Koalat GM323HV High Voltage Pulsed Galvanic Stimulator Operation Manual
Below you will find brief information for High Voltage Pulsed Galvanic Stimulator GM323HV. This device is capable of providing relief from chronic intractable pain, and is equipped with a Liquid Crystal Display indicating operation modes and output as well as an 8-bit micro computer for controlling the system. The device has two channels and can be used in both continuous and alternating modes, offering a range of settings for personalized pain management.
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High Voltage Pulsed Galvanic Stimulator Read before using Model: GM323HV ULTRA-G FDA 510k Digital Galvanic CE Operation Manual 0434 TABLE CONTENTS GENERAL DESCRIPTION SYSTEM COMPONENTS WARRANTY INDICATIONS AND CONTRAINDICATIONS WARNINGS AND PRECAUTIONS ABOUT THE DEVICE THE DEVICE CONTROLS DANGER ATTACHING THE LEAD WIRES ELECTRODE SELECTION AND CARE TIPS FOR SKIN CARE CONNECTING THE DEVICE POWER SUPPLY INFORMATION CHANGING THE BATTERY CLEANING FOR YOUR DEVICE TROUBLESHOOTING TECHNICAL SPECIFICATIONS 9 © Y Y Y ©) a dd В LE BR WN = A aaa GENERAL DESCRIPTION Electric myostimulation has proven its high value as a method of pain therapy and is a great help to the experienced therapist. With some indications, physicians can prescribe unit to patients for the use at home. The unit is a dual-Channel electric stimulator for active treatment application, which is equipped with a Liquid Crystal Display indicating operation modes and output as well as an 8-bit micro computer for controlling the system. The electronics of the unit create electric impulses: the intensity, duration, frequency per second and modulation of these impulses can be adjusted through the button or knob. The High Voltage Pulsed Galvanic Stimulator has a“ twin peaked monophasic waveform with fixed interpulse Interval of 100 + s”. Each pulse is much shorter in duration (5 s) and can achieve much higher voltage than conventional stimulator. SYSTEM COMPONENTS Your device may include the following components or accessories: e Unit o Carrying case o Lead wires / Electrodes 9 9-volt battery or 9V DC adaptor © Operation Manual WARRANTY This device carries a one-year warranty from the date of purchase. The warranty applies to the device and necessary parts and labor relating thereto. The distributor reserves the right to replace or repair the unit at their discretion. The warranty does not apply to electrodes, battery, lead wires, carrying case, damage resulting from failure to follow the operating instructions, accidents, abuse, alterations or disassembly by unauthorized individuals. INDICATIONS AND CONTRAINDICATIONS Read the operation manual before using the device. Federal law (USA) restricts this device to sale by or on the order of a physician. Observe =; = your physician's precise instructions and let him show you where to apply the electrodes. For a successful therapy, the correct application of the electrodes is an important factor. Carefully write down the settings your physician recommended. Indications for use This device is a prescription device and only for symptomatic relief of chronic intractable pain. Contraindications o Any electrode placement that applies current to the carotid sinus (neck) region. o Patients with implanted electronic devices (for example, a pacemaker) or metallic implants should not undertake. o Any electrode placement that causes current to flow transcerebrally. (through the head) The use of unit whenever pain symptoms are undiagnosed, unit etiology is determined. e The use of stimulator whenever pain syndromes are undiagnosed, until etiology is established. WARNINGS AND PRECAUTIONS A Warnings The device must be kept out of reach of children. e The safety of device for use during pregnancy or delivery has not been established. © Do not place electrodes on front of the throat. This may result is spasms of the laryngeal and pharyngeal muscles. © Do not place the electrodes over the carotid nerve. © The device is not effective for pain of central origin (headaches). e The device may interfere with electronic monitoring equipment (such as ECG monitors and ECG alarms). o Electrodes should not be placed over the eyes, in the mouth, or internally. o These devices have no curative value. o This devices should be used only under the continued supervision of a physician. o The device is a symptomatic treatment and as such suppresses the sensation of pain which would otherwise serve as a protective mechanism. A Precautions/adverse Reactions o Isolated cases of skin irritation may occur at the site of electrode placement - 9 = following long-term application. e Stimulation should be stopped and electrodes HET until the cause of the irritation can be determined. e Effectiveness is highly dependent upon patient selection by a person qualified in the management of pain patients. © If the device treatment becomes ineffective or unpleasant, stimulation should be discontinued until reevaluation by a physician/clinician. © Always turn the device off before applying or removing electrodes. © Skin irritation and electrode burns are potential adverse reactions. ABOUT THE DEVICE Your device offers one controllable output channels. This device creates electrical impulses whose amplitude, rate and modulation can be altered with the controls or buttons. The device controls are very easy to use and the slide cover protects accidental changes in settings. CHZ2 Output Receptacle ON/OFF and Amplitude Control © > CH1 Output Receptacle LCD Panel KEY Control _ | TY aN | | (MODE) CARA | EA ea | RATE Y) Slide Cover | 7 THE DEVICE CONTROLS Panel cover A cover conceals the controls for Mode, Rate A W. Press the topside of the cover and pull down in order to open the cover. Intensity The intensity knob is located on the top of the unit for the strength adjustment of the stimulation and also function as ON/OFF controls. Mode The Mode key is used to select / set the type of treatment utilized. The two modes are Continuous (C) and Alternation (A). RATE AV The pulse Rate key regulates the number of pulse per second. By pressing the À you can adjusting the frequency increasing. By pressing the Y you can adjusting the frequency decreasing. DANGER The device does not have AAP/APG protection. Explosion hazard is possible if used in the presence of explosives, flammable materials or flammable anesthetics. Caution should be used when applying the device to patients suspected of having heart disease. Further clinical data is needed to show if there are adverse side effects on those with heart disease. ATTACHING THE LEAD WIRES The lead wires provided with the device insert into the jack sockets located on top of the unit. Holding the insulated portion of the connector, push the plug end of the wire into one of the jacks. After connecting the wires to the stimulator, attach each wire to an electrode, Lead wires provided with the device are compliant with mandatory compliance standards set for the by FDA. There are two kinds of lead wires. One is the normal lead wire which has twin wires (red and black polar); used for the output receptacle of Channel 1. The other one is single wire (red polar); used for the output receptacle of Channel 2 as Active 2. If user only use the C' (Continuous) mode, use the twin wires (red and black polar) into the output “# receptacle of Channel 1. If use the ‘A mode, use both wires for both output receptacles. twin wires (red and black polar) single wire (red polar) for Active 2 only. Note: The single wire (red) is only for the active 2 output receptacle (Channel 2) and it must be combined with the twin wires of the output receptacle of Channel 1. Note: Use carefully when you plug and unplug the wires. Pulling on the lead wire instead of its insulated connector may cause wire breakage. Caution: Never insert the plug of the lead wire into an AC power supply socket. ELECTRODE SELECTION AND CARE Your physician/practitioner should decide which type of electrode is best for your condition. Follow application procedures outlined in electrode packaging to maintain stimulation and prevent skin irritation. The electrode packaging will provide instruction for care, maintenance and proper storage of your electrodes. Be sure to use the electrodes provided by the manufacturer and/or the similar FDA legally marketed electrode in particular the same cross section area. Note: The small size of electrode are for the active electrode ( red color), the large size of electrodes are for the dispersive electrode (black color) TIPS FOR SKIN CARE Good skin care is important for comfortable use of your device. = 5 - © Always clean the electrode site with mild soap and water solution, rinse well, and blot dry thoroughly prior to any electrode application, ® Any excess hair should be clipped, not shaved, to ensure good electrode contact with the skin. e You may choose to use a skin treatment or preparation that is recommended by your physician. Apply, let dry, and apply electrode as directed. This will both reduce the chance of skin irritation and extend the life of your electrodes. © Avoid excessive stretching of the skin when applying electrodes, this is best accomplished by applying the electrode and smoothly pressing it in place from the center outward. o When removing electrodes, always remove by pulling in the direction of hair growth. 9 It may be helpful to rub skin lotion on electrode placement area when not wearing electrodes. CONNECTING THE DEVICE 1. Prepare the Skin Prepare the skin as previously discussed and according to instructions provided with your electrodes. Before attaching the electrodes, identify the area in which your physician/practitioner has recommended for electrode placement. 2. Connect lead wires to the electrodes Connect the lead wires to the electrodes before applying the electrodes to the skin. Note: Be sure the intensity control is turned to the “OFF” position. 3. Place Electrodes on Skin Place the electrodes on the skin as recommended by your clinician. 4. Insert Lead Wire Connector to device Plug end of lead wire into the channel output receptacle to be used, pushing plug in as far as it will go. 5. Adjusting Channel Intensity Control Locate the intensity control knob at the top of the unit. Slowly turn the intensity control knob for Channel 1 clockwise until you reach the intensity recommended by your medical professional. Always start with the lowest step and increase slowly. If the stimulation level is uncomfortable or become uncomfortable, reduce the stimulation amplitude to a comfortable level or cease stimulation and contact your physician/practitioner if problems persist. - 6 = POWER SUPPLY INFORMATION Battery Information A 9-volt disposable battery is provided with your unit. When the low battery mark light on the LCD the battery has become too weak to power the unit and it is time to change the battery. At this point, the unit will shut off until a fresh battery is inserted. 9-Volt DC Adaptor The 9-volt DC adaptor is another power source. Plug the DC plug into the DC jack of the unit, and plug the adaptor into your 110V wall outlet. Note: Be sure to use the DC Adaptor provided by the manufacturer. CHANGING THE BATTERY When the low battery mark light is on the LCD panel, the battery should be replaced with a fresh battery. 1. Remove the panel cover by pressing the top and sliding down until is completely removed from the unit this will reveal the battery compartment. 2. Remove the discharged battery from the device. 3. Place new battery in compartment. Note the proper polarity alignment indicated on the battery and the compartment. CLEANING FOR YOUR DEVICE Your device may be cleaned by wiping gently with a damp cloth moistened with mild soap and water. Never immerse the device in water or other liquids. Wipe lead wires with a damp cloth as above if they become soiled. To properly store the device for an extended period of time, remove the battery from the unit. Put the unit and accessories in the carrying case and store in a cool, dry location. TROUBLESHOOTING If the device does not function properly: 1. Make sure the battery is properly installed or replace battery. Be sure to observe proper polarity markings when replacing the battery. If the low battery mark light is on the LCD pane when the unit is turned on, replace the battery and check again. 2. If the intensity has been adjusted and there is no stimulation, check that the lead wires are properly connected and the electrodes are in place. If the unit appears to be functioning and no stimulation, the lead wires or electrodes may need to be replaced. 3. If the battery appears to be charged and the unit is not functioning, turn the intensity Control Knob to the OFF position (counter clockwise). Then gradually turn the intensity Control Knob clockwise until stimulation is felt. If device still is not working, turn the unit off and contact your distributor. 4. There is the short circuit protection for the 9 Volts DC adaptor supplied by manufacturer. Output power will be cut off automatically when the output is being shorted. In order to recover the Adaptor after the cut-off, please let the Adaptor rest (unplug it) for more than one minute before re-plug the adaptor. If there is any other problem, please consult or return the device to your distributor. Don’t try to repair a defective device. TECHNICAL SPECIFICATIONS Channel: Single channel. Two active outputs and one dispersive return. Where active 1 and dispersive located on the output of CH1, the active 2 located on the output of CH2. Output Voltage: Adjustable, 0 - 350 Volts maximum (500 ohm load) Pulse Rate: 1Hz-120Hz (adjustable), 1Hz/step Pulse Duration: ous Interpulse Interval: 10048 Software Ramp Up Change mode or A mode, the output will reset to zero then ramp up to its original setting intensity. It protect user avoid sudden surge. LCD: Shows modes, pulse rate and low battery. - 8 - Function Modes: C: Continuous mode. Constant stimulation via active 1 and dispersive electrodes of output receptacle of Channel 1. A: Alternating mode. Alternates stimulation every 5 seconds between active 1 and active 2 outputs. Wave form: Twin peaked monophasic waveform with fixed interpulse Interval of 100 u S. Power Source: 9-Volt Battery or 9 Volts DC adaptor. Dimensions: 108mm(H) x61.75mm(W) x25mm(T). Weight: Approx. 140grams (battery included). Tolerance: +20% of intensity; +10% of other parameters. EX} RATE uy §8 000 Hz Printed in Taiwan OP-323HV-K01 ">
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Key features
Dual Channel output
LCD display
8-bit micro computer controller
Continuous and alternating modes
Adjustable intensity, duration and frequency
Twin peaked monophasic waveform
9-volt battery or 9-volt DC adapter
1 year warranty
Frequently asked questions
This device is designed for the symptomatic relief of chronic intractable pain.
You can clean the device by wiping it gently with a damp cloth moistened with mild soap and water. Never immerse the device in water or other liquids.
When the low battery mark light is on the LCD panel, the battery should be replaced with a fresh battery. Remove the panel cover by pressing the top and sliding down until is completely removed from the unit this will reveal the battery compartment. Remove the discharged battery from the device. Place new battery in compartment. Note the proper polarity alignment indicated on the battery and the compartment.