rotating the parameters control knob to set the treatment time from 1 min to 60min 1 min step Press B7 button again to toggle Cycle time parameter then rotating the parameters control knob to select the cycle time work time rest time from continuous 5 5 4712 10710 TOZ20 10 30 and 10 50 12 Stick the electrodes on the patient You can use one or two channel as your needs 29 Current Solutions Cant Adjust the output intensity of channel 1 and channel 2 and start electrical treatment that you are using by rotating the Output intensity adjustable knob and on the c
11. pregnant Patients who have cardiac pacemakers should be protected from direct ultrasound exposure over the thorax to protect the lead wires and pacer from such exposure Therapeutic ultrasound should not be applied to the eye Applications of therapeutic intensities of ultrasound should be avoided over the heart Neoplastic tissues or space occupying lesions should not be exposed to ultrasound Current Solutions 2 4 Contraindic ations for Electrical Stimulation 2 5 Warnings for Electrical Stimulation ComBoCare Ultrasound should not be applied to the testes to avoid increases in temperature Areas of thrombophlebitis should not be treated with therapeutic ultrasound due to the increased possibility of clotting or dislodging a thrombus Conditions where this might occur are deep vein thrombosis emboli and severe atherosclerosis Tissues previously treated by deep x ray or other radiation should be exposed to therapeutic ultrasound Ultrasonic treatment over the stellate ganglion the spinal cord laminectomy subcutaneous major nerves and the cranium should be avoided Do treat ischemic tissues in individuals with vascular disease where the blood supply would be unable to follow the increase in metabolic demand and tissue necrosis might result Do not apply therapeutic ultrasound over a healing fracture Ultrasound should not be applied over the epiphyseal areas bone growth centers of the bones
12. the FDA 13 Adjust the output intensity and start electrical treatment that you are using by rotating the output intensity adjustable knob on the control panel Adjust the intensity and start ultrasound treatment that you are using by rotating the ultrasound output intensity adjustable knob 8 on the control panel Press the knob 8 to change the ultrasound unit W or W Couple the applicator to the treatment area Gouplant keeping the entire surface of the applicator in contact with the gel that has been applied to the patient This will ensure an efficient delivery of therapeutic ultrasound to the patient Green LED on either side of the applicator will light when coupling is achieved safety using load detection was designed in this device after the stimulation output intensity surpass 10 0V or the ultrasound intensity over 0 5W If there are no electrodes stuck on patient skin or the applicator 18 inadequate coupling to the patient an alarm buzzer sound will appear the stimulation intensity value and B symbol will flash 20 ompo Current Solutions 17 Press the Q button to stop treatment if any emergency or error happened Caution 1 For protecting the device temperature detection was designed that the device will stop electrical stimulation treatment when the feature board temperature over The device cannot work again unless the temperatur
13. 096 dip in UT for 5 cycles 7096 UT 3096 dip and voltage variations on power supply input lines 61000 4 11 gt 95 UT for 5 seconds Power frequency 50 60 Hz magnetic field IEC 61000 4 8 gt 95 dip 6 kV contact 8 kV air 2 kV for power supply lines 1 kV line 8 to line 8 lt 5 UT gt 95 dip in UT for 0 5 cycle 40 UT 60 UT for 5 cycles 70 UT 30 dip in UT ter 25 cycles lt 5 UT gt 95 dip in UT for 5 seconds Immunity test IEC 60601 Compliance Electromagnetic environment test level level guidance Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 96 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 environment Mains power quality should be that of a typical commercial or hospital environment If the user of the device requires continued operation during power mains interruptions it is needed that the device be powered from an uninterruptible power supply Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE UT is the a c mains voltage prior to application of the test level 45 Current Solutions ompo anc
14. 30 10 50 Treatment time 1 60 minutes 15 25 and 5 Caution This device has been thoroughly tested according to tested and inspected to assure proper performance and operation Cycle time Cycle 10 For a prolonged pause in treatment store the device with the adapter STORAGE in a dry room and protect it against heat sunshine and moisture Store the machine in a cool well ventilated place Never place any heavy objects on the machine 11 Please dispose of the device in accordance with the directive DISPOSAL 2002 96 WEEE Waste Electrical and Electronic Equipment Contact your local distributor for information S regarding disposal of the unit and accessories 43 Current Solutions 12 EMC TABLE 44 ComBoCare 1 The device needs special precautions regarding electromagnetic compatibility EMC and needs to be installed and put into service according to the EMC information supplied in this manual 2 Care must be taken when operating this device adjacent to or stacked with other equipment Potential electromagnetic or other interference could occur to this or other equipment Try to minimize this interference by not using other equipment in conjunction with it 3 The performance of the device was determined to be essential performance This device has been thoroughly tested according to tested and inspected to assure proper performance and operation Guidance and manufacturer s declaration electrom
15. agnetic emissions The ComboCare device is intended for use in the electromagnetic environment specified below The customer or the user of the ComboCare should assures that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions CISPR 11 RF emissions Harmonic emissions IEC Class A 61000 3 2 Voltage fluctuations flicker Applicable emissions 61000 3 3 The ComboCare device uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment The ComboCare device is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Current Solutions Guidance and manufacturer s declaration electromagnetic immunity ComboCare device is intended for use in the electromagnetic environment specified below The customer or the user of the ComboCare should assure that it is used in such an environment Electrostatic discharge ESD 61000 4 2 6 contact 8 kV air Electrical 2 kV for fast transient power burst IEC supply 61000 4 4 lines 1 kV line s to line s Voltage dips 596 UT short interruptions in UT for 0 5 cycle 4096 UT 6
16. arts B The following is excluded under the warranty All damage which has arisen due to improper treatment e g nonobservance of the user instruction All damage which is due to repairs or tampering by the customer or unauthorized third parities Damage which has arisen during transport from the manufacturer to the consumer or during transport to the service centre Accessories which are subject to normal wear and tear 48 Current Solutions Liability for direct or indirect consequential losses caused by the unit is excluded even if the damage to the unit is accepted as a warranty claim 14 O SYMBOLS IPX7 ON OFF Switch Power polarity Type BF Applied Part Refer to Instruction Manual Disposal in accordance with Directive 2002 96 EC Equipment capable of delivering output values in excess of 10 mA r m s r m s averaged over any period of 5s Stop treatment Start Pause the treatment Protected against the effects of immersion for the whole ultrasound treatment head Serial Number 49 CURRENT SOLUTIONS Manufactured for Current Solutions LLC 3814 Woodbury Drive Austin IX 78704 Ph 800 871 7858 www currentsolutionsnow com
17. be helpful to improve repeated application by spreading a few drops of cold water over the adhesive and turn the surface up to air dry Over Saturation with water will reduce the adhesive properties Between uses store the electrodes in the reusable bag in a cool dry place AN Caution The electrodes are intended for single patient use only e If irritation occurs discontinue use and consult your clinician e Always use the electrodes with CE mark or are legally marketed in the US under 510 K procedure 7 3 Periodically wipe the lead wires clean with a cloth dampened in a mild soap Cleaning the solution and then gently wipe them dry Use of rubbing alcohol on the lead lead wires wires will damage the insulation and dramatically shorten their life and cables 7 4 Maintenance and all repairs should only be carried out by an authorized Maintenance Current Solutions agency The manufacturer will not be held responsible for the results of maintenance or repairs by unauthorized persons Opening of the equipment by unauthorized agencies is not allowed and will terminate any claim to warranty 39 Current Solutions ompo anc 8 TROUBLESHOOTING For optimal Replace lead wires annually Use e Pleose follow the directions on the electrode packaging for the care of electrodes The life of the electrodes varies depending on skin conditions skin preparation storage and climate Replace electrodes that no longer sti
18. c or Combo therapeutic Toggle the therapeutic program select the output mode or switch program types Common or professional Toggle the parameter F M Vector Burst Toggle the parameter Freq C F Toggle the parameter Duty Beat H A M Toggle the parameter Beat Dur Toggle the parameter Treat Cycle Ramp Toggle the parameter Freaq Duty for ultrasound B2 Current Solutions 4 2 User Interface Symbols CC Constant current output mode e CV Constant voltage output mode Frequency Modulation Burst Burst Frequency Freq Frequency C F Carrier Frequency e Duty Duty Cycle for Russian waveform for B5 button Beat H Sweep High Beat Frequency A M Amplitude Modulation Beat L Sweep Low Beat Frequency e PDur Pulse Duration Treat Treatment time Cycle Cycle time e Ramp Ramp time e Duty Duty Cycle for Ultrasound for B8 button Freaq Frequency for ultrasound 8 Ultrasound output intensity control knob 9 Adapter receptacle 10 ON OFF switch 11 Output connector connect with ultrasound applicator 12 Output connector connect with electrical stimulation cable gt gt IF 4P IF 2P Russian 07 TENS EMS Jame EN 17 Gina 7 Duty Current Solutions Symbol defini
19. ck NOTE If the following measures fail to alleviate the problem please call the authorized agency or your supplier Problem Possible Cause Solution Ensure adapter is connect Check the following Displays fail to Adapter contact contacts light up failure All contacts are in place e All contacts are not broken Ensure that adapter is connected Electrodes 1 Dried out or 1 Replace contaminated 2 Electrodes must be a 2 Placement minimum of 2 inches apart Stimulation weak Lead wires Old worn damaged Replace Poor electrode contact Reapply electrodes secure firmly Damaged or worn Replace electrodes or lead wires Stimulation is Intensity is too high Decrease intensity uncomfortable Electrodes are too Reposition the electrodes close together Electrodes must be a minimum of 2 inches apart Damaged or worn Replace electrodes or lead wires Electrode active area Replace electrodes with ones size is too small that have an active area no less than 25 0cm Ts Improper electrode Reposition electrode mefeche Unknown pi pe Restart the device if the problem or EZ dan Hardware problem is still exist please contact the displays on LCD 22 manufacturer or distributor Stimulation stops 40 anc Current Solutions displays lemperature sensor The device will stop treatment LCD failure automatically please wa
20. e been removed Overanesthetic areas On patients with hemorrhagic diatheses Ultrasound should be routinely checked before each use to determine that all controls function normally especially that the intensity control does properly adjust the intensity of the ultrasonic power output in stable manner Also determine that the treatment time control does actually terminate ultrasonic power output when the timer reaches zero The Ultrasound Applicator with care Inappropriate handling of use the Ultrasound applicator may adversely affect its characteristics Before each use inspect the Ultrasound Applicator for cracks which may allow the ingress of conductive fluid The ultrasound therapy controls unit is not designed to prevent the ingress of water or liquids Ingress of water of liquids could cause malfunction of internal components of system and therefore create risk of injury to the patient Federal law USA restricts this device to sale by or on the order of a physician The long term effects of chronic electrical stimulation are unknown Electrical stimulation devices have no curative value Electrical stimulation is not a substitute for pain medications and other pain management therapies Effectiveness is highly dependent upon patient selection by a practitioner qualified in the management of pain patients The safety of electrical stimulation during pregnancy has not been established Some patients may experience skin irrita
21. e below 60 C 2 For protecting patient the device will stop ultrasound intensity output and the LED on the applicator will flash if the applicator temperature over 42 C It will resume again when the temperature below 41 18 Press the gt button to pause treatment you can press it again to restart the treatment 6 4 Each therapeutic waveform has 10 programs you can set and save the The default parameters of all programs the details about default parameters parameters please refer to below 0145 parameters 1 45 4 0kt IF 4P 45 4 100Hz 7 7 7 sore oon ruso 5 soe sore itso ss sor 55 sors oni r ec o ive so as xou oss renes Onin CC 0 45 4 0kHz 110Hz 100Hz 1MHz 50 Omin EE A o o 2 o 3 fea Current Solutions ompo Premodulated Traditional 2 Pole default parameters 22 afec o 4s Ef 45 sou rs sos 721619145455 505 rs 45 sou nore rares missos FEES rns eee p
22. ensity surpass 10 0mA 10 0V If there are no electrodes stuck on patient skin an alarm buzzer sound will appear and the intensity value flashing 15 Press the Q button to stop treatment if any emergency happened Caution For protecting the device temperature detection was designed that the device will stop treatment when the feature board temperature over 80 The device cannot work again unless the temprature below 60 C 16 Press the button to pause treatment you can press it again to restart the treatment 6 5 2 inter tial 1 In order to turn on the device please press bd ooo a ON OFF switch to icon which is located on Traditional the side of the device 2 Pole Set up When you turn the ComboCare on the Procedure device will self check for 10 seconds and then the default parameters are displayed Press B1 Waveform button to toggle electrical stimulation mode T then rotating the parameters control knob to select waveform untill IF 2P displays on LCD Press B2 Program button to toggle the therapeutic program and then rotating the parameters control knob to select the therapeutic programs you can set and save the parameters press stop button to save the parameters 28 ompo anc Current Solutions 5 There are two types program for you to select Common program or specialist program Common program has only one treatment
23. ese guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radi cellular cordless telephones and land mobile radios amateur radio AM and 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 in the location in which the ComboCare device is used exceeds the applicable RF compliance level above should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the ComboCare device b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m Recommended distances between portable and mobile RF communications equipment and the ComboCare device The ComboCare device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the ComboCare device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the ComboCare as recommended below according to the maximum output power of the communications equ
24. fication Myositis Soft tissue injuries Shortened tendons due to past injuries and scar tissues Relief of sub chronic chronic pain and joint contractures resulting from Capsular tightness Capsular scarring For TENS Interferential and premodulated IFC 2 di 4 Symptomatic relief of chronic intractable pain Reduction of inflammation Post traumatic acute pain and edemo Post surgical acute pain and edema Additionally for EMS and Russian Relaxation of Muscle spasms edema reduction Prevention of disuse atrophy Increasing local blood circulation Muscle re education Maintaining or increasing range of motion Immediate postsurgical stimulation of calf muscles to prevent venous thrombosis ComBoCare 4 PRESENTATION 4 1 Panel For front view Current Solutions IF 4P IF 2P Russian aaay TENS EMS u 988 DEB S ED BBB BOB 1 88 8888 BB ComBoCare 1 Select channel 1 or adjust the output intensity of channel 1 2 Select channel 2 or adjust the output intensity of channel 2 3 Parameters control knob and pause button 4 Stop treatment button 5 Power indicator 6 LCD display Shows the current information of the device 7 Eight parameters selection buttons see below for details B1 Toggle the therapeutic mode Electrical stimulation Ultrasound therapeuti
25. ge Vedar Auto 0 100 Manual 0 90 Carrier Frequency 4 0kHz Sweep Low Beat Frequency Beat Beat L 150 Hz H Sweep High Beat Frequency 1 Beat H Hz Beat L 0 100 mA CC at 1k ohm load 0 100 V CV at 1k ohm load Treatment time 160 minutes iti Bi oh Traditional Wavetorm Type Bi phasic square 00000000 phasic square 2 Pole Mode Select CC Constant Current or Mode CV Constant Voltage Carrier Frequency 2 5kHz Sweep Low Beat Frequency Beat H Beat L 150 Hz Output Intensity Sweep High Beat Frequency Bedi l Beat L 0 100 mA CC at 1k ohm load 0 100 V CY at 1k ohm load Treatment time 1 60 minutes Continuous 5 5 4 12 10 10 10 20 10 30 10 50 Output Intensity Cycle time cycle 42 ompo anc Current Solutions TENS and EMS Mode Mode Select CC Constant Current or CV Constant Voltage 1 250 Fe Frequency Modulation 0 249Hz ion Burst rate Burst 0 1 7 pulse Phase duration PDur 30 400us Amplitude Modulation A M 096 10096 0 100 mA CC at 1k ohm load i 0 100 V CV at 1k ohm load Continuous 4 4 4 8 7 7 5 5 4 12 10 10 10 20 10 30 10 50 Treatment time 1 60 minutes Russian Mode CC Constant Current or CV 2 0 100 mA at 1k ohm load 0 100 V CY at 1k ohm load 10 20 30 40 and 50 Cycle time Continuous 5 5 4 12 10 10 10 20 10
26. h current density do not use electrodes smaller in surface area than 25cm self adhesive electrode Caution Keep electrodes separated during treatment Electrodes in contact with each other could result in improper stimulation or skin burns Output current density is related to electrode size Improper application may result in patient injury If any question arises as to the proper electrode size consult a licensed practitioner prior to therapy session Powered muscle stimulators should be used only with the leads and electrodes recommended by the manvfacturer This device is supplied with 4 pieces 50mm 50mm and 4 pieces 50mm x 100mm adhesive electrodes You can select the right adhesive electrodes according to treatment area and output current density It is recommended that manufacturer s Electrodes be used whenever possible to ensure the highest level of contact with the treatment area and most uniform delivery of the prescribed electrotherapy treatment Properly dispose of used Electrodes upon completion of the therapy session 15 Current Solutions Electrode Instructions Connecting Lead Wires Securing Electrodes 6 1 4 Rubber electrodes Reusable rubber Electrodes Connecting Lead Wires 16 ComBoCare If you are unsure of your electrode adhesive properties order new replacement electrodes Replacement electrodes should be re ordered through or on the advice of your physician to
27. he parameters 30 Current Solutions 5 There are two types program for you to select Common program or specialist program Common program has only one treatment phase and the program displays P In specialist program there are three treatment phases display and the program displays S like figure You can press and hold B2 program button to switch them 6 f you selected specialist program please press the parameters control knob to select treatment phase from 1 to 3 The parameters of each treatment phase can be set according to following methods 7 Press B2 Program button to select CC or CV control mode 8 Press B3 button to toggle F M parameter then rotating the parameters control knob to set the parameter from OHz to 249 Hz 1 Hz step But 250Hz 9 Press B3 button again to toggle Burst rate then rotating the parameters control knob to set the Burst rate from OHz to 10Hz 1Hz step But Burstx 8 lt Freq 10 Press B4 button to toggle Freq parameter then rotating the parameters control knob to set the frequency from 1 Hz t0250Hz 1 Hz step But Freq ZBurstx 8 and Freq 250 F M Press B5 button to toggle A M parameter then rotating the parameters control knob to set the parameter from 096 to 10096 20 step 0 means the output intensity always in setting value 100 means the output inten
28. ipment 47 Current Solutions Cant Separation distance according to frequency of Rated maximum transmitterm output power 150 kHz to 80 MHz to 800 MHz to of transmitter 80 MHZ 800 MHZ 2 5 GHz d 1 2 P d 1 2 P d 2 3 P 23 333 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 accordable to the transmitter manufacturer NOTE At 80 MHz and 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 13 Please contact your dealer or the device centre in case of a claim under WARRANTY the warranty If you have to send in the device enclose a copy of your receipt and state what the defect is A The following warranty terms apply The warranty period for ComboCare products is 2 years from date of purchase In case of a warranty claim the date of purchase has to be proven by means of the sales receipt or invoice e Defects in material or workmanship will be removed free of change with in the warranty period Repairs under warranty do not extend the warranty period either for the device or for the replacement p
29. it E4 displays Detected the device over several minutes before using LCD limitative temperature 999 E5 displays on Memorizer failure is 2 the ie if the Bm LCD detected is stil exist please contact the manufacturer or distributor 9 SPECIFICATIONS 9 1 General Adapter supply voltage 100V 240V 47Hz 63Hz 1 35A Specificati 15V Max ns Adapter Dimensions 143mm L 73mm W 40mm H Dimensions 250mm L 185mm L 82mm H Operating Environmental Temperature 1 0 C 50 F to 40 C 104 F Relative humidity 3096 8596 Storage Environmental Temperature 20 C 4 F to 55 C 131 F Relative humidity 20 90 60 minutes electrical stimulation Classification of protection Class medical equipment Clssficetien ef cpoled m Frequency Freq 1 10 3MHz 1096 Generator 0 0 1 0 Specifications Duty factor Duty 10 100 Stepping 10 Pulse Repetition Rate 100 2 Output power 0 5W 10 0W when duty factorz 80 for 5cm 0 5W 15 0W when duty factors 70 for 0 1W 2 0W when duty factor2 80 for 1cm 0 1W 3 0W when duty factors 70 for 1cm Effective radiating 1 Ocm Optional 5 Effective intensity Max 3 OW cm Indication accuracy 20 n any level above 1096 of maximum Current Solutions Cant 9 3 Waveform Specifications Traditional Node E CC Constant Current or 4 Pole CV Constant Volta
30. l flash if the applicator temperature over 42 It will resume again when the temperature below 41 C 21 Press the button to pause treatment you can press it again to restart the treatment Restore Factory Defaults If you want to restore factory parameter settings please press and hold and 2 knobs at the same time and then turn on the device by pressing ON OFF switch keep pressing and 2 knobs and the device will keep pealing until all parameters restore factory settings 38 7 MAINTENANCE 7 1 Switch off the device and disconnect it from the power supply apparatus Cleaning of be cleaned with a damp cloth Use lukewarm water and a non abrasive the device liquid household cleaner no abrasive no alcohol content solution If a more sterile cleaning is needed use a cloth moistened with an antimicrobial cleaner AN Caution Do not submerse the apparatus in liquids Should the unit accidentally become submersed contact the dealer or Authorized Service center immediately Do not attempt to use a system that has been wet inside until inspected and tested by a Service Technician Certified by Authorized Service center Do not allow liquids to enter the ventilation holes 7 2 Apply the protective backing to the tacky side of the electrode Place the Cleaning the electrode on the side of the protective backing that is labeled with the word on electrodes t may
31. le knob on the control panel 17 Adjust the intensity and start ultrasound treatment that you are using by rotating the ultrasound output intensity adjustable knob 8 on the control panel Press the knob 8 to change the ultrasound unit W or W cm Current Solutions Ultrasound Couplant ComBoCare 18 Couple the applicator to the treatment area by keeping the entire surface of the applicator in contact with the gel that has been applied to the patient This will ensure an efficient delivery of therapeutic ultrasound to the patient Green LED on either side of the applicator will light when coupling is achieved safety using load detection was designed in this device after the stimulation output intensity surpass 10 0V or the ultrasound intensity over 0 5W If there are no electrodes stuck on patient skin or the applicator 18 inadequate coupling to the patient an alarm buzzer sound will appear the stimulation intensity value and B symbol will flash 20 Press the button to stop treatment if any emergency or error happened Caution 1 For protecting the device temperature detection was designed that the device will stop electrical stimulation treatment when the feature board temperature over device cannot work again unless the temperature below 60 C 2 For protecting patient the device will stop ultrasound intensity output and the LED on the applicator wil
32. lf check about 10 seconds and then the default parameters are displayed the last treatment mode E3 E Current Solutions ComBoCare 7 This device has three working mode electrical T stimulation ultrasound and combo therapeutic you can press 1 waveform button to select electrical stimulation mode 8 There are 5 therapeutic wavetorms for you to a select Rotating the Parameters control knob select waveform like Interferential TENS Russian and EMS after you selected electrical stimulation therapeutic mode Each therapeutic waveform has 10 programs The details parameters for each program Program please refer to section 6 3 in this manual Press the B2 program button to toggle the therapeutic program and then rotating the Parameters control knob to select the therapeutic programs in corresponding wavetorm 10 There are two types program for you to select Common program or specialist program Common program has only one treatment phase and the program displays P In specialist program there are three treatment phases display and the program displays S like figure You can press and hold B2 program button to switch them 11 Press B2 program button to select CC or CV control mode 1 12 Adjust the output intensity and start electrical treatment that you are using by rotating the output intensity adjustable knob
33. lowing the application of electrical stimulation near the eyes and to the head and face and Patients should stop using the device and should consult with their physicians if they experience adverse reactions from the device If movement of the applicator is too slow the patient may feel periosteal pain characterized by a deep ache or pain If motion is too fast or if the applicator does not maintain good contact with the skin the therapeutic effect of the sound waves will be reduced and the applicator may overheat Some patients are more sensitive to ultrasound output and may Susceptibility experience a reaction similar to a heat rash Be sure to inspect the Coupling treatment area during and following treatment and discontinue if an adverse reaction does occur Coupling is described as contact between the applicator and the treatment site and may be accomplished through the use of a coupling agent such as gel lotion Anything used as a coupling agent must be highly conductive Air is a very poor conductor of ultrasonic waves Current Solutions 3 INDICATIONS FOR USE 10 ComBoCare Therapeutic Ultrasound Application of therapeutic deep heat for the treatment of selection sub chronic and chronic medical conditions such as Pain relief muscle spasms and joint contractures Relief of pain muscle spasms and joint contractures that may be associated with Adhesive capsulitis Bursitis with slight calci
34. m please press the parameters control knob to select treatment phase from 1 to The parameters of each treatment phase can be set according to following methods 8 Press B4 button to toggle Freq parameter then rotating the parameters control knob to set the frequency from 20Hz to100Hz 5Hz step 9 Press B5 button to toggle Duty parameter then rotating the parameters control knob to set the parameter from 1096 to 5096 1096 step 10 Press B7 button to toggle Treat time parameter then rotating the parameters control knob to set the treatment time from 1 min to 60min 1 min step Press B7 button again to toggle Cycle time parameter then rotating the parameters control knob to select the cycle time work time rest time from continuous 5 5 4 12 10 10 10 20 10 30 33 Current Solutions Cant Press B7 button again to toggle Ramp time parameter then rotating the parameters control knob to select the ramp time from 14 2s and 5s Stick the electrodes on the patient You can use one or two channel as your needs Adjust the output intensity of channel 1 and channel 2 and start electrical treatment that you are using by rotating the Output intensity adjustable knob and on the control panel For safety using load detection was designed in this device after the output intensity surpass 10 0mA 10 0V If there are no
35. m please press the parameters control knob to select treatment phase from 1 to 3 The parameters of each treatment phase can be set according to following methods 8 Press B3 button to toggle Vector parameter then rotating the parameters control knob 3 to set the vector manual parameter from O to 90 15 step 9 Press B3 button again the vector parameter change to auto mode the LCD display 0 like left figure rotating the parameters control knob to set the vector auto parameter from 0 to 100 20 step 10 Press B5 button to toggle Beat H parameter then rotating the parameters control knob to set the parameter from Beat L Hz to 150Hz 1Hz step Press B6 button to toggle Beat L parameter then rotating the adjust parameters contorl knob to set the parameter from 1 Hz to Beat H Hz 1 Hz step Press B7 button to toggle Treat time parameter then rotating the parameters control knob to set the treatment time from 1 min to 60min 1 min step Stick the electrodes on the patient You will need two electrodes for each channel four in total 27 Current Solutions ompo Cant Adjust the output intensity of channel 1 and channel 2 and start electrical treatment that you are using by rotating the Output intensity adjustable knob and on the control panel For safety using load detection was designed in this device after the output int
36. ns the device enter into Combo therapeutic mode 9 There 4 therapeutic waveforms can be used for combo therapeutic Rotating the Parameters control knob to select waveform like Premodulated TENS EMS and Russian 10 Each therapeutic waveform has 10 programs The details parameters for each program please Program refer to section 6 4 in this manual Press the B2 program button to toggle the therapeutic program and then rotating the Parameters control knob to select the therapeutic programs in corresponding waveform Press B8 button to toggle Ultrasound Frequency then rotating the parameters control knob to select the frequency 1MHz or 3MHz Press B8 button again to toggle Ultrasound Duty Factor then rotating the parameters control knob to set the duty factor from 10 to 100 10 step Setting electrical 13 Setting the electrical stimulation parameters stimulation please referto section 6 5 2 6 5 4 in this parameters manual 1 4 Press B7 button to toggle Treat time parameter then rotating the parameters 20 LIULI control knob to set the treatment time from 1 min to 30min 1 min step 15 Apply a layer of transmission gel to the treatment area Please note Please purchase the transmission gel that is cleared by the FDA 16 Adjust the output intensity and start electrical treatment that you are using by rotating the output intensity adjustab
37. of growing children Do not use this device on patients who have a cardiac pacemaker implanted defibrillator or other implanted metallic or electronic device because this may cause electric shock burns electrical interference or death Do not use this device on patients whose pain syndromes are undiagnosed Do not apply stimulation over the patient s neck because this could cause severe muscle spasms resulting in closure of the airway difficulty in breathing or adverse effects on heart rhythm or blood pressure Do not apply stimulation across the patient s chest because the introduction of electrical current into the chest may cause rhythm disturbances to the patient s heart which could be lethal Do not apply stimulation over open wounds or rashes or over swollen red infected or inflamed areas or skin eruptions e g phlebitis thrombophlebitis varicose veins Do not apply stimulation over or in proximity to cancerous lesions Do not apply stimulation in the presence of electronic monitoring equipment e g cardiac monitors ECG alarms which may not operate properly when the electrical stimulation device is in use Do not apply stimulation when the patient is in the bath or shower Do not apply stimulation while the patient is sleeping and Do not apply stimulation while the patient is driving operating machinery or during any activity in which electrical stimulation can put the patient at risk of injury ComBoCare
38. ontrol panel For safety using load detection was designed in this device after the output intensity surpass 10 0mA 10 0V If there are no electrodes stuck on patient skin an alarm buzzer sound will appear and the intensity value flashing 14 Press the button to stop treatment if any emergency happened Caution For protecting the device temperature detection was designed that the device will stop treatment when the feature board temperature over 80 The device cannot work again unless the temprature below 60 C 15 Press the pil button to pause treatment you can press it again to restart the treatment d EMS In order to turn on the device please press ON OFF switch to 0 icon which is located Stimulation on the side of the device Set up Procedure 7 When you turn the ComboCare on the device will self check for 10 seconds The default parameters are displayed the last treatment mode Press B1 Waveform button to toggle electrical stimulation mode Y then rotating the parameters control knob to select TENS or EMS mode In TENS mode the symbol TENS will display on LCD in EMS mode the symbol EMS will display on LCD Press B2 Program button to toggle the therapeutic program and then rotating the parameters control knob to select the therapeutic programs you can set and save the parameters press stop button to save t
39. ow the operating instructions prescribed by your healthcare practitioner e DO operate this unit in an environment where other devices are being used that intentionally radiates electromagnetic energy in an unshielded manner DO NOT use sharp objects such as a pencil point or ballpoint pen to operate the buttons on the control panel Inspect Applicator cables and associated connectors before each use This device should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary this machine should be observed to verify normal operation in the configuration in which it will be used This device needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the manual ComBoCare 2 2 Warning 2 3 Contraindi cations for Therapeutic Ultrasound Current Solutions Portable and mobile RF communications equipment can affect this device Do not use a mobile phone or other device that emit electromagnetic fields near the unit This may result in incorrect operation of the device This device has been thoroughly tested and inspected to assure proper performance and operation U S A Federal Law restricts these devices to sale by or on the order of a physician or licensed practitioner This device should be used only under the continued supervision of a physician or licensed practitioner Make ce
40. py System Insert the lead with the Red electrode connector into one rubber electrode Insert the lead with the Black electrode connector into the other rubber electrode Make certain the lead wires are seated completely into the electrodes ompo Cant Current Solutions Conductive Medium 1 Inserted the Rubber Electrodes into the electrode sponges moistened with distilled water prior to placement on the patient Conductive Liberally apply Transmission Gel to electrode Medium 2 prior to placement on patient Please note Please purchase the Transmission gel with CE mark or that is cleared by the FDA Securing Electrodes Use Nylon Wrap to secure each rubber electrode in position on the patient 6 2 1 Connect the electrode wires to the cable Quick Set up please note the color of the wires and the color for Electrical marks onthe cable they should be Stimulation corresponding 2 ComboCare has two connectors one is electrical stimulation connector the other is ultrasound connector In this step please plug the electrical stimulation cable into electrical stimulation connector connectors 3 Connect the electrodes to electrode wires 4 Place the electrodes on the patient according to section 6 1 In order to turn on the device please press ON OFF switch to icon which is located on the side of the device When you turn the ComboCare on the device will get down to se
41. rating label match with the available power supply The power adapter is a part of the supply circuit on which the device s safety partly depends The approvals for ComboCare are only valid if used in combination with this type of adapter Switch on the device using ON OFF switch 00 e Switch off the device by switching the ON OFF switch from to position e Pull out the power adapter from the wall socket e Pull out the power adapter from device r ComBoCare 6 OPERATION 6 1 Measures with regard to treatments 6 1 1 Current Solutions Ensure there are no contraindications to treatment Electrotherapy 9 Inspect the treatment area skin seriously for any abrasions Before the treatment 6 1 2 Electrode Placement 6 1 3 Adhesive electrodes inflammation surface veins etc Clean the skin of the treatment area with soap or alcohol 7090 e f the skin is hairy shaving can get optimal treatment Test the heat sensibility of the treatment area Examine the skin for any wounds and clean the skin Apply the electrodes to the treatment area Ensure that the electrodes are applied securely to the skin Ensure good contact between each electrode and the skin Check the electrode contact regularly during the treatment Examine the skin again after the treatment Choose electrodes that fit the anatomy Follow electrode manufacturer s instructions To avoid skin irritation due to hig
42. reatment you can press it again to restart the treatment ComboCare has both electrical stimulation and ultrasound function 6 7 The procedure of Combo therapeutic please refers to below Combination 1 In Combo therapeutic mode Ultrasound probe Therapy as the Negative of channel 2 so you should Ultrasound y connect the electrode wire 09 wire and Electrical 5 for ultrasound combination to positive of stimulation channel 2 And channel 1 have no output Set up intensity Procedure Caution please note the color of the wires and the color marks on the cable they should be corresponding the cable into the corresponding output connector 0 connector ComboCare 3 Connect the electrodes to electrode wires 4 Place the electrodes on the patient according to section 6 1 5 For ultrasound plug the ultrasound applicator into the ultrasound 0 connector Caution Don t plug or pull out the ultrasound applicator when the device turned on LA 6 In order to turn on the device please press ON OFF switch to icon which is located on the side of the device 0 107 7 When you first turn the ComboCare on the default parameters are displayed the last um sent j treatment mode 36 ompo anc Current Solutions 87 8 Press B1 waveform button until OY indicator 0 display on LCD mea
43. rtain the unit is electrically grounded by connecting only toa grounded electrical service receptacle conforming to the applicable national and local electrical codes Care must be taken when operating this equipment around other equipment Potential electromagnetic or other interference could occur to this or to the other equipment Try to minimize this interference by not using other equipment in conjunction with it Before administering any treatment to a patient you should become acquainted with the operating procedures for each mode of treatment available as well as the indications contraindications warnings and precautions Consult other resources for additional information regarding the application of electrotherapy and Ultrasound To prevent electrical shock disconnect the unit from the power source before attempting any maintenance procedures The use of accessories transducers and cables than those specified with the exception of transducers and cables sold by the manufacturer as replacement parts for internal components may result in increased emissions or decreased immunity of the device This device is not designed to be use in an MRI Environment and should be removed prior to MRI exposure Therapeutic ultrasound should not be applied over the pregnant or potentially pregnant uterus Therefore therapeutic ultrasound should not be applied over the uterus unless specific assurance can be attained from the patient that she is not
44. should not be applied in areas of reduced sensation or circulation Patients having reduced sensation will not be able to notify the practitioner of discomfort if ultrasound intensities are too high Patients with compromised circulation may have an excessive heat buildup in the treatment area Ifa patient complains of periosteal pain deep achy pain during ultrasonic treatment intensity should be reduced to a comfortable level Any bleeding tendency is increased by heating because of the increase in blood flow and vascularity of the heated tissues Care therefore should be used in treating patients with therapeutic ultrasound who have hemorrhagic diatheses or bleeding disorders Moving technique of the applicator should be used when applying therapeutic ultrasound at intensities greater than 0 5 W cm to assure even exposure of tissues to ultrasound Heating of the joint capsule in acute or subacute arthritis should be avoided This device should not be used for symptomatic local pain relief unless etiology is established or unless a pain syndrome has been diagnosed This device should not be used when cancerous lesions are present in the treatment area Current Solutions 2 7 Precautions for Electrical Stimulation ComBoCare Additional precautions should be used when ultrasound is used on patients with the following conditions Over an area of the spinal cord following e Laminectomy i e when major covering tissues hav
45. sity changes form to setting value Press button to toggle P Dur parameter then rotating the parameters control knob to set the pulse duration from to 400us Press B7 button to toggle Treat time parameter then rotating the parameters control knob to set the treatment time from 1 min to 60min 1 min step 31 Current Solutions ompo anc 14 Press B7 button again to toggle Cycle time parameter then rotating the parameters control knob to select the cycle time work time rest time from continuous 4 4 10720 10730 and 10 50 Stick the electrodes on the patient You can use one or two channel as your needs Adjust the output intensity of channel 1 and channel 2 and start electrical treatment that you are using by rotating the Output intensity adjustable knob and on control panel For safety using load detection was designed in this device after the output intensity surpass 10 0mA 10 0V In TENS and EMS mode load detection is active when the output intensity over 20 20 if the pulse width less than 100us If there are no electrodes stuck on patient skin an alarm buzzer sound will appear and the intensity value flashing 17 Press the Q button to stop treatment if any emergency happened Caution For protecting the device temperature detection was designed that the device will
46. stop treatment when the feature board temperature over 80 The device cannot work again unless the temprature below 60 C 18 Press the 1 button to pause treatment you can press it again to restart the treatment 6 5 4 1 4 In order to turn on the device please press Stimulati ON OFF switch to icon which is located m on the side of the device Procedure 2 When you turn the ComboCare on the device will self check for 10 seconds The 5a default parameters are displayed the last 7007 treatment mode 32 ompo anc Current Solutions 3 Press B1 Waveform button to toggle electrical stimulation mode Y then rotating the parameters control knob to select waveform untill Russian displays on LCD 4 Press B2 Program button to toggle the therapeutic program and then rotating the parameters control knob to select the therapeutic programs you can set and save the parameters press stop button to save the parameters 5 There are two types program for you to select Common program or specialist program Common program has only one treatment phase and the program displays P In specialist program there are three treatment phases display and the program displays 5 like figure You can press and hold B2 program button to switch them 6 f you selected specialist progra
47. t the duty factor from 1096 to 10096 1096 step 7 Press B7 button to toggle Treat time parameter then rotating the parameters control knob to set the treatment time from 1 min to 30min 1 min step 8 Apply a layer of transmission gel to the treatment area Please note Please purchase the transmission gel that is cleared by the FDA 9 Adjust the intensity and start ultrasound treatment that you are using by rotating the output intensity adjustable knob 8 on the control panel Press the knob 8 to change the ultrasound unit W or W cm Ultrasound 10 Couple the applicator to the treatment area by keeping the entire surface of the applicator in contact with the gel that has been applied to the patient This will ensure an efficient delivery of therapeutic ultrasound to the patient Green LED on either side of the applicator will light when coupling is achieved For safety using load detection was designed in this device If the applicator is inadequate coupling to the patient and the ultrasound output over 0 5W B symbol will flash 12 Press the Q button to stop treatment if any emergency happened Caution For protecting patient the device will stop ultrasound intensity output and the LED on the applicator will flash if the applicator temperature over 42 It will resume again when the temperature below 41 do Current Solutions ompo Cant 13 Press the gt button to pause t
48. tion or hypersensitivity due to the electrical stimulation or electrical conductive medium gel Patients with suspected or diagnosed heart disease should follow precautions recommended by their physicians Patients with suspected or diagnosed epilepsy should follow precautions recommended by their physicians Use caution when the patient has a tendency to bleed internally such as following an injury or fracture Use caution following recent surgical procedures when stimulation may disrupt the patient s healing process Use caution if stimulation is applied over the menstruating or pregnant uterus Use caution if stimulation is applied over areas of skin that lack normal sensation ComBoCare 2 8 Adverse reaction Applicator Movement Patient Current Solutions Use this device only under the continued supervision of a licensed practitioner Electrical stimulation is ineffective for pain of central origin Use extreme caution when treating desensitized areas or on patients who may not be able to report discomfort or pain Patients should not be left unattended during any treatment Keep this device out of the reach of children Skin irritation inflammation and electrode burns beneath the electrodes are potential adverse reactions Perform the following procedures to avoid the negative effects of ultrasound therapy Patients may experience headache and other painful sensations during or fol
49. tions Symbol definitions IFC Interferential IFC Premodulated IF 4P Traditional 4 Pole IF 2P Traditional 2 Pole Electrical Stimulation Electrical output channel Ultrasound indicator Combination therapy Ultrasound output Th ti I program A T Constant current control H Parameter G Time indicator CV Constant Voltage control 5 INSTALLATION 5 1 Remove the equipment and accessories from shipping carton Before Use giftbox Visually check if there is any damage or missing parts or accessories If yes please report to local dealer or retailer where you purchase this unit Your ComboCare equipment contains the following accessories 9 2 Current Solutions ompo anc 5 2 Connection of the power adapter 5 3 Switching 5 4 Switching off and disconnect power adapte 14 LH Electrodes 50x100mm 4pcs a 500mm 9 electrode wires Electrode wire for ultrasound combination 214 5cm Aci ultrasound applicator lcm ultrasound applicator Optional e Connect the power cord to the power adapter Connect the power adapter to the device connector Connect the power adapter to a wall socket Caution Priorto connecting this apparatus to the power supply check that the voltage and frequency stated on the
50. when the device turned on 6 In orderto turn on the device please press ON OFF switch to icon which is located on the side of the device pO 45h 7 When you first turn the ComboCare on the default parameters are displayed the last treatment mode 8 Press Waveform button until OY indicator display on LCD means the device enter into Combo therapeutic mode 9 There are 4 therapeutic waveforms can be used for combo therapeutic Rotating the Parameters control knob to select waveform like Premodulated TENS Russian and EMS 19 Current Solutions Cant 10 Each therapeutic waveform has 10 programs The details parameters for each program please refer to section 6 4 in this manual Press the B2 Program button to toggle the therape utic program and then rotating the Parameters control knob to select the therapeutic programs in corresponding waveform Program 11 There are two types program for you to select Common program or specialist program Common program has only one treatment phase and the program displays P In specialist program there are three treatment phases display and the program displays S like figure You can press and hold B2 program button to switch them 12 Apply a layer of transmission gel to the treatment area Please note Please purchase the transmission gel that is cleared by
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