Zimmer PhySys User manual

Instructions for Use
PhySys
EN

Illustrations
Front of the device and transducers
Fig. 1
Selection and
operating elements
1Mains switch
2Slot for SD card
3Intensity regulator channel I
4Display
5Intensity regulator channel II
Fig. 2
Transducers
17 Ultrasound transducer, large, 5 cm²
18 Ultrasound transducer, small, 1 cm²
3
5
4
1
2
17
18

Illustrations
Back of the device
Fig. 3
Ports
6
Port for ultrasound transducer0.8/2.4 MHz
7Port for patient cable channel II
8Connection for power cable
9Port for patient cable channel I
10 Port for ultrasound transducer0.8/2.4 MHz
11 Port without function
12 Identification plate
6
7
8
9
10
11
12

Illustrations
Screens / display
Fig. 5
Display views
13
Status line
14 Buttons on the screen
15 Heading
16 Navigation menu
Fig. 6
Navigation menu
(A) Home
Switch to start-up screen
(B) Back
Moves one step back
(C) Scroll forwards
Goes forward one page
(D) Scroll backwards
Goes back one page
(E) Memory
Switch to memory
(F) Indications
Switch to indication menu
(G) Programmes
Switch to the program list
(H) Favourites
Switch to favourites
(I) Electrotherapy
Switch to electrotherapy program list
(J) Ultrasound
Switch to ultrasound program list
(K) Combined
Switch to combined program list
(L) Vacuum
Switch to the vacuum screen
16
15
14
13
B
A
C
D
E
F
G
H
I
J
K
L

Explanation of symbols
In the instructions foruse thissymbol indicates “Danger”.
Caution
!
In the instructions for use thissymbol indicates “Caution“with regard topossible
damage of the device.
Applied part type BF
Instructions for use
Follow instructions for use.
Serial number
Item number
Manufacturer
Date of manufacture
This symbol pointsout hazardous areas on the device.
Interval operation30 minutes on, 10 minutes off

Content
Illustrations
Front of the device and transducers
Back of the device
Screens / display
Explanation of symbols
Page
1
Indications / Contraindications
1.1 Indications - electrotherapy
1.2 Contraindications - electrotherapy
1.3 Indications - ultrasound therapy
1.4 Contraindications - ultrasound therapy
1
3
4
5
2
Side effects 6
3
Application information
3.1 General
3.2 Electrotherapy
3.3 Ultrasound
7
8
9
4
Warnings
4.1 General
4.2 Electrotherapy
10
11
5
PhySys – in brief 12
6
Intended use 13
7
Device set-up 14
8
Default settings
8.1 General
8.2 Therapy
15
16
18
9
Operation instructions
9.1 Electrotherapy
9.2 Ultrasound therapy
9.3 Combined therapy
9.4 Vacuum unit (VacoP)
9.5 Electrotherapy in combination with a vacuum unit (VacoP)
9.6 Informationon the operation of VacoP
9.7 Indication menu
9.8 Saving programs
9.9 Favourites / Memorylist: Retrieve programs, edit list
9.10 Sequence programs
9.11 Program free sequence program
19
22
24
25
27
29
30
32
33
34
35

Content
10
Technical information
10.1 General
10.2 Stimulation current
10.3 Ultrasound
10.4 Vacuum
36
37
38
39
11
Cleaning / Disinfection 40
12
Electrodes
Information on the use of different types of electrodes
42
13
CE mark / manufacturer 43
14
Scope of delivery and accessories 44
15
Device combination 47
16
Safety and maintenance 48
17
Functional test 49
18
Legal notice 50
19
Error messages / troubleshooting / disposal 52
20
Manufacturer's EMC declaration 53
Valid for the device PhySys, SD edition.
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.
Last updated: July 2017

Indications / Contraindications
1.1 Indications - Electrotherapy
1
Page 1
Circulation-promoting
therapy
•Functional circulatory disorders
•Angiopathy in diabetes mellitus
•Angioneuropathy (Raynaud's disease)
•Acrocyanosis
•Venous vascular diseases
•Chronic venous insufficiency
•Reflex sympathetic dystrophy
•Sudeck's syndrome (stage II)
•Lymphoedema
•Treatment of the facial nerve (as a pre-treatment)
•Chronically contracted muscles
•Peripheral joint disease (chronic)
•Radicular syndrome in the setting of spinal diseases (subacute and chronic)
•Ligament ruptures
•Tenosynovitis
•Bursitis
Analgesic therapy
•Strains, contusions, sprains to muscles, tendons, joints and bones
•Extensive myalgia
•Polyarthralgia
•Joint diseases, inflammatory
•Chronic polyarthritis (rheumatoid arthritis),
treatment during the low inflammation interval
•Diffuse pain in periarthropathy, osteoarthritis, ankylosing spondylitis
•Tendinitis, tenosynovitis
•Local and pseudoradicular spinal diseases
•Radicular lesion
•Disc surgery
•Inflammatory spinal diseases, chronic
•Chronic pain conditions, pain disorder
•Pelvic pain (adnexitis)
•Pelvic pain (prostatitis)
•Neuralgia
•Neuritis
•Polyneuropathy
•Radicular syndrome
•Nerve compression syndrome
•Allodynia
•Causalgia (complex regional pain syndrome)
Trophicity-promoting
therapy
•Venous ulcers
•Neurotrophic ulcers
•Decubital ulcers
•Delayed wound healing
•Osteoporosis
•Delayed bone healing
•Ligament ruptures
Muscle-toning therapy
•Muscle weakness
•Poor innervation of the skeletalmuscles
•Absent muscle sensation

Indications / Contraindications
1.1 Indications - Electrotherapy
1
Page 2
Muscle-relaxing therapy
•Muscular overload
•Painful muscle tension
•Myofascial pain syndrome
•Tendon and muscle ruptures
•Contractures
Experiences from clinical
practice have also
shown that there may be
a positive effect when
treating the following
conditions:
•Periarthropathy and insertional tendinopathy (acute, subacute)
•Periarthropathy and insertional tendinopathy (chronic)
•Peripheral joint disease (acute, subacute)
•Posttraumatic conditions (haematoma, oedema)
•Excessive sweating of the hands and feet
(Hyperhidrosis palmarum et plantarum)
•Acquired postural disorders of the spine:
posttraumatic, postinflammatory, degenerative
•Postural disorders of the spine in childhood and adolescence
•Spinal fractures, spondylodesis
•Joint surgeries, arthroscopy, arthrotomy
•Congenital malformations and deformities or maladjustment of the locomotor organs for
treatment in childhood
•Stool incontinence
•Urinary incontinence
•Impaired gut motility
•Chronic constipation
•Secondary lymphoedema and lymphostasis
•Chronic pelvic pain
•Polyneuropathy
•Spinal muscular atrophy
•Peripheral paresis, plexus paresis
•Non-local, generalised spinal diseases
•Spasticity
•Spastic paralysis
•Slack paralysis
•Psoriasis

Indications / Contraindications
1.2 Contraindications - Electrotherapy
1
Page 3
General
Contraindications
•Unclear pain symptoms
•Acute inflammation (local, systemic)
•(Suspected) cardiovascular diseases
•(Suspected) epilepsy
•Peripheral arterial occlusive disease, stage IIb or higher according to Fontaine
•Purulent processes
•Fever
•Generalised infections
•Benign and malignant tumours
•Thrombophlebitis
•Phlebothrombosis with the risk of emboli
•Cardiac pacemaker and other implanted electronic devices
•Transcardial current flow
•Metal implants in the circulation territory when galvanic or unipolar currents are used with
pulse widths of more than 1 ms
•Psychoses
•In cases of limited skin sensitivity
•Use on or near open wounds or over fractures
The following should
also be borne in mind in
the case of TENS therapy
•Pain that can be causally relieved
•Primarily psychogenic pain (TENS therapy is ineffective)
•Central pain syndrome, such as thalamic pain syndrome
Contraindications which
should also beborne in
mind
Muscle treatment with surged group pulses (surge currents) for:
•loss of consciousness, reduced state of consciousness
•Reflex inhibition (e.g. in the case of fractures)
•Muscle inflammation
•Facial muscles
•If the electric stimulation therapy triggers persistent pain
•Infants, young children
•If spasticity increases
•Pregnancy
Special caution:
•In the case of a bleeding tendency following acute trauma or fracture
•Following surgical procedures if muscle contraction can disrupt the healing process
Precautions for certain
current forms
Diadynamic current, Träbert current
•Careful electrode technique is necessary to avoid possible skin injury due to high galvanic
component of the diadynamic currents.
•Careful dosing in the case of sensitivity disorders
Electroacupuncture
•No needle acupuncture in the case of coagulation disorders