Physiomed PHYSIOTHERM-S User manual

00916 GB
OPERATING INSTRUCTIONS
PHYSIOTHERM-S

The technical data in this manual is as at the time of printing and subject to alteration.
Copyright © 2001 - 2009 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.
Last updated April 8, 2009.

Instrument Overview
Operator side
Legend
1 Power switch 6 Electrode connection cable
2 Graphic display 7 Extractable electrode arm
3 Data selector 8 Metal housing
4 Stop button 9 Locking castor
5 Plastic plate electrode
1
4
7
9
8
2
5
6
3

Patient side
10 Male end of electrode cable 14 Female end of electrode cable
11 Fuses 15 Adjusting element for electrode-skin distance
12 High-load non-heating appliance plug 16 Locking screw
13 Rating plate
Symbols
CAUTION!
Please refer to the operating instructions and consider the physiological effects!
Type BF component, not connected to protective ground wire!
13
10
11
12
14
16
15

Contents
1Introduction......................................................................................................................1
1.1 Instrument Description ............................................................................................................1
1.2 Application................................................................................................................................1
1.3 Contraindications .....................................................................................................................2
1.3.1 Absolute contraindications ..........................................................................................................2
1.3.2 Local contraindications ................................................................................................................2
1.3.3 Of particular importance..............................................................................................................3
2Controls and Indicators....................................................................................................4
2.1 Function of Controls and Indicators........................................................................................4
2.1.1 Display <2> .................................................................................................................................4
2.1.2 Data Selector <3>........................................................................................................................4
2.1.3 Stop Button <4>..........................................................................................................................5
2.2 Overview of Parameters ..........................................................................................................5
2.2.1 Start Menu ..................................................................................................................................5
3Installation........................................................................................................................6
3.1 Requirements for installation..................................................................................................6
3.2 Requirements of the installation location..............................................................................6
3.3 Transport of the unit................................................................................................................6
3.4 Unpacking the unit...................................................................................................................7
3.5 Inspection upon receipt ...........................................................................................................7
3.6 Damages....................................................................................................................................7
4Notes on operation ..........................................................................................................8
4.1 Preparing the unit ....................................................................................................................8
4.2 Check for operational safety ...................................................................................................8
4.3 Setting the Line Voltage ..........................................................................................................8
4.4 Instrument Errors......................................................................................................................9
4.4.1 Operator errors............................................................................................................................9
4.4.2 Internal errors..............................................................................................................................9
5Short Wave Therapy ......................................................................................................10
5.1 Positioning the electrodes .................................................................................................... 10
5.2 Setting the intensity.............................................................................................................. 12
5.2.1 Dosage levels according to Schliephake .................................................................................... 12
5.2.2 Effective Power......................................................................................................................... 12
5.3 General information on starting a short wave therapy..................................................... 13
5.3.1 Preparations ............................................................................................................................. 13
5.3.2 Beginning the treatment........................................................................................................... 13
6Indications Menu............................................................................................................15
6.1 Starting a treatment via the Indications menu................................................................... 15
6.2 Information on the selected treatment ............................................................................... 16
6.3 Selecting a medical field .......................................................................................................17
7Indications ......................................................................................................................18
7.1 Orthopaedics – Surgery / Neurology ................................................................................... 19
7.1.1 Osteoarthritis............................................................................................................................ 19
7.1.2 Chronic polyarthritis of the hip and shoulder joints................................................................... 20
7.1.3 Achillodynia.............................................................................................................................. 20

7.1.4 Bechterew's disease.................................................................................................................. 21
7.1.5 Bursitis...................................................................................................................................... 21
7.1.6 Distortions, dislocations, contusions ......................................................................................... 22
7.1.7 Epicondylitis.............................................................................................................................. 22
7.1.8 Facial paralysis (peripheral)........................................................................................................ 23
7.1.9 Fracture.................................................................................................................................... 23
7.1.10 Intercostal neuralgia ................................................................................................................. 24
7.1.11 Ischialgia................................................................................................................................... 24
7.1.12 Contracture.............................................................................................................................. 25
7.1.13 Lumbago.................................................................................................................................. 25
7.1.14 Myalgia .................................................................................................................................... 26
7.1.15 Neuralgia / neuritis ................................................................................................................... 26
7.1.16 Frozen shoulder........................................................................................................................ 27
7.1.17 Periostitis.................................................................................................................................. 27
7.1.18 Raynaud´s disease..................................................................................................................... 28
7.1.19 Spondylosis / osteochondrosis...................................................................................................28
7.1.20 Sudeck´s dystrophy ................................................................................................................... 29
7.1.21 Tendovaginitis .......................................................................................................................... 29
7.1.22 Cervical syndrome .................................................................................................................... 30
7.2 Dermatological indications ................................................................................................... 31
7.2.1 Furuncle, carbuncle .................................................................................................................. 31
7.2.2 Frostbite ................................................................................................................................... 32
7.2.3 Skin injuries .............................................................................................................................. 32
7.2.4 Hidradenitis .............................................................................................................................. 33
7.2.5 Panaritia ................................................................................................................................... 33
7.3 Gynaecology .......................................................................................................................... 34
7.3.1 Adnexitis (chronic) .................................................................................................................... 34
7.3.2 Amenorrhoea, dysmenorrhoea, ovarian insufficiency................................................................ 35
7.3.3 Mastitis..................................................................................................................................... 35
7.3.4 Myometritis (chronic)................................................................................................................ 36
7.3.5 Parametrism ............................................................................................................................. 36
7.4 ENT / dentistry and oral medicine........................................................................................ 37
7.4.1 Laryngitis.................................................................................................................................. 37
7.4.2 Otitis media (chronic)................................................................................................................ 38
7.4.3 Sinusitis max............................................................................................................................. 38
7.5 Internal medicine, urology.................................................................................................... 39
7.5.1 Bronchitis (chronic) ................................................................................................................... 39
7.5.2 Cholelithiasis ............................................................................................................................ 40
7.5.3 Hepatitis ................................................................................................................................... 40
7.5.4 Constipation............................................................................................................................. 41
7.5.5 Unspecific exudative pleurisy (chronic) ...................................................................................... 41
7.5.6 Prostatitis and vesiculitis ........................................................................................................... 42
8Individual Programs .......................................................................................................43
8.1 Setting program values......................................................................................................... 43
8.2 Call Program........................................................................................................................... 44
8.3 Delete Program...................................................................................................................... 44
9Basic settings ..................................................................................................................45
9.1 Changing the basic settings.................................................................................................. 45
10 General Notes.................................................................................................................46
10.1 Responsibilities ...................................................................................................................... 46
10.2 Personal safety ...................................................................................................................... 46
10.3 Protection of unit .................................................................................................................. 48
11 Service, Repairs, Maintenance ......................................................................................49

12 Cleaning and Disinfections............................................................................................49
13 Technical Data ................................................................................................................50
14 Accessories......................................................................................................................51
14.1 Standard................................................................................................................................. 51
14.2 Special Accessories ................................................................................................................ 51
15 Manufacturer’s Recommendations...............................................................................52
16 Index ...............................................................................................................................53

Introduction
PHYSIOTHERM-S
1
1Introduction
With your PHYSIOTHERM-S, you have acquired a high-quality and extremely versatile
unit for short wave therapy.
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.
Warning
Safe operation of the short-wave therapy unit requires knowledge
of both medicine and electricity.
For this reason, the short-wave therapy unit may be used only by
persons with the appropriate knowledge and practical experience
necessary to ensure proper handling of the unit and who have been
properly trained in the use of the unit based on these operating
instructions!
1.1 Instrument Description
The PHYSIOTHERM-S short-wave therapy unit can produce dielectric warming by
means of electric or electromagnetic fields of varying intensity in practically any
region of the body and can therefore be used for a wide variety of applications.
Treatments can be carried out using either the capacitor (dielectric field) or the coil
(induction field) method.
In the dielectric field method, the body part to be treated is within the electric field
between two plate electrodes. The “radiation” produces a warming of the body
part located within the field. Fat layers are warmed considerably more than muscle
tissue. When applying the induction field method, the body part is within a
magnetic field, which warms especially tissue containing liquid located near the
surface, such as muscles.
1.2 Application
The short-wave therapy unit is suitable for nearly all heat therapy processes for use
in clinics and private practices.
Classical therapy applications can be conducted with the induction-field and
dielectric-field methods in continuous or pulsed mode.
The application of high-frequency energy in heat therapy has the advantage of
greater depth penetration as opposed to simpler methods, such as packs, baths,
infrared light and heat cushions.
The endogenous heat that is formed triggers a series of physiological processes,
producing a spasmolytic effect on muscles, tendons and other structures containing
connective tissue, increasing the cell metabolism and the enzyme reaction speed
and stimulating perfusion in the treated zone.

Introduction
2 PHYSIOTHERM-S
The capability of applying the high-frequency energy in short, intense pulses (pulsed
mode) can further increase the depth effectiveness, especially the stimulation of
perfusion, while the heat generation is hardly felt in the skin, which is more sensitive
to heat.
The applications for the high-frequency therapy are diverse. This therapy is especially
effective in treating rheumatic disorders of the joints and muscles, inflammatory
disorders of the respiratory organs, the kidneys and bile ducts and all disorders due
to insufficient perfusion. The pulsed mode is advantageous in the treatment of
acute conditions.
1.3 Contraindications
The following list of contraindications (which is by no means to be regarded as
being comprehensive) should always be observed when applying short-wave
treatment for therapeutic purposes!
•Always be sure to ask the patient about these contraindications, as not all
contraindications are immediately recognizable by the therapist (e.g.
pregnancy)!
•In addition, any external signs that might point to the existence of
contraindications (e.g. scars, etc.) should always be reason enough to ask the
patient about contraindications!
•As a rule, any short-wave therapy must be strictly based on an accurate
diagnosis!
1.3.1 Absolute contraindications
The following indications are absolute contraindications to short-wave therapy:
•Patients with a cardiac pacemaker may under no circumstances be subjected to
short-wave therapy. The effects of the applied high frequency on the pacemaker
could cause ventricular fibrillation. Any other persons with pacemakers must also
remain outside of the treatment area during the short-wave therapy!
•Patients whose condition could be negatively affected by heat
•Patients with tuberculosis
•Patients with haemorrhages or risk of haemorrhage
•Patients with septic conditions and emphysemas
•Patients with malignant tumours and tumours that are not yet identified1
1.3.2 Local contraindications
The following indications are local contraindications to short-wave therapy:
•Implants or metal inclusions2
1According to Schneider (in ELEKTROMEDIZIN 7/62): Tissue and organ sections with inflammations, necroses, pus
formation and abscesses. In such cases, the therapist must choose between the application of cold or heat in accor-
dance with general pathological considerations, depending on the degree of inflammation. Inflammatory conditions
that are still in statu nascendi are treated with cold. Inflammatory conditions with necroses and a cavitary tendency
are treated with therapeutic means that generate heat and hyperemia. Chronic and unspecific inflammations are
treated in the same way (heat and hyperemia), as this supports resorption, reparation and regeneration. Specific
chronic inflammations (such as tuberculosis), however, are activated by heat. Accordingly, they represent a contrain-
dication. The same applies in the case of malignant tumorous conditions. Heat application in the case of a tumorous
disease can only be regarded as malpractice. Moreover, cardiac congestions must be removed prior to any heat appli-
cation.