Below you will find brief information for Pulse Wave Generator OrthoPulse. This is a compressed air–operated ballistic pulse wave generator that is used to treat and relieve minor muscle aches and pains, trigger points, tendon and/or tendon insertion pain. The device has a handpiece that is connected to the control unit, which allows you to adjust the frequency and pressure of the pulses. The OrthoPulse is also equipped with a pulse counter to track the number of pulses delivered.
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O Operating Manual OrthoPulse PERATIONS MANUAL TM Distributed by CuraMedix 40 Albion Road2014 Published January, Original Suitelanguage: 101 German Lincoln, RI 02865 STORZ MEDICAL AG Lohstampfestr. 8 CH-8274 Tägerwilen 401-333-6500 Switzerland www.curamedix.com 11 381 02 0114 226 »elite ed Table of Contents General Information 2 1.1 Introduction 1.1.1 Indications . . . . . . . . . . . . . . . . 6 1.1.2 Contraindications . . . . . . . . . . . . . . . 6 1.1.3 Side effects . . . . . . . . . . . . . . . 7 1.2 Symbols 8 1.3 Prerequisites for operating the OrthoPulseTM 9 1.3.1 Operator . . . . . . . . . . . . . 9 1.3.2 Training of the operator . . . . . . . . . . . . . 9 1.4 Description of controls and functional elements 1.4.1 OrthoPulse . . . . . . . . . . . . . . 10 1.4.2 Compressed air supply . . . . . . . . . . . . . 11 . TM 4 . . . . . . . . 10 Installation Instructions 2.1 Unpacking 12 2.2 Scope of supply 12 2.3 Installation 13 2.3.1 Handpiece holder installation . . . . . . . . . . . 13 2.3.2 Connecting power supply cables . . . . . . . . . . 14 2.3.3 Potential equalization . . . . . . . . . . . . . . 14 2.3.4 Handpiece connection . . . . . . . . . . . . . 15 Table of Contents Operation 3.1 General warnings and safety information 16 3.2 Start-up 19 3.3 Functional checks 21 3.4 Standard settings 21 3.5 Treatment 22 3.6 Info menu 24 3.7 Resetting the handpiece pulse counter 25 Cleaning, Maintenance, Overhaul 4.1 Cleaning 26 4.2 Fuse replacement 27 4.3 Maintenance 28 4.4 Disposal 28 4.5 Repair 28 4.6 Service life 28 Status Messages and Troubleshooting 5.1 Warnings 29 5.2 Troubleshooting 31 Accessories and Spare Parts 6.1 OrthoPulseTM 32 6.2 Accessories 32 6.3 Documentation 32 7.1 OrthoPulseTM 33 7.2 Type plate 34 7.3 Conformity with directives 34 7.4 Conformity with standards 35 3 Warranty and Service 8.1 Warranty 39 8.1.1 Warranty for the control device . . . . . . . . . . . 39 8.1.2 Warranty for the handpiece . . . . . . . . . . . 39 8.2 Service 39 Table of Contents . 1 General Information 1.1 Introduction This manual contains warnings, safety instructions and specific operating instructions in accordance with liability regulations. DANGER! Refers to a situation of acute danger which, if not avoided, could lead to serious or fatal injury. WARNING! Refers to a situation of potential danger which, if not avoided, could lead to serious or fatal injury. 4 CAUTION! Refers to a situation of potential danger which, if not avoided, could lead to minor injury. ATTENTION Warns against possibly harmful situations that could lead to damage to either the product or to the surrounding area. General Information NOTE Additional information concerning specific features or operating instructions is preceded by the term “NOTE”. CAUTION! Before you start using the OrthoPulseTM for read in full and understood all the information provided in this operating manual. Familiarity with the information and instructions contained in this manual is essential for rument, for avoiding hazards to personnel and equipment and for obtaining good treatment results. Thorough knowledge of the information included in this manual will also enable you to react promptly and effectively in the event of malfunctions and errors. When using optional accessories, please also refer to the separate operating manuals for each of these accessories. It is imperative that users be familiar with the content of this manual before operating any part of this system. 5 General Information The OrthoPulseTM is a compressed air–operated ballistic pulse wave generator. The pulse waves in the OrthoPulseTM are generated with a precision ballistic mechanism in the handpiece. A projectile is accelerated by compressed air. The motion and weight of the projectile produce kinetic energy. When the projectile impacts against an immovable surface, the pulse transmitter, this kinetic energy is converted into sound energy. This acoustic pulse is transmitted into the tissue to be treated either directly or via an acoustic impedance adapter with the help of a gel. 1.1.1 Indications The OrthoPulseTM uses Extracorporeal Pulse Activation Technology (EPAT®) to treat and relieve minor muscle aches and pains, trigger points, tendon and/or tendon insertion pain. 1.1.2 Contraindications CAUTION! The contraindications listed here are examples. No claims are made regarding the completeness or unlimited validity of this list of contraindications. Treatment with the OrthoPulseTM is not permitted in the following cases: 6 – Coagulation disorders (hemophilia) – Use of anticoagulants, especially Marcumar – Thrombosis – Tumour diseases, carcinoma patients – Pregnancy – CAUTION! Pulse waves must not be applied to target General Information nor to any regions near large nerves, vessels, the spinal column or head (except in the facial area). 1 - GENERAL INFORMATION 1.1.3 Side effects Treatment with the OrthoPulse TM may cause the following side effects: – Swelling, reddening, hematomas – Petechiae – Pain – Skin lesions after previous cortisone therapy These side effects generally abate after 5 to 10 days. General Information 7 1 - GENERAL INFORMATION 1.2 Symbols Operating manual must be observed! Please read the operating manual! Please comply with the operating manual! Application unit of type B Potential equalization 8 D-ACTOR handpiece connection USB connection CE mark (in compliance with Medical Device Directive (MDD) 93/42/EEC) WEEE label General Information Wear hearing protection! 1 - GENERAL INFORMATION 1.3 Prerequisites for operating the OrthoPulseTM 1.3.1 Operator The OrthoPulseTM is intended exclusively for use by medical specialists and may Such a specialist is expected to have practical knowledge of medical procedures and applications as well as of the technology, and should be experienced in treating the indications stated in CHAPTER 1.1.1 INDICATIONS. The specialist must have the basic physical and cognitive prerequisites such as vision, hearing and reading. Furthermore, the basic functions of the upper extremities must be guaranteed. The instrument is designed for a demographic target group between 18 and 65 years. 1.3.2 Training of the operator Operators of the OrthoPulse TM 9 must have been adequately trained in using this handbook. An introduction to the principles of operation will be provided by your CuraMedix Representative with reference to this operating manual and will be documented in the system logbook. The operator must be instructed in the following points: – Instruction in the operation and designated use of the instrument with practical exercises – Mechanism of action and function of the instrument and the energies delivered by it – All component settings – Indications for use of the instrument – Contraindications and side effects of the therapy waves – Explanation of the warning notes in all operating statuses Further training requirements vary from country to country. It is the operator's responsibility to ensure that the training meets the requirements of all applicable local laws and regulations. Further information on training in the operation of this system is available from your CuraMedix Representative. However, you can also contact the following address directly: CuraMedix 40 Albion Road Suite 101 Lincoln, RI 02865 Telephone: Fax: 401.333.6500 401.633.6565 General Information – Instruction in how to perform the functional checks 1 - GENERAL INFORMAT ION 1.4 Description of controls and functional elements 1.4.1 OrthoPulseTM 4 5 6 7 8 3 2 10 9 1 General Information Fig. 1-1 Front view of OrthoPulseTM 1 Display of selected pulse frequency 2 Treatment pulse counter 3 Display of selected pressure (nominal value) 4 Pulse counter reset button 5 Dial for setting the pressure 6 Power indicator 7 Handpiece connector 8 Handpiece 9 Buttons for setting the pulse frequency 1 - GENERAL INFORMATION 1 2 7 6 5 4 3 Fig. 1-2 Rear view of OrthoPulseTM 1 Main switch 2 Main fuse holder 3 Main connection 4 Potential equalization connection 5 Type plate 6 USB connection 11 7 NOTE The USB connection (Fig. 1-2/6) is only suitable for connecting a USB memory stick which supports the USB V1.1 protocol. Compressed air supply The compressed air is supplied by an integrated compressor. General Information 1.4.2 2 2-I Installation Instructions 2.1 Unpacking NSTALLATION INSTRUCTIONS t Carefully remove the instrument and accessories from the packaging container. t Check that all items are included in the packaging container and that they are not damaged. t Contact your supplier or the manufacturer immediately if any items are missing or damaged. t Retain the original packaging. It may prove useful for any later equipment transport. 2.2 Scope of supply The standard scope of supply of the OrthoPulseTM includes the following items: 12 – OrthoPulseTM control device – Mains cable (EU / USA) – Gel bottle – User manual (operating manual, system logbook and training records) – D-ACTOR handpiece set – Handpiece holder, complete Installation Instructions Please refer to CHAPTER 6 ACCESSORIES optional accessories. AND SPARE PARTS for information on 2 - I NSTALLATION I NSTRUCTIONS 2.3 Installation 2.3.1 Handpiece holder installation desired by the system user (Fig. 2-1). 13 Fig. 2-1 Location of the bores provided on both side panels t Remove the holders and associated screws from the packaging container. Fig. 2-2 Position of the handpiece holder Installation Instructions t Mount the handpiece holder as shown in Fig. 2-2. 2.3.2 Connecting power supply cables t Connect the supplied main cable to the main connection (Fig. 2-3/1) on the rear of the instrument. 1 Fig. 2-3 Connecting power supply cables 14 t Insert the main plug into the socket. Attention When setting up the instrument, make sure that the air outlets on the housing of the OrthoPulseTM are not blocked. The instrument must only be connected to properly earthed and correctly installed shockproof sockets! 2.3.3 Potential equalization Installation Instructions The OrthoPulseTM features a potential equalization connection (Fig. 1-2/4). Where necessary, connections for potential equalisation must be made by CAUTION! The potential equalization connection on the OrthoPulseTM must be connected in accordance with the relevant national regulations. 2 - I NSTALLATION I NSTRUCTIONS 2.3.4 Handpiece connection t Connect the plug of the handpiece to the handpiece connector (Fig. 2-4) of the OrthoPulseTM. t Make sure that the red dots on the connector match the red dots on the handpiece connection (Fig. 2-5). 15 Fig. 2-5 Connecting the handpiece Installation Instructions Fig. 2-4 Handpiece connection t Place the handpiece into the handpiece holder. NOTE Please also refer to the separate operating manual for your handpiece. 3 Operation 3.1 General warnings and safety information 3 - OPERATION CAUTION! The OrthoPulseTM is intended exclusively for use by medical specialists and may only be used by (see CHAPTER 1.3 PREREQUISITES ORTHOPULSETM) FOR OPERATING THE The user is responsible for correctly positioning the handpieces of the OrthoPulseTM. Correct determination of the location of the treatment zone is the responsibility of the user. 16 Only perform treatments approved by CuraMedix. To avoid safety hazards, use of the instrument for CHAPTER 1.1.1 INDICATIONS is not allowed! Do not use the OrthoPulseTM in potentially explosive environments, i.e. in the presence of a oxygen or nitrous oxide. If instruments are connected that are not medical set up outside the vicinity of the patient. The OrthoPulseTM has a potential equalization connection. This must be connected in accordance with the relevant national regulations. Cleaning agents and disinfectants can form an explosive atmosphere. Disconnect the OrthoPulseTM from the mains before starting any cleaning or maintenance work! Operation Do not try to open the instrument! Risk of electric shocks! Disconnect the handpiece from the instrument before carrying out cleaning and maintenance work. Do not reconnect it until it has been completely reassembled! Risk of transmission of microorganisms! Clean the handpiece after each use! Refer to CHAPTER 4.1 CLEANING for details. 3 - OPERATION ATTENTION to avoid equipment damage! Electric medical devices are subject to special regulations regarding electromagnetic compatibility (EMC). Hence, electric medical devices must be installed and commissioned in accordance with the EMC guidelines detailed in the accompanying documents. Portable and mobile HF communications equipment (such as cell phones) may cause interference with electric medical devices. The use of accessories or cabling not authorized by the manufacturer may cause increased emissions or may lead to reduced interference resistance of the device. The OrthoPulseTM must neither be deployed nor stored together with other devices. If the operation near or jointly with other devices is required, the OrthoPulseTM must be tested in that particular tion. The OrthoPulseTM may be positioned and operated near the listed accessories. 17 The instrument must only be connected to properly earthed and correctly installed shockproof sockets! Check that the instrument is in perfect working order before each use (see CHAPTER 3.3 FUNCTIONAL CHECKS). Never cover the instruments when in use! Make absolutely sure that no liquid can seep into the system housing or handpiece. Any damage to the instrument resulting from incorrect operation is not covered by the manufacturer’s warranty. Disposal of the instrument and its components must be carried out in accordance with national waste disposal regulations. The OrthoPulseTM must only be used with accessories that have been approved by the system manufacturer. To prevent safety ha- Operation void the CE mark approval and warranty. 3 - OPERATION NOTE The OrthoPulseTM meets the requirements of the applicable electromagnetic compatibility (EMC) standards EN60601-1-2. These limits are designed to provide reasonable protection against harmful interference in a typical medical installation. The instrument described here generates and uses high-frequency energy and can emit the same. If not installed and used in accordance with these instructions, the instrument may cause harmful interference with other devices in the vicinity. However, there is no guarantee that interference will not occur in a particular installation. If this product does cause harmful interference with other devices, which can be determined by turning the instrument off and on, the user is encouraged to try to correct the interference by one or more of the following measures: t Reorient or relocate the receiving device. t Increase the distance between the devices. 18 t Connect the devices to an outlet on a circuit different from that to which the other device is connected. Operation t 3 - OPERATION 3.2 Start-up NOTE Prior to start-up, please refer to the separate operating manual for your handpiece. t Switch on the OrthoPulseTM at the main switch on the rear of the instrument (Fig. 1-2/1). Once the instrument has been started, the display automatically shows the last t t To change the existing setting, press one of the two arrow keys. increased or reduced using the arrow keys. With the OrthoPulseTM, the pulse wave frequency can be selected in steps. operating mode energy/frequency D-ACTOR 4 bar/21 Hz D-ACTOR 5 bar/12 Hz V-ACTOR 4 bar/21 Hz V-ACTOR 3 bar/31 Hz 19 t Set the energy of the pulses to an initial value of 1.5 bar using the dial (Fig. 3-1/5). Operation The value is shown on the pressure display (Fig. 3-1/3). 3 - OPERATION 4 5 6 7 8 3 2 9 1 Fig. 3-1 Setting the energy on the control device 20 1 Display of selected pulse frequency 2 Treatment pulse counter 3 Display of selected pressure (nominal value) 4 Pulse counter reset button 5 Dial for setting the pressure 6 Power indicator 7 Handpiece connector 8 Handpiece 9 Buttons for setting the pulse frequency The maximum application pressure is limited to 5 bar. To ensure correct system operation, a minimum pressure of 1.0 bar is required. t To work in single pulse mode, select the “-” symbol (dash) in the “Frequency” selection box. Operation t To work in continuous pulse mode, select a continuous pulse frequency in the range from 1 to 15 Hz in the “Frequency” selection box. operating mode energy/frequency D-ACTOR 4 bar/21 Hz D-ACTOR 5 bar/12 Hz V-ACTOR 4 bar/21 Hz V-ACTOR 3 bar/31 Hz t Activate the trigger button. NOTE A pressure change automatically entails a change in frequency if the set frequency exceeds the maximum permitted frequency. 3 - OPERATION 3.3 Functional checks Perform the following functional checks after the instrument has been installed: t Check the control device and handpiece for damage. t Put the OrthoPulseTM into operation ( CHAPTER 3.2 START-UP). t Set the pressure to 1.5 bar. t Reset the treatment pulse counter (Fig. 3-1/2) with the reset button (Fig. Fig. 3-1/4) on the front of the instrument. t Release individual pulses in single pulse mode. t Trigger the pulses in continuous pulse mode (pulse frequency 1 Hz and 21 Hz). t Check that the triggered pulses are correctly counted on the treatment pulse counter on the front of the instrument. t Set the pressure to maximum 4 bar. t Release individual pulses in single pulse mode. t Trigger the pulses in continuous pulse mode (pulse frequency 1 Hz and 21 Hz). t Test the other frequencies as follows: operating mode energy/frequency D-ACTOR 4 bar/21 Hz D-ACTOR 5 bar/12 Hz V-ACTOR 4 bar/21 Hz V-ACTOR 3 bar/31 Hz 3.4 21 Standard settings t Before each treatment, set the treatment pulse counter (Fig. 3-1/2) on the control device to zero by pressing the reset button (Fig. 3-1/4). Treatment should always start at a low energy level. This also applies to resuming treatment after an interruption. Operation t Select a low energy level. 3 - OPERATION 3.5 Treatment CAUTION ! The transport bag is provided only to transport the device. If the device is left in the transport bag during treatment, the device becomes hot, due to lack of ventilation. are possible. t Take the device out of the transport bag during treatment. ATTENTION Transport the device in the transport bag only when the condensate collector is empty. Otherwise the water can run into the device. 22 CAUTION! Read CHAPTER 3.1 GENERAL WARNINGS AND SAFETY INFORMATION before beginning treatment. Please also follow the instructions in the separate operating manual for your handpiece. Each time after the instrument has been transported, make sure that all functional checks have been performed on the instrument before you start treatment. Only perform treatments approved by STORZ MEDICAL AG! To avoid safety hazards, use of the instrument CHAPTER 1.1.1 INDICATIONS is not allowed! Operation All status and error messages signaled during treatment must always be attended to without delay! NOTE The maximum energy level used during treatment must not cause the patient undue pain under any circumstances. 3 - OPERATION t ment area and to the pulse transmitter. t Do not apply more than 300 pulses to the same spot during treatment. t Avoid excessive pressure of the pulse transmitter to the patient‘s skin. Excessive pressure is not needed for the success of the treatment. CAUTION! The pulse transmitter surface will become hot! Extended skin contact can lead to minor burns! t Interrupt treatment after a maximum of 6,000 pulses. CAUTION! 23 The handpiece may not be operated while idling (without an impact surface). t%POPUUSJHHFSQVMTFTVOMFTTUIFQVMTFUSBOTmitter is in contact with the treatment zone! CAUTION! We recommend that the user and the patient wear suitable hearing protection. Operation t"MXBZTPffer the patient hearing protection. 3.6 Info menu The Info menu enables you to reset the handpiece counter, to call up the total pulse count and instrument operating hours as well as to read out data on moni- t To activate the Info menu, press both arrow keys simultaneously and hold them for two seconds. The display changes to Info mode: The top line (nominal energy display) shows the menu item in question as a number between 1 and 10, (Fig. 3-2/1), whereas the middle line (Fig. 3-2/2) shows the called-up information (in this case: hardware article no.). 1 2 24 Fig. 3-2 Info mode Use the dial to move up or down in the menu in order to call up the following data: Menu item Display 1 Handpiece pulse counter 2 Total pulse counter 3 Operating hours counter 4 Hardware article no. 5 Hardware change index 6 Not used 7 Software article no. 8 Software change index 9 Boot loader article no. 10 Boot loader change index Table 3-1 Info menu Operation NOTE Pulse counter displays 1 and 2 display the pulse count in steps of one thousand. t To exit the Info menu, press both arrow keys simultaneously and hold them for two seconds. 3 - OPERATION 3.7 Resetting the handpiece pulse counter t Switch to Info mode (see CHAPTER 3.6 INFO MENU). t Select menu item 1 – Handpiece counter. The number of pulses is displayed in steps of one thousand. The value displayed in the middle line multiplied by 1,000 gives the counter reading for the current handpiece. t Press the reset button to set the handpiece counter to zero. NOTE Pressing it for longer, causes it to function as a tip switch, i.e. pulses will be triggered until the button is released. Operation 25 4 Cleaning, Maintenance, Overhaul 4 -C ,M ,O 4.1 Cleaning LEANING AINTENANCE VERHAUL Regular cleaning of the system ensures perfect hygiene and operation of the OrthoPulseTM. CAUTION! Disconnect the instrument from the mains before starting any cleaning or overhaul work! t Wipe the exterior of the housing with a damp cloth. Use soapy water or a mild cleaning agent. 26 Attention It is essential that no fluid be permitted to penetrate either the instrument or its tubing. Cleaning, Maintenance, Overhaul NOTE For additional information on cleaning and overhauling your handpiece, please refer to the separate operating manual for your handpiece. 4.2 Fuse replacement The main fuse holder is located on the rear panel of the OrthoPulse . TM t Push the clip of the main fuse holder ( Fig. 4-1/1) upwards and take the holder off the housing. 1 27 Fig. 4-1 Main fuse holder t Pull the old fuses out of the main fuse holder ( Fig. 4-2/1). 1 t Replace the fuses (T2AL/250 VAC). t Push the main fuse holder back into the opening until it engages. Cleaning, Maintenance, Overhaul Fig. 4-2 Fuse replacement 4 -CLEANING, MAINTENANCE, OVERHAUL 4.3 Maintenance Preventive maintenance is not necessarily required. However, regular maintenance may help to identify possible defects at an early stage and thus increase the safety and service life of the equipment. Maintenance services can be ordered from our regional representatives in your area or directly from CuraMedix. We recommend that functional and safety checks be performed at least once a year. National accident prevention regulations and test and inspection intervals prescribed for medical devices must, of course, be observed. NOTE For further details on content and performance of the safety checks please contact your local dealer. The following checks should be performed to ensure that the OrthoPulseTM operates safely. 28 1 Earth leakage current test in accordance with national regulations. 2 Earth impedance test (incl. applicator housing and with main cable) in accordance with national regulations. 4.4 Disposal When disposing of the present medical products, no special measures have to be tions. After expiration of its service life, dispose of the OrthoPulseTM as waste electronic equipment. Cleaning, Maintenance, Overhaul 4.5 Repair Repair work on defective instruments must only be carried out by personnel suitably authorized by CuraMedix. Only original CuraMedix spare parts may be used for this purpose. The personnel suitably authorized can be from CuraMedix or representatives of CuraMedix agencies and dealers. 4.6 Service life The average expected service life is approximately. – 10 years for the OrthoPulseTM. For information about the service life of your handpiece, please refer to the separate operating manual for your handpiece. Exceeding the service life can be expected to result in a failure of the instrument and accessories. This also applies to handpieces. No warranty claims shall be accepted beyond the information given in CHAPTER 8 WARRANTY AND SERVICE. 5 5-S M T Status Messages and Troubleshooting 5.1 Warnings TATUS ESSAGES AND ROUBLE SHOOTING The following list gives the most important error codes and the actions that you should take if they occur. Error number Fault description Corrective action Memory error Acknowledge by pressing , the reset button continued operation is possible. Error 1 Error 10 Release the trigger button, Trigger button is continued operation is pressed during start-up possible. 29 The handpiece is not connected Connect the handpiece, continued operation is possible. Internal fault Acknowledge by pressing the reset button , continued operation is possible. Internal fault Acknowledge by pressing , the reset button continued operation is possible. Internal fault Acknowledge by pressing the reset button , continued operation is possible. Error 12 Error 20 Error 21 Status Messages and Troubleshooting Error 11 5 - STATUS MESSAGES AND TROUBLE-SHOOTING Error 22 Problem with update on USB stick Acknowledge by pressing . the reset button Check update on stick, continued operation is possible. USB stick not inserted Insert USB stick. Problem with update on USB stick Acknowledge by pressing . the reset button Check update on stick, continued operation is possible. Problem with update on USB stick Acknowledge by pressing . the reset button Check update on stick, continued operation is possible. No current software update Acknowledge by pressing . the reset button Check update on stick, continued operation is possible. Error 23 30 Error 24 Status Messages and Troubleshooting Error 25 Error 26 Table 5-1 Warnings 5.2 Troubleshooting CAUTION ! Unplug the main cable from the instrument before you carry out any maintenance work! Fault description Possible cause Corrective action Instrument does not work Power failure Check the power supply. Defective main fuse Replace the fuses. Defective main plug Replace the main cable. Leaks in handpiece cable or cable not properly connected Check the cable and tube connections and replace them, if necessary. No compressed air supply 31 Clogged compressor air Check the compressor air filter and replace it, if necessary. Blocked or worn projectile Call your Service center. Dismantle the handpiece. Clean the guide tube and projectile. Overhaul the handpiece. Malfunction in control device Call your Service center. Handpiece defective Replace the handpiece. Table 5-2 Troubleshooting Status Messages and Troubleshooting No pulse wave power No compressed air output supply 6 -A S P Accessories and 6Spare Parts 6.1 OrthoPulseTM CCESSORIES AND PARE Mains cables Main cable CEE 7 Europe, 4 m long 13455 Main cable CH 3 m long 13448 Main cable USA 3 m long 16441 NOTE For information on the D-ACTOR handpiece and its accessories please refer to the separate operating manual for the D-ACTOR handpiece. Accessories and Spare Parts 32 6.2 Accessories Gel bottle 500 ml 18189 OrthoPulseTM equipment trolley 20494 OrthoPulseTM transport case 17415 Acoustic impedance adapter (50 pcs) 13470 F-Meter set 15323 V-ACTOR II handpiece set 20212 V-ACTOR II handpiece holder 18825 6.3 Documentation OrthoPulseTM user manual 22629 ARTS 7 7-T S Technical Specifications 7.1 OrthoPulseTM ECHNICAL PECIFICATIONS D-ACTOR operating mode single pulse, continuous pulse 1-21 Hz/4 bar in steps of 0.1 bar continuous pulse 1-12 Hz/5 bar in steps of 0.1 bar V-ACTOR operating mode 1 - 31 Hz/3 bar 1 - 21 Hz/4 bar Main input voltage 100 – 240 VAC Main frequency Main fuse 50 / 60 Hz T2AL/250 VAC Power consumption Compressed air output max. 200 VA 1 – 5 bar Ambient temperature during operation 10 – 40 °C Ambient temperature during storage and transport 0 - 60 °C frost free Ambient pressure during operation 800 – 1060 hPa Ambient pressure during storage and transport 500 - 1060 hPa Air humidity 33 5 – 95%, non-condensing Control device weight Housing dimensions (W x H x D) 9.9 kg 340 x 165 x 340 mm Class IIa device Protection against the ingress of water Table 7-1 IPX1 OrthoPulseTM Equipment safety (“essential performance“) according to IEC 60601-1, 3rd edition: tolerance of 10%. NOTE When the medical product is distributed to third parties, the following must be observed: – The complete device documentation must be delivered together with the medical product. – The medical product may only be exported to a foreign country when the medical product and the corresponding indications are allowed there. Technical Specifications *These values apply to instruments in the “elite edition+”. These are instruments from serial number OS.3136 onwards. 7 - Technical SpecificaTionS 7.2 Type plate Fig. 7-1 Type plate 34 Fig. 7-2 Location of the type plate Technical Specifications 7.3 Conformity with directives This medical product bears the CE mark in accordance with the Medical Device Directive (MDD) 93/42/EEC. 7 - TECHNICAL SPECIFICATIONS 7.4 Conformity with standards This device complies with the applicable standards EN 60601-1, CAN CSA-C22.2 No.601.1, UL Std. No 60601-1. According to EN 60601-1 - Type of protection against electric pulses: Protection class 1 - Application unit of Type B EMC guidelines and manufacturer's declaration Guidelines and manufacturer's declaration – emitted electromagnetic interference The OrthoPulseTM model is intended for use in the electromagnetic environment specified below. The customer or the user of the OrthoPulseTM should assure that it is used in such an environment. HF emissions according to CISPR 11 Group 1 HF emissions according to CISPR 11 Class B Harmonic emissions according to IEC 61000-3-2 Class A cording to IEC 610003-3 Complies Electromagnetic environment – guidelines The OrthoPulseTM uses HF energy only for its internal functioning. Therefore, its HF emissions are very low and are not likely to cause any interference in nearby electronic equipment. The OrthoPulseTM is suitable for use in all facilities, including those in residential areas and those that are directly connected to a public electricity supply network that also powers devices which are used for residential purposes. Technical Specifications Emitted interferCompliance ence measurements 35 7 - TECHNICAL SPECIFICATIONS Guidelines and manufacturer's declaration – Resistance to emitted electromagnetic interference The OrthoPulseTM The customer or the user of the OrthoPulseTM should assure that it is used in such an environment. Emissions resistance tests IEC 60601 test level Compliance level Electromagnetic environment – guidelines Electrostatic discharge (ESD) according to IEC 610004-2 ±6 kV contact discharge ±8 kV air discharge ±6 kV contact discharge ±8 kV air discharge Electrical fast transient disturbances / bursts according to IEC 61000-4-4 ±2 kV for power supply lines ±1 kV for input/ output lines ±2 kV for power supply lines ±1 kV for input/ output lines Main power quality should be that of a typical commercial or hospital environment. Surges according to IEC 61000-4-5 ±1 kV line(s) to line(s) ±2 kV line(s) to earth ±1 kV line(s) to line(s) ±2 kV line(s) to earth Main power quality should be that of a typical commercial or hospital environment. Voltage drops, short interruptions and voltage variations on power supply input lines according to IEC 61000-4-11 < 5% UT < 5% UT (> 95% drop in UT) for ½ period (> 95% drop in UT) for ½ period 40% UT 40% UT (60% drop in UT) for 5 periods (60% drop in UT) for 5 periods 70% UT 70% UT Main power quality should be that of a typical commercial or hospital environment. If the user of the OrthoPulseTM requires continued operation during power main interruption, it is recommended that the OrthoPulseTM be powered from an uninterruptible power supply or a battery. (30% drop in UT) for 25 periods (30% drop in UT) for 25 periods < 5% UT < 5% UT (> 95% drop in UT) for 5 s (> 95% drop in UT) for 5 s 3 A/m 3 A/m 36 Power frequency (50/60 Hz) magnetic Floors should be wood, concrete or synthetic material, the relative humidity should be at least 30%. should be those of a typical business or hospital environment. Technical Specifications IEC 61000-4-8 NOTE UT is the main alternating voltage prior to application of the test level. 7 - TECHNICAL SPECIFICATIONS Guidelines and manufacturer's declaration – Resistance to emitted electromagnetic interference The OrthoPulseTM The customer or the user of the OrthoPulseTM should assure that it is used in such an environment. Emissions resistance tests IEC 60601 test level Compliance level Electromagnetic environment – guidelines Portable and mobile RF equipment should be used no closer to any part of the OrthoPulseTM, including cables, than the recommended safety distance calculated from the equation applicable to the frequency of the transmitter. Recommended safety distance: Conducted HF interference according to IEC 61000-4-6 3 Vrms 150 kHz to 80 MHz 3 Vrms 150 kHz to 80 MHz Radiated HF interference according to IEC 61000-4-3 3 V/m 80 MHz to 2.5 GHz 3 V/m 80 MHz to 2.5 GHz d = 1.2√P d = 1.2√P for 80 MHz to 800 MHz 37 d = 2.3√P for 800 MHz to 2.5 GHz Where P is the rated power of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended safety distance in metres (m). based on an on-site inspection a, should be less than the compliance level.b NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected a 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 with respect to intensity at the location in which the OrthoPulseTM is used exceeds the applicable HF compliance level indicated above, the OrthoPulseTM should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the OrthoPulseTM. b Technical Specifications Interference may occur in the vicinity of instruments marked with the following symbol. 7 - TECHNICAL SPECIFICATIONS Recommended safety distances between portable and mobile HF communications equipment and the OrthoPulseTM The OrthoPulseTM is intended for use in an electromagnetic environment in which radiated HF disturbances are controlled. The operator or the user of the OrthoPulseTM can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile HF communications equipment (transmitters) and the OrthoPulseTM as recommended below, according to the maximum output power of the communications equipment. Safety distance according to frequency of transmitter [m] Rated power of transmitter [W] 38 150 kHz to 80 MHz d = 1.2√P 80 MHz to 800 MHz d = 1.2√P 800 MHz to 2.5 GHz d = 2.3√P 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power not listed above, the recommended safety distance can be estimated using the equation applicable to the frequency of the transmitter, where P is the rated power of the transmitter in watts [W] according to the transmitter manufacturer. Technical Specifications NOTE 1 An additional factor of 10/3 was used for calculating the recommended safety distance of transmitters in the frequency range from 80 MHz to 2.5 GHz in order to reduce the probability that a mobile/portable communications device brought into the patient area inadvertently might lead to a malfunction. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorp- 8 Warranty and Service 8-W 8.1 Warranty ARRANTYAND SERVICE ATTENTION z z personnel will relieve the manufacturer of its liability and responsibility for safe system operation. This will automatically void the warranty even before the end of the warranty period. 8.1.1 Warranty for the control device During the two-year warranty period from the date of delivery of the product to the end customer, defects will be remedied at no charge to the customer upon the customer furnishing adequate proof that the defect is due to defects in material or workmanship. The warranty does not extend to wear parts. 39 Transport costs and the risk of loss during the shipping of returned products shall be borne by the customer. Please complete the attached warranty card and return it as soon as possible to the address below: CuraMedix 40 Albion Road Suite 101 Lincoln, RI 02865 8.1.2 Warranty for the handpiece The warranty conditions for the handpiece can be found in the operating manual for the corresponding handpiece. Missing components will be replaced subject to charge. Accessories also sent will be checked and, if necessary, replaced after we have assessed them. Pulse transmitters and overhaul kits are not covered by the handpiece’s warranty. 8.2 Service Should you have any further questions or require additional information, please feel free to contact CuraMedix. Warranty and Service Warranty claims will only be accepted if the handpiece is returned in its complete
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Key Features
- Compressed air–operated ballistic pulse wave generator
- Treats minor muscle aches and pains, trigger points, tendon and/or tendon insertion pain
- Handpiece with adjustable frequency and pressure
- Pulse counter
- Optional accessories available
- CE marked medical device
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Frequently Answers and Questions
What is the OrthoPulse used for?
The OrthoPulse is a compressed air–operated ballistic pulse wave generator that is used to treat and relieve minor muscle aches and pains, trigger points, tendon and/or tendon insertion pain.
How does the OrthoPulse work?
The OrthoPulse uses Extracorporeal Pulse Activation Technology (EPAT®) to deliver acoustic pulses into the tissue to be treated.
What are the contraindications for using the OrthoPulse?
Treatment with the OrthoPulse is not permitted in the following cases: Coagulation disorders (hemophilia), Use of anticoagulants, especially Marcumar, Thrombosis, Tumour diseases, carcinoma patients, Pregnancy.
What are the side effects of using the OrthoPulse?
Treatment with the OrthoPulse may cause the following side effects: Swelling, reddening, hematomas, Petechiae, Pain, Skin lesions after previous cortisone therapy.