Zimmer Cryo 6 User manual

Instructions for Use
Cryo 6
EN

Illustrations
Front of the device
Fig. 1
Device and
operating elements
1
Castors
2
Castor guards
3
Control panel
4
Shelf plate
5
Treatment tube connection
6
Treatment tube
7
Defrost water container
8
Defrost opening
1
2
4
5
6
8
3
7

Illustrations
Rear of the device
Fig. 2
Device and
operating
elements
9
Air filter
10
Mains switch
11
Mains connection
12
Identification plate
9
10
11
12

Illustrations
Screens and display
Fig. 3
OK Start/ Stop
10:00
P2 7
P P
Operating
elements display
13
OK key
14
Arrow for navigation / changing parameters
15
Arrow for navigation / changing parameters
16
Arrow for navigation / changing parameters
17
Arrow for navigation / changing parameters
18
Start/stop key
Fig. 4
OK Start/ Stop
10:00
P2 7
P P
Display views
19
Program view
20
Airflow level display (graphical)
21
Airflow level display (numerical)
22
Treatment time display (graphical)
23
Treatment time display (numerical)
14
15
13
16
17
18
19
20
21
22
19.1
23

Explanation of symbols
In the instructions for use this symbol indicates “Danger”.
Caution
!
In the instructions for use this symbol indicates “Caution” with regard to possible
damage of the device.
Applied part type B
do not push sideways
max. permitted load on glass plate 35 kg
Follow instructions for use.
Instructions for use
Serial number
Item number
Manufacturer
Date of manufacture
Max 35kg/
77.16lb

Content
Illustrations
Front of the device
Rear of the device
Screens / display
Explanation of symbols
Page
1. Indications / Contraindications
1.1 Indications / Contraindications for Cryo 6 Physio
1.2 Indications / Contraindications for Cryo 6 Derma
1
2
2. Side effects 3
3. Application information
3.1 General
3.2 Cryotherapy
4
5
4. Warnings 6
5. Cryo 6 – in brief 7
6. Intended use 8
7. Device set-up
7.1 Fitting
7.2 Fitting the supporting arm
9
11
8. Default settings
8.1 Configuration menu
8.2 Device type and device configuration
8.3 Default settings and service
8.4 Defrosting
8.5 Own programs and favourites
8.6 Information and maintenance programs
15
16
17
18
19
20
9. Operating instructions
9.1 Device description
9.2 Performing cryotherapy
9.3 Start-up screens
9.4 Pre-set parameters / change
21
22
23
24

Content
10. Technical information 25
11. Cleaning / Disinfection 26
12. CE mark / manufacturer 27
13. Scope of delivery and accessories 28
14. Device combinations 30
15. Safety and maintenance
15.1 Safety
15.2 Maintenance 31
32
16. Functional test 33
17. Safety check / metrological check 34
18. Error messages / troubleshooting / disposal 35
19. EMC declaration 37
These instructions for use are an integral part of the device.
They must be stored with the device and kept accessible at all times for anyone authorised to operate this device.
The instructions for use are valid as of November 2016.

Indications / Contraindications
1.1 Indications / Contraindications for Cryo 6 Physio
1
Page 1
Indications
Cryo 6 Physio is designed for the following uses:
xReduction of pain and stiffness and to support treatment of acute and chronic
painful conditions of the musculoskeletal system
- Arthritis
- Bursitis
- Tendinitis
- Tenosynovitis
- Myositis
- Fibrositis
- Muscle tenseness
- Cervical syndrome
- Post-whiplash disorders
- Lumbar syndrome
- Muscle or joint injuries
xPain reduction, improved mobility and reduction of joint stiffness in rheumatic
conditions
- Rheumatoid arthritis (progressive chronic arthritis)
- Post-synovectomy condition
xReduction of spasticity in neurological disorders
- Multiple sclerosis
- Post-apoplectic hemiplegia
other possible uses:
xto support movement therapy by prior cooling
xin combination with compresses in acute injuries
xto prevent oedema and haematoma
xin sports, as preventive early-stage treatment before the development of pain
immediately after major exertion, such as after a competitive event
xto treat muscular trigger points in combination with stretching
Other indications must be discussed with the patient’s doctor or derived from
relevant specialist literature.
Absolute
contraindications
xCryoglobulinaemia
xCold agglutinin disease and cold haemolysis
xCold urticaria
xParts of the body with impaired circulation
xRaynaud’s disease
xParts of the body with impaired sensitivity
xTrophic disorders
xHypersensitivity to cold
Relative
contraindications
xWhen treating children, parts of the body that are not being treated must be
covered and kept warm.
xWhen treating the face, the eyes must be covered.
xDo not treat the face or trunk if the patient has severe arterial hypertension and
severe cardiac insufficiency.
xThe patient should not become excessively cold during treatment.

Indications / Contraindications
1.2 Indications / Contraindications for Cryo 6 Derma
1
Page 2
Indications
Cryo 6 Derma is designed for the following uses:
Reduction of pain and inflammation by cooling with cold air during and after
dermatological and cosmetic treatments
xLaser therapy
xInjections
xPhotodynamic therapy
Advantages
The analgesia associated with cold air makes the treatment much more pleasant for
the patient.
Reduction in the side effects that are often related to laser treatment:
xless erythema
xfewer swellings and encrustations
xreduction of pain and thermal skin damage
Absolute
contraindications
xCryoglobulinaemia
xCold agglutinin disease and cold haemolysis
xCold urticaria
xParts of the body with impaired circulation
xRaynaud’s disease
xParts of the body with impaired sensitivity
xTrophic disorders
xHypersensitivity to cold
Relative
contraindications
xWhen treating children, parts of the body that are not being treated must be
covered and kept warm.
xWhen treating the face, the eyes must be covered.
xDo not treat the face or trunk if the patient has severe arterial hypertension and
severe cardiac insufficiency.
xThe patient should not become excessively cold during treatment.
Note:
When using Cryo 6 with ablative lasers, make sure that the wound produced is given
appropriate antiseptic care after the treatment.

Side effects
2
Page 3
Side effects Cold-related skin damage such as skin reddening and even mild frostbite and
chilblains can occur, especially in sensitive patients.

Application information
3.1 General
3
Page 4
Prior to using the device on a patient, the user should become familiar with the
instructions for use and individual treatment methods to be used as well as the
indications / contraindications, warnings and application information. Additional
sources of information about the treatment should be followed.
These instructions for use must always be stored with the device and kept
accessible at all times for anyone authorised to operate this device.
Caution
!
After the device has been in transit on its side, place it upright and keep it in an
upright position for at least 30 minutes before switching it on. Otherwise the
compressor will be damaged.
Caution
!
Before use, ensure that the device is powered via a properly grounded mains socket
(electrical installation according to DIN VDE 0100 Part 710). The device must only
be operated with the supplied power cable. The power cable must be protected
against mechanical stress.
Caution
!
Magnetic and electrical fields can affect the function of the device. For this reason,
do not operate Cryo 6 in the vicinity of devices which generate strong
electromagnetic fields (X-ray or diathermy equipment, MRI machines). Please keep
a safe distance of several meters.
Caution
!
Cryo 6 is not suitable for use in areas with an explosive, flammable or combustive
atmosphere.
Caution
!
Do not place the device adjacent to heat sources (heating, hot mud products, sauna
etc.), and leave a gap of at least 50 cm between the device and a wall (to allow for
the supply of treatment products and cold air).
When used in combination with a laser device, the laser ventilation system must not
impede Cryo 6 cooling.
Caution
!
During use, the device is to be located in a position allowing direct access to the
device´s central mains supply so that it can be disconnected from the mains at any
time.
Caution
!
To avoid the risk of electric shock, the plug must be disconnected from the power
supply before performing any cleaning or maintenance activities.
Caution
!
Inspect the device before use. If there is any damage, it must not be used.
Caution
!
Only accessories provided by Zimmer MedizinSysteme GmbH must be used.

Application information
3.2 Cryotherapy
3
Page 5
Patients should be given an explanation of the aims and effects of cold air therapy
with Cryo 6 prior to treatment.
Tell patients that if they experience any discomfort, such as a sensation of extreme
cold during treatment, they must tell the therapist immediately.
During treatment, the therapist should ask patients if they are feeling all right.
The treatment parameters (airflow level and distance from area being treated)
should be adjusted if necessary.
Use the most appropriate nozzle for the various applications, from treatments
administered to large areas of the body through to trigger point treatment. Simply
unscrew a nozzle and screw in a different one when you want to switch.
Short distances between the skin and the nozzle are suitable for brief cooling:
x1 cm distance for treatment times of up to 10 seconds,
x5 cm distance for treatment times of up to 30 seconds.
Medium distances between the skin and the nozzle are suitable for dynamic cooling
of larger areas of skin and static cooling of smaller areas:
x10-15 cm distance for treatment times of approximately 15-30 minutes.
Long distances between the skin and the nozzle are suitable for dynamic cooling of
large areas of skin:
x15-20 cm distance for treatment times of over 30 minutes.
Longer treatment times are needed for joints and muscles, as otherwise only the
surface and upper layers of the skin are cooled. In patients with joint inflammation,
brief cooling causes reactive hyperaemia.
In patients with diseases of the musculoskeletal and support systems, best results
are obtained with a distance of 5-20 cm between the outlet nozzle and the surface of
the skin.
When used in conjunction with laser devices, a distance of 5 cm for a treatment area
of 10 cm² is recommended. The distance should be increased when treating larger
areas. A longer treatment period is needed to obtain adequate cooling.
Please note that the temperature of the air stream can increase during prolonged
treatment.
Cold air output can be reduced if the environmental conditions are unfavourable
(room temperature over 30°C and high air humidity).

Warnings
4
Page 6
The patient must not be left unattended during therapy.
Any treatment instructions regarding treatment location, duration and intensity
require medical knowledge and should be given by authorised physicians, therapists
and health paraprofessionals. These instructions must be followed.
Use in wet areas is not permitted and may in case of non-compliance lead to
considerable damage and endanger both the patient and the user.
Dispose of the packaging material properly. Make sure that it is not accessible to
children.
The cold air stream must not be applied to open wounds.
When using Cryo 6 to cool skin, do not increase the output of the laser device
beyond the level recommended by the manufacturer.
When applying cold to the face it is essential to protect the eyes.
The air stream should be directed evenly over the area to be treated. Avoid static or
excessively intensive cooling as this can lead to cold burns and hypothermia.
The use of the device out of the settings or applications specified in the instructions
for use may lead to hazard by the uncontrolled effects of cold.
Children can become too cold. Parts of the body that are not being treated should be
covered and kept warm. This is also recommended for adults undergoing prolonged
cooling.
Frostbite can occur if the skin temperature falls to 0°C or below This can occur if the
nozzle is less than 10 cm away from the skin. If it is not possible to respect this
distance on therapeutic grounds, it is recommended that the nozzle be directed
dynamically over the area being treated.
Do not push the sides of the device that are marked with the warning symbol.
Do not lean on the device.

Cryo 6 - in brief
5
Page 7
What is Cryo 6?
A compact cold-air device used to treat diseases of the support and
musculoskeletal systems.
Cryo 6 can also be used to cool the skin of patients undergoing dermatological laser
treatment to relieve pain and thermal skin damage.
What does Cryo 6 do?
It blows very cold air onto the parts of the body to be treated at various speed
settings.
What are the benefits
of Cryo 6?
It is very easy to use thanks to the pre-set program parameters and also very
powerful in prolonged use, matching the performance of much larger devices.
What are the other
benefits of
Cryo 6?
Its clear LCD display and ergonomic keyboard reflect the state of the art.
Therapy can be customised through six user-focused, pre-set programs as well as
three programs with free choice of settings and an individual start-up program.
How is the necessary
concentration of cold
achieved?
Air volume can be set to one of nine levels depending on the size of the area to be
treated and how accessible it is.
Three nozzle sizes are supplied as standard for individual therapy (diameters of 5,
10 and 15 mm).
A special nozzle is also available for cooling the skin of patients undergoing
dermatological laser treatment.
Note:
Use of the device is reserved for medical professionals
(such as physicians, therapists, medical paraprofessionals).

Intended use
6
Page 8
The Cryo 6 cold air device is used to cool skin
- when treating injuries or diseases affecting the musculoskeletal system
- in order to reduce local pain
- in patients undergoing dermatological laser treatment to prevent thermal skin
damage
Device types
1. Cryo 6 Physio to treat diseases of the support and musculoskeletal systems.
2. Cryo 6 Derma to cool the skin of patients undergoing dermatological laser
treatment to relieve pain and thermal skin damage.
The device types are preconfigured in the factory and differ in respect of the pre-set
fan settings and treatment periods as well as the start-up program.

Device set-up
7.1 Fitting
7
Page 9
Caution
!
Cryo 6 must be placed upright and kept in an upright position for at least 30 minutes
before being switched on if the device has been transported on its side or had fitting
work done on it.
Otherwise the compressor could be damaged.
Connect power cable
Connect the power cable to the provided port (11) on the device and connect the
cable to the mains.
Note:
The device may only be connected to power outlets with a protective contact
Switching device on
The device is switched on using the toggle switch (10).
Switching device off
The device is switched off using the toggle switch (10).
To fully (all poles) disconnect the device from the mains, the power cable must be
disconnected.
Caution
!
All cables must be protected from pinching or other mechanical damage.
Fitting the treatment
tube
Insert the treatment tube into the connector (5) on the front of the device and lock it
into place.
The treatment tube can be stored in the curved groove above the control panel (3)
when not in use.
Fitting the castor
guards
Attach the castor guards (2) to the wheel holders.
Fitting the glass plate
Four spacing bolts are already fitted to the top of the device to allow the glass plate
to be attached.
Place a silicon intermediate disc onto each of the four spacing bolts.
Then put the glass plate on the spacing bolts.
Now secure the glass plate by screwing one of the clamp bearings provided into
each of the four spacing bolts.
You do not need to use a tool for this, in order to prevent damage to the glass plate.
Use your fingers to tighten the clamp bearings.

Device set-up
7.1 Fitting
7
Page 10
Carry out the steps described above in reverse order to dismantle the glass plate.
Never lift the device by the glass plate.
Note:
The treatment nozzle and the nozzle attachments can be kept in the storage box.
Glass plate
Clamp
bearing
Silicon disc
Spacing bolt

Device set-up
7.2 Fitting the supporting arm
7
Page 11
Supporting arm
The Cryo 6 device can be fitted with a supporting arm as an extra option.
This arm allows a particular part of the body to be cooled without
the therapist having to hold the tube.
The supporting arm accessory kit consists of:
1 supporting arm mounting bracket
2 M6x16 screws and allen key for mounting
1 anti-rotation element
1 supporting arm pole
1 rotating supporting arm
1 tube clip
1 tube holder
Also required:
Glass plate
Guide sleeve
Picture of the
supporting arm after
fitting
supporting arm
Guide through
glass plate and
anti-rotation
element
Supporting arm
pole
Supporting arm securing element

Device set-up
7.2 Fitting the supporting arm
7
Page 12
Fitting instructions
The glass plate must be attached to the device so that a supporting arm can be fitted
(see 7.1 Fitting) The glass plate contains an opening through which the supporting
arm passes.
Note:
The glass plate can be fitted so that it is symmetrical with the device. If a supporting
arm is also fitted, the glass plate is laid on the spacing bolts in such a way that the
hole for positioning the supporting arm is on the correct side of the device.
Step 1 - fitting the guide sleeve
Assemble the guide sleeve (supplied with the glass plate) in the hole made for this
purpose.
Step 2 - fitting the supporting arm securing element
Use the Allen key and the M6x16 screws to screw the mounting bracket to the base
of the device.
Threaded holes are already in place on the base of the device for this purpose.
Caution
!
The view from below is only presented for clarification, please DO NOT put the
device down for fitting!
Threaded
holes
Guide sleeve
Part 1
Guide sleeve
Part 2

Device set-up
7.2 Fitting the supporting arm
7
Page 13
Step 3 - attaching the anti-rotation element and pole
Place the anti-rotation element on the glass plate spacer as shown in the picture.
Then pass the supporting arm pole through the guide sleeve and the anti-rotation
element from above, and lock it into place in the supporting arm securing element.
Anti-rotation
element