Zimmer ZLipo Med User manual

Instructions for use
ZLipo Med
EN

Figure
Front of the device
Fig. 1
1
Display
2
Applicators
1
2

Figure
Rear of the device
3
Applicator connections
4
Door lock release
5
Fuses and test connection (earthing cable UL1015 16awg yellow green)
6
Power switch and socket for power cable
4
5
6
3

Figure
Rear of the device
Fig. 3
7
Applicator head
8
Applicator tube
9
Applicator connection
Fig. 4 Applicators available in 4 sizes
7
9
8

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 BF
Follow instructions for use.
Products marked with the adjacent symbol must not be disposed of with household
waste.
Serial number
Item number
Manufacturer
Date of manufacture
This symbol points out hazardous areas on the device.
Fuse specification

Content
Illustrations
Front of the device
Rear of the device
Applicators
Explanation of symbols
Page
1
Indication / areas of application / contraindications 1
2
Side effects 2
3
Application information 3
4
Warnings 5
5
A brief introduction to ZLipoMed 6
6
Device set-up 7
7
Default settings 10
8
Operation instructions 15
9
Technical information 16

Content
Page
10
Cleaning/Disinfection 18
11
CE mark / manufacturer 20
12
Scope of delivery and accessories 21
13
Device combinations 22
14
Safety and maintenance 23
15
Functional test 25
16
Fault messages / troubleshooting / disposal 26
17
Legal notice 29
18
Manufacturer´s EMC declaration 30
Applicable to the ZLipoMed device.
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: September 2018

Indication / areas of application /
contraindications
1
Page 1
Indication
Male pseudogynaecomastia
Contraindications
Make sure that your patient visits his doctor before treatment.
Treatment is not recommended in the following cases
•Pregnant/breastfeeding women
•Blood clotting disorders
•Immune conditions
•Cardiovascular conditions/heart failure
•Liver conditions/liver failure
•Kidney conditions/kidney failure
•Patients with pacemakers
•Severe cardiac dysrhythmias
•Mental disorders
•Unstable motivations
•Large fat deposits
•Obesity
•Malignant tumours
•Diabetes
•Infection/eczema or acute inflammation in the treatment area
•Hypertrophic scars in the treatment area
•Regular consumption of anti-inflammatories or blood-thinning medication
•Skin conditions in the treatment area
•Erythema
•Allergies to components of the cooling fleece
•Area in which cryolipolysis treatment took place within the past 8 weeks

Side effects
2
Page 2
Side effects
The following side effects may occasionally occur:
● erythema
● swelling
● bruising
● local sensation of numbness
● tenseness
● hypercooling with skin burns
● allergy to cold
● vasoconstriction
● hypothermia
In very rare cases, paradoxical adipocyte hyperplasia has occurred after cryolipolysis treatment.

Application information
3
Page 3
General instructions
for use
ZLipoMed has been designed to comply with international safety standards.
Prior to using ZLipoMed on a patient, the user/technician should become familiar with
the instructions for use and individual treatment methods to be used as well as the
indications, areas of application / contraindications, warnings and application
information. Additional sources of information about the treatment should also be
followed.
The device may only be used by doctors with appropriate specialist knowledge of fat
reduction. Make sure that all users are familiar with the use of the device and know
how to switch off the device immediately in an emergency.
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.
Access to the treatment room must be restricted to staff who have been instructed in
the safety procedures.
Caution
!
Do not use the device if it has been dropped or exposed to other massive forces. Try
to minimise shocks and vibrations.
Caution
!
Make sure that the handpieces do not come into contact with hard materials that
could damage them.
Caution
!
Before use, ensure that the device is powered via a properly grounded mains socket
(e.g. 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
!
ZLipoMed is not suitable for use in areas with an explosive, flammable or combustive
atmosphere. Corrosive materials can damage the device. Dust and hairs should be
minimised.
Caution
!
To avoid the risk of electric shock, the plug must be disconnected from the power
supply before performing any cleaning or maintenance activities. Do not touch the
plug with wet hands.
Caution
!
Only accessories provided by Zimmer MedizinSysteme GmbH may be used.
Caution
!
In order to ensure adequate ventilation, the device must be kept at least 0.5 metres
away from other devices or walls.

Application information
3
Page 4
Treatment with
ZLipoMed
Inspect the device before use. If there is any damage, it must not be used. Make
sure that the inner and outer surfaces of the handpieces are clean, paying particular
attention to the Peltier elements and the vacuum opening.
Clean and disinfect the handpieces before each treatment session.
The user can adapt the program settings to the patient’s fat and skin condition. Auto
mode is preset with proven parameters. However, the user can adjust the settings to
the patient’s condition.
Treatment results may vary.
The cooling fleece is essential and must be used at every treatment.
Always use a cooling fleece supplied by Zimmer MedizinSysteme GmbH, not only to
improve efficacy but also to protect the treated area.
Caution
!
Do not alter the temperature during treatment.

Warnings
4
Page 5
ZLipoMed is a cryolipolysis device for medical and aesthetic treatments. The device
emits high levels of cooling energy than can damage the skin if used excessively.
All cooling devices can cause skin damage if incorrectly used. Be aware of the
potential danger at all times and comply with the safety guidelines described in these
instructions for use.
These instructions for use should always be kept with the device and users must
know where they are.
Steps must be taken to ensure that the staff administering treatment are familiar with
the operation of the device and are capable of switching it off in an emergency.
Changing the settings or using the device other than as described here can cause
danger to the user and/or the patient.
The device must be switched off before inserting and removing the applicators. Do
not touch the handpiece connections during operation.
The patient must not be left unattended during treatment.
Never leave the device switched on, open or unattended.
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. No components
may be immersed directly in liquid.
The electromagnetic field may affect other devices and computers during treatment.
For this reason, place the device at least 2 metres away from computers or other
electrical devices.
The requirements set out in chapter 9 must be complied with in order to ensure
proper care of the device during storage and transport as well as during use.
The device may only be transported while empty of water. This is to prevent the
water freezing, which could damage the device.

A brief introduction to ZLipoMed
5
Page 6
What is ZLipoMed?
A safe cryolipolysis device to reduce fat cells in the male torso.
As triglycerides in fat become solid at low temperatures, ZLipoMed uses advanced
cryotechnology to selectively treat pockets of fat and so start to eliminate fat cells
without damaging surrounding tissue.
Was does ZLipoMed do?
A non-invasive applicator is placed on the selected treatment area, draws energy
from the underlying fat tissue while protecting the skin, nerves, muscles and other
tissue. This process triggers apoptosis (controlled cell death) in the cooled fat cells,
and the cells are gradually broken down within about 90 days by means of normal
metabolisation.
What are the benefits
of ZLipoMed?
Simultaneous use of two applicators cuts treatment times.
The use of applicators of different sizes allows efficient and effective treatment of
parts of the body.
The modern colour display showing all treatment-related parameters and the
modern touch operation ensure convenience during treatment.
Clear, simple menus offer the user maximum convenience.
Intended use
ZLipoMed is a medical device used to treat male pseudogynaecomastia.
Note:
The user should read these instructions for use carefully before using the device
and become familiar with the safety and operating instructions it contains. Changes
to the device or operation other than described here can cause risks to the user
and/or patient.

Device set-up
6.1 Site preparation
6
Page 7
Note:
Do not expose the device to direct sunlight. Operate the device at room
temperatures of between 10 and 26°C and air humidity of between 30 and 75%.
Do not set the device up close to fan heaters or air conditioners.
Note:
Make sure that the power switch of the device is set to “0”.
Site preparation
When setting up the device, the operator should take account of the spatial and
electrical requirements and transport and storage conditions. The following
requirements must be met before unpacking.
The premises must be supplied with adequate ventilation and a free flow of air. In
order to ensure optimum ventilation, the housing sides should be at least 0.5 metres
away from the wall or other elements that could block the flow of air.
The device can affect computers or other electrical or medical devices. A distance of
at least 2 metres from such devices should be kept.
The device must be connected to a power outlet with a protective contact. The
power supply data on the identification plate must be respected. The device should
not share its power supply with high-draw devices such as air conditioners. Ideally it
should be connected to a separate power supply with a separate protective switch.
The device must be operated in a corrosion-free atmosphere. Corrosive materials
such as acids can damage the electrical wiring, electrical components and the
surface of the treatment components.
Minimise dust and hair particles.
Do not place the device close to heaters or other devices that affect the temperature.
Safe operation depends on good condition.

Device set-up
6.2 Starting up the device
6
Page 8
Connect power cable
Connect the power cable to the provided port (6) on the device and connect the
cable to the mains.
Note:
The device may only be connected to power outlets with a protective contact
Note:
All cables must be protected from pinching or other mechanical damage.
Connect applicators
Place the applicator in its mounting. Then connect it with the device by inserting the
plug into the correct socket until you hear two clicks.
To remove the applicator, press the buttons on either side of the plug
simultaneously.
Switch off the device and disconnect the power cable from the mains before
changing handpieces.
Caution
!
Failure to connect the applicators with the device correctly can lead to water spillage.
Fill with distilled water
Caution!
Caution!
Press the black slider to the right to open the doors on the rear of the device.
Open the filler neck by turning the white “Fill” cap a quarter-turn to the left and
removing it.
Connect the filler tube to the filler neck and slowly pour in distilled water until the red
marker is reached.
Only use distilled or deionised water, not tap water.
The water should be replaced every 3 months.

Device set-up
6.2 Starting up the device
6
Page 9
Distilled water must run through the whole system when installing the device for the
first time. Do this by starting up the device for 30 seconds (without selecting a
treatment) and then fill up again to the red mark.
Caution
!
This procedure must be repeated for each handpiece when it is connected for the
first time.
Switch device on
Switch on the device using the power switch (6).
Carry out a function test (see chapter 12).
Note:
You should always perform the following checks before using the device:
•Are the housings and handpieces clean and disinfected?
•Are the device's castors securely placed on the floor?
•Is the power cable connected to an earthed socket?
Note:
When starting up the device, the handpieces should be connected and in their
mountings.
Switch device off
The device is switched off using the power switch (6).
To fully (all poles) disconnect the device from the mains, the power cable must be
disconnected.
Caution
!
We recommend removing water from the device via the drain tap if the device is not
being used for a prolonged period or is exposed to lower temperatures (e.g. in
transit).

Default settings
7
Page 10
Start-up screen
Self-test
ZLipoMed carries out a self-test after it has been switched on. The current status of
pre-cooling can be read off during the test.
Applicator selection
Once precooling has been completed, the user can select the left applicator, the
right applicator or both applicators.
Note:
Depending on the area to be treated, treatment can be carried out with just one
applicator (left or right) or with both applicators at the same time.
Note:
The program settings and changing the settings are the same for each of the 3
possible selections. Consequently, the section below describes the individual steps
only for treatment with the left applicator.
The selected applicator (left, right or both) is shown in orange.

Default settings
7
Page 11
Program screen
(in auto mode) 1
8 7 6
11 10
(1) Selected applicator
The selected applicator (left, right or both) is shown in orange. Press the
corresponding button to switch applicator.
(2) Treatment time
The remaining treatment time is displayed.
(3) Temperature
The temperature in the applicator is displayed.
(4) Vacuum intensity
The vacuum intensity is displayed. Press the arrows to increase or decrease the
vacuum.
Vacuum intensity: 1 – 10. The intensity is preset at 5.
(5) Operating mode
Press the corresponding button to select the operating mode (auto or manual), which
is then displayed in orange.
(6) Program
Program sequences are displayed.
(7) Phase setting
Menu selection to change program sequences.
(8) Start of treatment
Press the start button to start treatment.
(9) Sounds
Switches signal sounds on and off by pressing a button.
(10) Background
colour
(11) Reset treatment
time
Changes the display background colour from dark to light and vice versa. The device
is automatically switched off and back on when this is done.
Pressing the reset button sets the treatment time back to the beginning.
2
3
4
5
9

Default settings
7
Page 12
Phase setting
(in auto mode)
Pressing the phase setting button opens the selection window in which phases can
be defined.
The settings defined during the previous session are displayed.
The process of constructing and setting the first phase is explained below.
The other two phases are constructed in a similar way.
(1) Pulse mode
The vacuum can be selected as unpulsed or at 3 different pulse rates.
The pulse rate selected is shown in orange.
(2) Temperature
The temperature emitted by the applicator can be set to between -10°C and 5°C.
Press the arrows to increase or decrease the temperature.
(3) Treatment time
Press the arrows to set the treatment time.
Note:
The maximum treatment time is 60 minutes. This takes account of the treatment
times of the individual phases.
(4) Reset
Press the button to reject the parameters selected. The preset values are then
displayed.
(5) Save
The parameters selected are accepted for the treatment.
Note:
The parameters selected that have been saved are retained after the current
treatment session. The parameters used in the previous session are automatically
loaded when the device is switched on again.
(6) Cancel
The menu is exited without saving.
Program screen
1
2
3
4
5
6
1
2
3
4
5