Physiomed Jubilee User manual

00946 GB
OPERATING INSTRUCTIONS
PHYSIOMED-Jubilee

The technical data in this manual is as at the time of printing and subject to alteration.
Copyright © 2003 - 2010 by PHYSIOMED ELEKTROMEDIZIN AG
All rights, including rights of translation, reproduction by printing, copying or similar methods,
even of parts are reserved.
Offenders will be liable for damages.
PHYSIOMED ELEKTROMEDIZIN AG
Hutweide 10
91220 Schnaittach / Laipersdorf (Germany)
Phone: + 49 9126 2587-0
Fax: + 49 9126 2587-25
E-Mail: [email protected]
Internet: http://www.physiomed.de
Operating Instructions last updated on February 8, 2013.

Instrument Overview
Front Panel
Rear Face
Legend
1 Mains Module 6 Intensity Control 11 Manual Release Key Socket
2 Upper Status Bar 7 Pulse Indicator 12 SIM Socket
3 Display 8 Patient Current Indicator 13 VAC Socket
4 Lower Status Bar 9 Output Indicator
5 Data Selector 10 Patient Lead Connector
Symbols
CAUTION!
Please refer to the operating instructions and consider the physiological effects!
Type BF component, not connected to protective ground wire!
2
3
4
6
5
7
8
9
12
13
1
10
11

Contents
1Introduction....................................................................................................................1
1.1 Instrument Description ............................................................................................................1
1.2 Application................................................................................................................................1
1.3 Contraindications .....................................................................................................................2
2Controls and Indicators..................................................................................................3
2.1 Function of Controls and Indicators........................................................................................3
2.1.1 Mains Module <1> ......................................................................................................................3
2.1.2 Upper Status Bar<2> ...................................................................................................................4
2.1.3 Display <3> .................................................................................................................................4
2.1.4 Lower Status Bar<4> ...................................................................................................................4
2.1.5 Data Selector <5>........................................................................................................................4
2.1.6 Intensity Control <6> ..................................................................................................................5
2.1.7 Pulse Indicator <7>......................................................................................................................5
2.1.8 Patient Current Indicator <8> ......................................................................................................5
2.1.9 Output Indicator <9> ..................................................................................................................6
2.1.10 Patient Lead Connector <10>......................................................................................................6
2.1.11 Manual Release Key Socket <11> ................................................................................................7
2.1.12 SIM Socket<12> ..........................................................................................................................7
2.1.13 VAC Socket <13>........................................................................................................................7
2.2 Overview of Parameters ..........................................................................................................8
2.2.1 Start Menu (1st level)....................................................................................................................8
2.2.2 Example Menu (2nd level) .............................................................................................................8
2.3 Operation ..................................................................................................................................9
2.3.1 Parameters for Stimulation Current .............................................................................................9
2.3.2 Parameters for i/t-diagnostics.....................................................................................................12
2.4 Characterisation of the Individual Current Modes ..............................................................13
2.4.1 Low-frequency Current Modes (LF)............................................................................................13
2.4.2 Medium-Frequency Currents .....................................................................................................20
2.4.3 Current Modes of the Diagnostics Menu ...................................................................................21
3Notes on Operation......................................................................................................22
3.1 Connection and Start-up........................................................................................................22
3.2 Device Start-up .......................................................................................................................22
3.3 Self-test routine......................................................................................................................22
3.4 Instrument Errors....................................................................................................................23
4Stimulation Current Therapy .......................................................................................24
4.1 General Information...............................................................................................................24
4.2 Safety Precautions when Attaching Electrodes...................................................................24
4.3 Safety Precautions for Stimulation Current Intensity .........................................................25
4.3.1 Recommended Intensities ..........................................................................................................25
4.4 Preparations and Attaching the Electrodes .........................................................................26
4.4.1 Modes of attaching the electrodes ............................................................................................27
4.5 Therapy using low-frequency current modes......................................................................27
4.5.1 Monophase and biphase current modes ....................................................................................27
4.5.2 Iontophoresis.............................................................................................................................27
4.5.3 Pain Therapy, Hyperaemisation, Detonisation ............................................................................29
4.5.4 Muscle Stimulation using low-frequency currents ......................................................................29
4.6 Therapy using medium-frequency current modes ..............................................................32
4.6.1 Pain Therapy, Hyperaemisation, Detonisation using AMF Current ..............................................32
4.6.2 Muscle Stimulation using Medium-frequency Surge Currents ....................................................32

Introduction
5Diagnosis using Stimulation Current...........................................................................35
6Simultaneous Therapy .................................................................................................37
7Indications Menu..........................................................................................................37
8Individual Programs .....................................................................................................39
8.1 Save individual therapy modes.............................................................................................39
8.2 Save Potpourri ........................................................................................................................40
8.3 Call Program............................................................................................................................41
8.4 Delete program.......................................................................................................................41
9Basic Settings................................................................................................................42
9.1 Setup Menu.............................................................................................................................43
10 Appendix ......................................................................................................................43
10.1 General Notes .........................................................................................................................43
10.2 Service, Repairs, Maintenance...............................................................................................44
10.3 Cleaning and Disinfection......................................................................................................44
10.4 Service Life and Disposal .......................................................................................................45
10.5 Electromagnetic Compatibility ..............................................................................................45
10.6 Training ...................................................................................................................................45
10.7 Connecting a Vacuum Unit ....................................................................................................45
10.8 Upgrading ...............................................................................................................................45
10.9 Technical Data.........................................................................................................................46
10.9.1 Environment Conditions (Operation)..........................................................................................46
10.9.2 Environment Conditions (Transport and Storage).......................................................................46
11 Accessories....................................................................................................................47
11.1 Standard Accessories..............................................................................................................47
11.2 Additional Accessories ...........................................................................................................48
12 Manufacturer’s Recommendations..............................................................................50
13 Index .............................................................................................................................51

Introduction
PHYSIOMED-Jubilee 1
1Introduction
With your PHYSIOMED-Jubilee, you have acquired a high-quality and extremely ver-
satile stimulation current therapy instrument.
The instrument will only show its true potential, however, if you are well informed
about its functions. For this reason, carefully read the
Operating Instructions and
familiarise yourself with the use of the instrument.
1.1 Instrument Description
PHYSIOMED-Jubilee is a single channel stimulation current unit. You can apply cur-
rent modes from low to medium frequency. Moreover, the unit offers a program for
I/T-curve diagnosis. The unit can also be used for simultaneous therapy (stimulation
current and ultrasound in ONE treatment) in combination with a suitable ultrasound
therapy device (e.g. PHYSIOSON-Expert, page 37).
It is always possible to upgrade the unit to an IONOSON-Jubilee combination ther-
apy unit. To do so, it is required to send the instrument to the factory.
Therapy modes of PHYSIOMED-Jubilee may be accessed
directly or, by a proposed
treatment, via the indications menu (page 37). Moreover, the unit enables you to
memorise up to 25 individual treatment programs or current sequences (
potpourris ,
page 39).
All functions of PHYSIOMED-Jubilee are controlled by a microprocessor, which also
continuously monitors all important components and suppresses erroneously initi-
ated operating steps. After switching on, all instrument functions are checked dur-
ing an automatic self-test routine. The instrument complies with all current safety
standards.
The instrument meets the requirements of the EC directive concerning medical de-
vices (93/42/EEC) and is therefore CE-labelled.
Warning
Technical modifications to the instrument are not admissible and will inevi-
tably lead to loss of approval as a medical device.
1.2 Application
PHYSIOMED-Jubilee was designed for the following applications:
Stimulation current therapy
•Pain therapy
•Circulatory stimulation
•Mobilisation and muscle stimulation
•Iontophoresis
Stimulation current diagnosis
•I/T-curve diagnosis

Introduction
2 PHYSIOMED-Jubilee
Simultaneous treatment
•Simultaneous application of stimulation current and ultrasound
Warning
The instrument may only be operated by qualified personnel who have
undergone special training!
1.3 Contraindications
Contraindications to stimulation current therapy or simultaneous treatment:
•Highly inflammatory, fever-prone disorders
•Pregnancy
•Patients with cardiac pacemakers or other implanted stimulators
•Malignant tumours
•Skin lesions
•Implants containing metal parts within the area of treatment
Contraindications to simultaneous treatment:
•Fever-prone disorders and acute inflammatory processes
•Pregnancy
•Tuberculosis, gastric ulcers
•Vascular disorders of the extremities (thrombophlebitis, thrombosis, varicosis)
•Tumours
•Circulatory insufficiency, coronary diseases, cardiac dysrhythmias
•Acute articular rheumatism
•Diabetes mellitus
•Septic inflammations
•Conditions following radiothorium treatments, X-ray therapy
•Conditions following laminectomy
•Skin lesions (infections, inflammatory processes, naevi)
•Tumescences at all stages (pre-/postoperative)
•Blood coagulation diseases.
Warning
Do not apply ultrasound or simultaneous therapy close to the brain,
spinal cord and eyes!

Controls and Indicators
PHYSIOMED-Jubilee 3
2Controls and Indicators
As its LCD is divided in different function fields, PHYSIOMED-Jubilee allows for clear
and easy operation.
The plastic housing and the front panel protect the electronic components and sim-
plify cleaning.
Safety-related components are continuously monitored by the microprocessor, erro-
neously initiated operating steps are suppressed, a self-test routine is performed af-
ter switching on and possible malfunctions are displayed. For safety reasons, stimu-
lation current output is automatically cut off in case of malfunction.
2.1 Function of Controls and Indicators
In the following section we will introduce the individual controls of PHYSIOMED-
Jubilee. The numbers in angle brackets refer to the
Instrument Overview at the be-
ginning of this manual.
2.1.1 Mains Module <1>
The mains module <1> with mains supply, fuses and mains switch
is situated at the rear side of the instrument.
For mains supply do only use the mains cable provided by the
manufacturer.
PHYSIOMED-Jubilee is switched on and off using the integrated
mains switch. After switching on, a self-test is automatically car-
ried out by the instrument (cf.
Notes on Operation on page 26).
Set the Line Voltage
After replacing the fuses, you can run the instrument with 230 V as well as 115 V
simply by using the rotatable fuse carrier at the mains module <1> (refer to section
Technical Data on page 56). The fuses are situated under the cover of the mains
module <1> in a fuse carrier.
Replace 1 A fuses with 2 A fuses, turn the fuse carrier by 180° and insert it again, so
that the “red window” of the mains module <1> reads “115 V”, after the cover
has been closed again.
Warning
Set the line voltage at the mains module to match the incoming line
voltage!

Controls and Indicators
4 PHYSIOMED-Jubilee
2.1.2 Upper Status Bar<2>
The upper status bar <2> shows indications or some of the corresponding pa-
rameters selected. For example: G IONTOPHORESIS .
2.1.3 Display <3>
On the display <3>, you can select all of the instrument’s menus and parameters
on different levels except for the intensity. The selection is carried out with the data
selector <5>.
2.1.4 Lower Status Bar<4>
In the lower status bar<4>, messages and prompts are issued, e.g.:
PLEASE SELECT A FUNCTION .
2.1.5 Data Selector <5>
Use the data selector <5> to select the therapy pa-
rameters and to operate the instrument by means of
the cursor. After switching on the instrument, the
cursor is located at the current mode Gof the dis-
play <3>.
You can move the cursor to the other menu items by
turning the selector to the right or left. To select a
menu, simply press the selector.
To select a parameter, move the cursor to the respective field by turning the selec-
tor. After pressing the selector, the cursor will start flashing. You will then be able to
select the parameters by turning the selector and confirm the selected value by
pressing the selector again (cursor stops flashing). The modified values are displayed
in the upper status bar <2> or at the respective position of the display <3>.
upper status bar
display
lower status bar

Controls and Indicators
PHYSIOMED-Jubilee 5
2.1.6 Intensity Control <6>
The intensity control <6> serves to set the therapy dose
(intensity) in steps of 0.5 mA. When turning up the intensity
of intensity control <6>, the associated therapy timer on
the display <3> will be started as well.
Whenever you have to turn down the intensity control to
“0”, the following turn-down signal is displayed in the
lower status bar <4>:
Automatic output current switch-off
PHYSIOMED-Jubilee disposes of an automatic output current switch-off acti-
vated in case the current flow of the electrodes is interrupted (electrode falls off,
plug is disconnected from patient lead etc.). The message CHECK ELECTRODES will
appear in the lower status bar<4> and the current will be automatically turned
down to a minimum basic current. After eliminating the error, the current will
automatically be surged to the previously set value and the message will disappear.
Warning The automatic output current switch-off (intensity control <6>) is
not active when working with a second pair of electrodes.
2.1.7 Pulse Indicator <7>
The pulse indicator <7>
serves to visually monitor the current
modes and intensities. It flashes whenever a pulse is generated by
the processor, even in case of 0 intensity. It will stop flashing how-
ever
when the intensity is automatically reduced by the therapy
timer.
After turning down the intensity to 0 with the
intensity control
<6> the indicator will start flashing again. When changing the polar-
ity of monophase currents (display <3>), the indicator wi
ll show
how the intensity increases or decreases automatically.
2.1.8 Patient Current Indicator <8>
The flashing of the indicators depends on the resis-
tance in the circuit. In most cases the diodes start
flashing exactly at the moment when the patient
starts to have a clear sensation of the current.
If the indicator does not flash during treatment, you have to carry out a self-test
routine and observe whether or not the indicator flashes. If the indicator still does
not flash during treatment after the check, the accessories should be checked and
replaced if necessary.

Controls and Indicators
6 PHYSIOMED-Jubilee
2.1.9 Output Indicator <9>
The indicator tells you to be cautious when handling
the electrodes:
Warning! The patient lead connector <10> is under
voltage! Take care that the electrodes are by no
means touched after the current is turned up!
2.1.10 Patient Lead Connector <10>
The patient lead connector <10> serves to plug in the pa-
tient lead. You can plug plate electrodes, adhesive electrodes
or other types of electrodes into the patient lead.
Patient Lead - Mode(s) of Attachment
The colours of the connectors facilitate easy and correct
attachment of the electrodes according to their polar-
ity.
Colour of the female plug:
red = anode (+), blue = cathode (-)
Type BF component, not connected to
protective ground wire.
Warning
Take care that the electrodes are by no means touched after the cur-
rent is turned up!
Anode (+)
Cathode (-)

Controls and Indicators
PHYSIOMED-Jubilee 7
2.1.11 Manual Release Key Socket <11>
The manual release key socket <11> serves to connect a
manual release key for manually triggering the current pulse or
as a therapy pause button. The use of a manual release key
may be appropriate when applying the current modes FaS,
HVS, T/R, and KOTS. To activate it, the function display must
be at the following position:
The manual release key can be used as a therapy pause button for all other
current modes. When pressing the release key, the current is switched off immedi-
ately. The following symbol appears on the display <3> after pressing the therapy
pause button:
You can turn up the current only after setting the intensity control <6> to zero.
The therapy time is interrupted as long as the unit is standing by.
2.1.12 SIM Socket<12>
The SIM socket <12> serves to connect to an ultrasound ther-
apy unit PHYSIOSON-Expert (see also
Simultaneous Therapy on
page 37).
2.1.13 VAC Socket <13>
The VAC socket <13> serves to connect to a vacuum applica-
tion unit PHYSIOVAC-Jubilee or PHYSIOVAC-Expert (also see
Connecting a Vacuum Unit on page 43).

Controls and Indicators
8 PHYSIOMED-Jubilee
2.2 Overview of Parameters
2.2.1 Start Menu (1st level)
2.2.2 Example Menu (2nd level)
Current mode G
diagnostics menu
indications menu
(therapy suggestions)
upper status bar<2>
setup menu
individual programs
(freely configurable)
lower status bar<4>
current modes with
low frequencies
(direct access)
therapy timer
current mode
parameters
circuit I
back to
previous
menu
circuit I
individual programs
(memory menu)
electrodes display
(plate electrodes/
vacuum electrodes)
setup menu
current modes with
medium frequencies
(direct access)
parameters

Controls and Indicators
PHYSIOMED-Jubilee 9
2.3 Operation
Selecting a function (e.g. the current mode G) from the start menu (level 1) will lead you
to level 2 of the menu. Here you can set the desired parameters for the selected current
mode.
The following functions are available on level 2:
Memory menu; individual programs (single treatments or current
modes) can be memorised.
Display electrodes: Indicates whether the current is released via plate
electrodes (this symbol) or via vacuum electrodes. The vacuum elec-
trodes are enabled automatically when switching on the vacuum de-
vice. When the vacuum device is switched off, the current is released
via plate electrodes (switching is slightly delayed).
Setup menu (settings)
Back to level 1
Therapy timer with selected therapy time; the therapy current
will be reduced to 0 and an acoustic signal will be issued every
10 seconds after the countdown (left timer: stimulation cur-
rent).
The parameters of the menus DIAGNOS. , INDICAT. , INDIVID. and SETUP will be discussed
later.
2.3.1 Parameters for Stimulation Current
The following paragraph will give you an overview of the meaning of the symbols in the
menus for the individual current modes.
In General
The symbols below apply for all current modes with low frequencies:
Intensity display (mA), to be set with intensity control <6>.
The sign (plus/minus) signifies the polarity of the red plug.
Exchange of polarity of the two electrodes; the sign (plus/minus)
of the intensity display will be changed respectively.
Current Mode G
Switching from galvanic current to
medium-frequency inter-
rupted direct current
. The current setting is displayed in the up-
per status bar.
Toggling intensity ranges (0 – 3.5 mA or 0 –
25 mA). The current setting is displayed in the
upper status bar (only for G).

Controls and Indicators
10 PHYSIOMED-Jubilee
Current Modes DF, MF, CP, LP
Switching in a
galvanic basis (5%).
The current setting is displayed in the upper status bar.
Current Modes UR, IG 30, IG 50, FM, STOCH
Switching from monophase to biphase pulse emission. The cur-
rent setting is displayed in the upper status bar.
Current Modes HV, TENS
Switching from monophase to biphase pulse emission. The cur-
rent setting is displayed in the upper status bar.
Pulse time (possible values: 80 … 400 µs)
Burst frequency (possible values: OFF; 1 – 10 Hz),
Frequency bands (for HV and TENS 70 – 150
Hz or 1 – 150 Hz) or fixed frequency (1 – 200
Hz). The currently selected frequency is dis-
played in the upper status bar.
Current Mode FaS
Switching from monophase to biphase pulse emission. The cur-
rent setting is displayed in the upper status bar.
Acoustic signal, makes every current pulse audible
Ti: Pulse time, possible values: 0,1 – 10 ms
Ri: Release time , possible values: 10 – 250 ms
Pulse shape (triangle, rectangle)
Basic settings: T = 1ms, R = 20 ms, triangular pulse
Relation contraction (
T
ension , 1 s) / pause (
R
elease , 1 s),
possible values T = 1 – 60 s, R= 1 – 60;
manual release key (only if R > 1s)
Ramp (4 settings m1to m4) with different rise times. The current
setting is displayed in the upper status bar.
Current Mode HVS
Switching from monophase to biphase pulses. The current setting
is displayed in the upper status bar.
Acoustic signal, makes every current pulse audible.

Controls and Indicators
PHYSIOMED-Jubilee 11
Frequency (possible values: 2 – 200 Hz)
Relation contraction (
T
ension , 1 s) / pause (
R
elease , 1 s),
possible values T = 1 – 60 s, R= 1 – 60;
manual release key (only if R > 1s)
Ramp (4 settings m1to m4) with different rise times. The current
setting is displayed in the upper status bar.
Current Mode T/R
Pulse time (possible values: 1s – 0.1 ms)
Release time (possible values: 7 s to 1 ms; manual release key)
Pulse shapes (square-wave pulse r1, trapezoidal pulses t1– t3,
triangular pulses d1– d3, exponential pulse e1). The current set-
ting is displayed in the upper status bar.
Current Mode AMF
Intensity display (mA), to be set with intensity control <6>
5 pre-set frequency bands,
fixed frequency (Select 0 – 250 Hz)
Basic frequency (possible values: 2.0 – 9.5 kHz)
Current Mode KOTS
Intensity display (mA) to be set with intensity control <6>
Tension time (possible values: 1 to 60 s in steps of 1s;
manual release key (only if R > 1s)
Release time (possible values: 1 to 60 s) in steps of 1s
Ramp (4 settings m1to m4) with different rise times. The current
setting is displayed in the upper status bar.
Modulation frequency (selectable: 0 – 95 Hz)
Pulse shape (sine, triangle, rectangle)
Pulse length T
(possible values: 2 ms, 4 ms, 6 ms, 8 ms, 10 ms, auto)

Controls and Indicators
12 PHYSIOMED-Jubilee
Basic frequency (possible values: 2.0 – 9.5 kHz)
Acoustic signal, makes every current pulse audible
2.3.2 Parameters for i/t-diagnostics
Exchange of polarity of the two electrodes;
the sign (plus/minus) of the intensity display will be changed re-
spectively.
Acoustic signal, makes every current pulse audible
Pulse forms:
Select between rectangular pulse r1 and triangular pulse d1
Pulse time:
Selecting the pulse time (steps from 1000 ms – 0,1 ms)
Pause time:
Selecting the time between the pulses (steps from 2-5 s)
Trigger pulses with manual release key
Confirm muscular reaction
Delete stored values

Controls and Indicators
PHYSIOMED-Jubilee 13
2.4 Characterisation of the Individual Current Modes
Note
All current modes of the unit are emitted in the
constant current mode , with
the exception of simultaneous treatment (see page 37). Here, the device is
automatically switched to a mixed mode consisting of
constant current and
constant voltage mode to avoid unpleasant current sensations when the con-
tact between skin and transducer is interrupted.
2.4.1 Low-frequency Current Modes (LF)
(G) Galvanisation
Direct current without any interruption or break
Variation:
Medium-frequency interrupted direct current (8 kHz; duty cycle 95%).
Application: Iontophoresis, basic therapy for paralysis and atrophy treatment,
evoking hyperaemia
Note
You have to take special care when applying galvanic current. The mois-
tened viscose covers must be well attached to the skin surface. The intensity
must not exceed 0.1 mA/cm² of active electrode surface!
(DF) Diadynamic Current Diphasé Fixe
acc. to Bernard
Fixed parameters Adjustable
Pulse shape: sinusoidal half-waves Galvanic basis (5%)
T = pulse time: 10 ms
R = release time: 0 ms
Frequency: 100 Hz
Galvanic basis ON OFF