gbo NEOSERV 114 User manual

gbo Medizintechnik AG 2004 Version 1.5
Suction Wave Massage Unit
NEOSERV 114
NEOSERV 114-H
User Manual

2NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
The gbo Medizintechnik AG has taken care in preparation of this manual, but makes no expressed or
implied warranty of any kind and assume no responsibility for errors or omissions.
All rights reserved. No part of this manual may be reproduced, in any form or by any means (electronic,
mechanical, or otherwise) without the prior written permission of the gbo Medizintechnik AG.
© gbo Medizintechnik AG 2004
gbo Medizintechnik AG
Kleiststrasse 6
D-64668 Rimbach
Phone: +49 6 25 3 / 808-0
Fax: +49 6 25 3 / 808-245
E-Mail: [e-mail]
Internet: http://www.gbo-med.de
Version 1.5
Date of issue February 17th, 2010

NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
3
Warnings and safety precautions
Warning!
Warnings which have to be observed by all means!
Caution!
Observe the instructions for use!
!!
Note!
Information that will facilitate your work.

4NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
Contents
1INTRODUCTION 5
1.1 Intended Use 5
1.2 Short Instructions 6
2START OF OPERATION 9
2.1 Installation 9
2.2 Connection 9
3DESCRIPTION OF FUNCTION 10
3.1 Power Switch and Fuse Unit 10
3.2 POWER ON 10
3.3 Overtemperature 10
3.4 Water Level 10
3.5 Suction Connector Jacks 11
3.6 Vacuum and Pulse Regulator 11
3.7 Connector Unit 11
4OPERATING THE UNIT 12
4.1 Switching on the Unit 12
4.2 Select Channels 12
4.3 Vacuum Setting 12
4.4 Pulses Setting 12
4.5 Applying the Suction Electrodes 13
4.6 Terminating the Treatment Session 13
5TROUBLESHOOTING 14
5.1 Error Messages 14
5.2 Other Troubles 14
6MAINTENANCE 15
6.1 Safety Controls 15
6.2 Cleaning, Disinfection and Care 15
6.2.1 Cleaning and Disinfecting the Unit 15
6.2.2 Cleaning and Maintaining the Electrodes and Sponges 16
7WARNINGS AND SAFETY PRECAUTIONS 17
8EXPLANATION OF THE SIGNS USED 18
9TECHNICAL DATA 19
10 ACCESSORIES 19

NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
5
1 Introduction
1.1 Intended Use
The NEOSERV 114 is a suction-wave therapy unit designed for use with 1 - 4 suction electrodes. The
device is specially useful for a combination with DUODYNATOR 119 and in the combined operation
“stimulation current with ultrasound“ additionally, with the ultrasound therapy devices SONOSTAT 133
and SONOSTAT 135.
The NEOSERV 114-H is a suction-wave therapy unit designed for use with 1 - 4 suction electrodes. The
device is specially useful for a combination with the two channel units of the HiToP®family and in the
combined operation “stimulation current with ultrasound“ additionally, with the ultrasound therapy devices
SONOSTAT 133 and SONOSTAT 135.
The current selected is applied to the patient by means of the suction electrodes.
The NEOSERV 114 works as suction wave massage unit. Liquids, dirt or bacteria which are sucked up by
the suction electrodes are caught in a space-consuming and frequently-to-be-drained water separator.
In the areas where the suction electrodes are applied, increased hyperemia occurs. As a consequence, tissue
conductivity is improved beneath the electrodes. Moreover, the patient’s sensitivity to the electric current is
significantly masked by the pulsating sucking action of the electrodes - a fact that makes the device
particularly useful in cases where electrostimulation treatment needs to be administered to patients who are
specially sensitive to electric currents.
The suction electrodes can be applied in a fast and easy manner, and they also pleasantly adapt themselves
to the skin surface. Optimum skin contact is ensured by the flexible edges of the electrodes.

6NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
1.2 Short Instructions
Figure 1: NEOSERV 114
Figure 2: NEOSERV 114 in combination with DUODYNATOR 119

NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
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Standby key Overtemperature Vacuum pressure Attention! Observe user manual!
Water level
Pulse regulator Vacuum regulator
Suction connectors
channel I
Suction connectors
channel I
Figure 3: Front view NEOSERV 114
Application part ungrounded, protection
degree BF
1. Connect the DUODYNATOR 119 with the connecting cable.
!!Note!
At the combined operation with ultrasound you must additionally use the connection
cable „NEOSERV Ultrasound“. Herewith you have to connect a suction connector of the
NEOSERV 114 to the stimulation current connection of the ultrasound therapy unit (e.g.,
SONOSTAT 135).
2. Switch on the NEOSERV 114 (switch located at the back of the device). The green LED of the
Standby key will be flashing.
3. Connect all needed electrodes to the appropriate connectors by means of the electrode hoses
(red = channel I; green = channel II).
!!Note!
• If you use only 2 suction electrodes, you must close the suction connections of the unused
channel with the short circuit hose before operation.
• While plugging the tube connections you must overcome 2 pressure points, otherwise the
suction connection is not airtight.
4. Press the Standby key. The pump is working now and the unit is ready to be used.
5. Apply the suction electrodes.
6. Use the both rotary regulators to set parameters as desired:
• Left control: Pulses per minute
• Right control: vacuum pressure
7. The suction electrodes may be removed or repositioned only after the electrostimulation treatment has
been terminated or interrupted (i.e., no stimulation current applied any longer).
8. To remove the suction electrodes, just lift the sealing ring.

8NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
9. Upon termination of the treatment session, remove the suction electrodes from the skin and switch off
all units or put them into standby mode.
10. Clean the sponges on a daily basis.
11. Observe the Operating Instructions relating to any unit used in combination with the NEOSERV 114
(for example DUODYNATOR 119,SONOSTAT 135).

NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
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2 Start of operation
2.1 Installation
• The unit should be installed in a dry place on a level surface.
• The mains cable, the connecting cable and the electrode lines (suction lines) must be routed in such a
way that there is no danger for persons of getting entangled in these lines or pull down and damage the
unit accidentally.
• Connect the mains cable provided to the unit’s connector socket (power supply unit).
• One end of each electrode hose is connected to the suction connectors (obey colors).
• Then connect the suction electrode to the other end of the flexible tube.
Warning!
2.2 Connection
The NEOSERV 114 has been designed for a power supply of 95 - 264 V.
Permissible mains frequencies: 50/60 Hz.
Connect the unit to a grounded socket using the three-wire mains cable provided.
The safety of the unit is ensured only if it has been installed correctly. Accordingly, a protective conductor
is required; otherwise the protective system of the unit will be ineffective!

10 NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
3 Description of function
3.1 Power Switch and Fuse Unit
If the power switch is set to the „0“ position, the unit is completely cut off from mains. The unit is turned on
by toggling the switch to the „I“ position. Moreover, the connector socket assembly also contains the mains
fuses. The green LED of the Standby key will be flashing.
3.2 POWER ON
Upon switching on the unit, the green LED will be flashing. After pressing the Standby key the LED will lit
constantly. This signals that the unit is ready for operation.
3.3 Overtemperature
The system constantly monitors pump temperature. In case of overheating, the pump will be automatically
switched off, and the LED will be flashing.
3.4 Water Level
If the water level within the water separator is too high, the red water level indicator LED will be flashing.
The water must be emptied with the hose on the back side of the unit.
1. Provide a suitable container for the sewage.
2. Switch off the NEOSERV 114.
3. Take off the hose out of the upper side of the back panel.
4. Drain all liquids into the sewage container.
5. Switch on the NEOSERV 114.
6. Press the Standby key and keep him pressed for more than 5 seconds.
!!Note!
The vacuum pressure indicator flashes, i.e. the NEOSERV 114 is in the cleaning mode.
7. The pump will press all liquids out of the water separator.
8. Switch off the NEOSERV 114 or press the Standby key.
9. Fasten the hose on the upper side of the back panel.
10. Start with the next treatment.

NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
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3.5 Suction Connector Jacks
Insert the 4 electrode/suction hoses into the electrode connector jacks provided on the unit’s front panel.
Note that both the flexible hoses and jacks are color-coded, so an electrode hose may be connected only to a
matching connector jack (identical color).
!! Note!
• If you use only 2 suction electrodes, you must close the suction connections of the unused channel
with the short circuit hose before operation.
• While plugging the tube connections you must overcome 2 pressure points, otherwise the suction
connection is not airtight.
3.6 Vacuum and Pulse Regulator
By means of the Vacuum regulator a continuously variable setting of the vacuum will be achieved
The Pulse regulator is for setting the number of suction pulses per minute. Setting the regulator to
switches off the suction massage.
3.7 Connector Unit
The NEOSERV 114 has a permanent cable connected for transmitting the therapy current to the suction cup
electrodes. Connect the plugs from these cables to the patient lead socket I on the electrotherapy unit (for
example DUODYNATOR 119).
At the combined operation with ultrasound you must additionally use the connection cable
„NEOSERV Ultrasound“. Herewith you have to connect a suction connector of the NEOSERV 114 to
the stimulation current connection of the ultrasound therapy unit (e.g., SONOSTAT 133 or
SONOSTAT 135).

12 NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
4 Operating the Unit
Warning!
4.1 Switching on the Unit
Switch on the NEOSERV 114. The green LED of the Standby key will be flashing.
4.2 Select Channels
Press the Standby key of setting the unit into operation. The pump will work now.
Apply suction electrodes for channel I and channel II.
!! Note!
• If you use only 2 suction electrodes, you must close the suction connections of the unused channel
with the short circuit hose before operation.
• While plugging the tube connections you must overcome 2 pressure points, otherwise the suction
connection is not airtight.
4.3 Vacuum Setting
The Vacuum regulator is used for selecting the desired vacuum pressure. This vacuum pressure level can
be set anywhere between low vacuum (just enough to keep the electrodes in place on the patient’s skin) and
high vacuum (hematoma produced for therapeutic reasons).
• Clockwise rotation = increase in vacuum = increase in sucking action
• Counter-clockwise rotation = decrease in vacuum = decrease in sucking action.
4.4 Pulses Setting
The Pulse regulator is used for selecting the desired suction-wave pulse duty factor from 0 - 60 pulses/min.
• Clockwise rotation = increase suction power maximum 60 pulses/min
• Counter-clockwise rotation = decrease suction power minimum 0 pulses/min.

NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
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4.5 Applying the Suction Electrodes
1. It is important to select the proper electrode size, depending on the body part to be treated. As a rule, use
small-size electrodes for high-flexion body parts (such as the arms) and large-size electrodes for low-
flexion parts (such as the back).
2. Prior to starting the treatment, always thoroughly rinse the sponges in luke-warm water, then squeeze
the water out and insert the sponges into the electrodes.
3. To moisten the sponges, use tap water.
4. Always verify that the edge of the electrode will not get deformed in the course of application.
(Accordingly, the sealing lip must lie flat on the skin.)
5. Apply the electrodes to the skin and hold them in place until the sucking action sets in.
!!Note!
Each suction electrode can easily be taken off by raising the electrode, e.g. for changing their the
position on the body.
6. After switched off, all electrodes applied will come off automatically.
Warning!
Suction electrode Surface Maximum current
Suction electrode ∅60 mm with sponge ∅56 mm 24 cm248 mA
Suction electrode ∅90 mm with sponge ∅86 mm 58 cm2116 mA
Table 1: Maximum current of the suction electrodes
4.6 Terminating the Treatment Session
Reset the intensity of the electrotherapy unit to "0" and at combined operation with an ultrasound therapy
unit you also have to reset the ultrasound power to "0".
Switch off the NEOSERV 114 or put it into standby mode.
Then take the electrodes off the patient’s skin. For this, lift the edge of suction electrode. The electrode will
now come off.

14 NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
For hygienic reasons, the sponges must always be washed following termination of the treatment session
(for this, see chapter 6.2.2).
5 Troubleshooting
5.1 Error Messages
The following failures will be indicated optically by NEOSERV 114.
• Overtemperature LED flashing
1. If overtemperature is very high (90 - 100 °C), the red LED will start flashing and the pump will be
switched off immediately.
2. As soon as the pump has cooled down, the alarm lamp will go off automatically. Now the unit is
again ready for operation.
3. If overtemperature occurs even though the unit has been operated only for a short time (less than one
hour), at any rate contact your service representative to have the device checked.
• Water level indicator flashing
The water level within the water separator is too high. See chapter 3.4 for draining the water separator.
5.2 Other Troubles
Trouble Potential Cause
No or insufficient sucking action – Foreign particles have accumulated inside the suction
electrode(s)
– Suction electrodes draw in secondary air
– Leakage in tubing (electrode lines)
– Controls (front panel) in lowest position
– Internal fault (Notify Technical Service!)
Red LED (overtemperature)
flashing
– Pump has run hot (see chapter 5.1)
– Check suction electrodes for potential foreign particles
(clogging)
– Replace suction electrodes if necessary
– Internal fault (Notify Technical Service!)
Green LED (POWER ON lamp)
will not come on (or is not alight)
– Unit not switched on; mains cable defective or not plugged in
– Internal fault (Notify Technical Service!)
– Power failure in the treatment room (main fuse)
No stimulation effect generated
(suction electrodes)
– Electrotherapy unit switched off
– Electrotherapy unit not connected to the NEOSERV 114
– Connecting cable, electrode line or electrode defective
– Electrotherapy unit defective (Notify technical Service!)
– Internal fault (Notify Technical Service!)
– Stimulation current too low
– Sponges dry
In any other case of trouble or failure contact immediately gbo Medizintechnik AG or one of the service
agencies authorized by gbo Medizintechnik AG.

NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
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6 Maintenance
Functionality, reliability and safety characteristics of High Tone Therapy devices are only guaranteed if
properly used in accordance with the operating instructions. Safety control, maintenance, repair and
modifications shall be carried out by the manufacturer or the service agents authorized by him. In case of a
failure, parts which influence the safety of the device shall be replaced only by original spare parts of the
manufacturer. The electric installation shall be carried out in accordance with the requirements of VDE/IEC.
The device does not contain any parts which need maintenance work done by the user.
6.1 Safety Controls
Irrespective of the legal rules, it is recommended to have the device checked by the manufacturer or by a
service agency authorized by him at 12-months intervals.
The check shall consist of at least the following:
• Electrical safety check in accordance with the check plan of the manufacturer,
• Check of the device in respect of external integrity,
• Check of all display and operating elements in respect of damage,
• Check of all inscriptions in respect of legibility.
6.2 Cleaning, Disinfection and Care
6.2.1 Cleaning and Disinfecting the Unit
Warning!
As regards its external surfaces including the front panel, the unit may be cleaned by using normal cleaning
agents (disinfection by wiping over surfaces). It has to be observed that no liquids enter the device. Never
shall the plug or socket get wet. For cleaning or disinfection the device must not be dizzled.

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gbo Medizintechnik AG 2004 Version 1.5
6.2.2 Cleaning and Maintaining the Electrodes and Sponges
After each treatment session, the sponges used need to be washed out. In addition, we recommend full
cleaning - on a daily basis - of all the electrodes and sponges that have been used during the day.
Cleaning the Sponges, Rubber Cover and Electrode:
• Remove the sponges from the electrodes and disinfect them by using a commercial disinfecting agent.
Note that disinfecting the sponges may impair the sponges' conductivity. To improve/restore
conductivity, we recommend using a saline solution.
• Remove the metal part simply by drawing off from the electrode.
• Remove the rubber cover from the electrode.
• Clean the metal part and the rubber cover by using lukewarm water to which a normal household
cleaning agent has been added.
• As experience has shown, careful cleaning and maintenance of the sponges makes the treatment more
effective and also helps to extend the service life of the sponges. Dry sponges should be immersed in
lukewarm tap water for about 5 minutes prior to treatment. This will ensure that the sponges recover the
required elasticity and size.
Warning!

NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
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7 Warnings and Safety Precautions
Warning!
• In case of patients with implanted electronic device carry out electrical stimulation
treatment only after having checked whether there is any risk.
• Pieces of jewellery and glasses have to be taken off during the treatment.
• Turn off cellular phones and radiophone or place them in a distance of 3 m from the
device.
• Cardiac pacemakers can extremely be disturbed. In these cases the therapy should be only
carried out under continuous pulse and ECG control.
• If the patient and/or the patient cable is in direct range of a high-frequency, short-wave or
micro-wave therapeutic device, a damage to the device or an injury of the patient cannot
be excluded. Please keep a distance of 3 m.
• A simultaneous connection of the patient to a high-frequency surgery device can lead to
burns under the electrical stimulus electrodes.

18 NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
8 Explanation of the Signs Used
0123
CE – conformity sign
Caution!
Observe the instructions for use !
Application part ungrounded, protection degree Type BF
This product complies with WEEE Directive 2002/96/EG
(waste electrical and electronic equipment). Separate
collection for electrical and electronic equipment.
Water level
Temperature
Standby

NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
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9 Technical Data
Mains voltage and frequency: 95 – 264 V, 48 – 62 Hz
Current consumption: with 115 V max. 0.45 A
with 230 V max. 0.25 A
Mains fuses: 0.8 AT
Safety class: I
Protection degree: BF
Protection against ingress of liquids: IP X1
Dimensions: max. 9 cm x 26 cm x 32.5 cm (H x D x W)
Weight: 5.5 kg without accessories
Color: RAL 9002
Vacuum setting: continuously variable
max. vacuum: 400 mbar
Environmental conditions: Operation of
the device:
Temperature range +10 °C ... +40 °C
Relative humidity 30 ... 75 %
Transport and
storage :
Temperature range +5 °C ... +50 °C
Relative humidity < 90 %, none condensing
gbo Medizintechnik AG reserves the right to modify the design and specification without prior notice.
10 Accessories
Article Article number
NEOSERV 114 with user manuals 014-0-114
Electrode tube red 014-0-0021
Electrode tube green 014-0-0022
Set of suction electrodes
“Standard”
(2 x electrode tube red, 2 x electrode tube green,
4 x suction electrode ∅50 mm, 12 x contact sponge ∅52 mm)
014-0-0025
Suction electrode, ∅60 mm 014-0-0060
Suction electrode, ∅90 mm 014-0-0061
Contact sponge, ∅56 mm 014-0-0067
Contact sponge, ∅86 mm 014-0-0068
Short circuit hose 014-0-0026
Connection cable “NEOSERV-Ultrasound” 014-0-0014

20 NEOSERV 114
gbo Medizintechnik AG 2004 Version 1.5
Notes in accordance with EC directive and Medical
Devices Directive (MDD)
The NEOSERV 114/114-H is a line-powered suction wave massage unit of protection class I. Normally it
serves as an suction application aid for current stimulation therapy.
The device is in accordance with the EC directive for medical devices (93/42/EWG) and therefore carries
the CE sign with the registration number of the notified body for medical devices. The according graphical
symbol is placed on the type plate.
According to the MDD, NEOSERV 114/114-H is a class IIa device.
The manufacturer is only responsible for the safety, operational reliability and functionality of the device if:
• the device is used in accordance with the instructions for use;
• the electrical installation of the location where the device will be used meets the respective current
requirements of electrical safety;
• the device is not used in hazardous environments and humid locations;
• mountings, amplifications, re-adjustments, modifications or repair works are carried out only by
personnel authorized by the manufacturer;
• the operator regulation of this EC directive is observed within the scope of MDD.
Technical support may be obtained by the manufacturer, dealers or service authorized by the manufacturer.
The product’s duration of life as scheduled by the manufacturer is 10 years.
NEOSERV 114/114-H is an electronic device. For its disposal the according regulations for electronic
devices have to be observed. Incidentals have to be disposed with residual waste.
On request, the manufacturer will provide you with further technical descriptions for all repairable parts of
the device, such as circuit diagrams, spare parts lists, and adjustment instructions as far as these are
necessary for the qualified technical staff of the operator.
Comments on electromagnetic compatibility (EMC)
Medical, electrical devices are subject to special precautions concerning the EMC. They must be installed
and operated according to the EMC-advice given in the accompanying documents. In particular medical,
electrical devices may be influenced by portable and mobile RF-communication devices.
The manufacturer guarantees the conformity of the unit with the EMC-requirements only when using
accessories which are listed in the EC declaration of conformity. The usage of other accessories my cause an
increased emission of electromagnetic disturbances or may lead to a reduced electromagnetic immunity.
The unit must not be arranged physically close to other devices or stacked with other devices than
DUODYNATOR 119 or HiToP®. If such an order is necessary nevertheless, the unit must be observed in
order to check it for the intentional operation.
You find more EMC-comments in the chapter “Warnings and Safety Precautions” of this manual as well as
in the Technical Information on the next two pages.