Documentos de Académico
Documentos de Profesional
Documentos de Cultura
4022
User Manual
English
Revision : 09
Diatermed II 4022
T able of Content s
Presentation
Accessories
General Information
Symbols
Installation
Warnings and Recommendations
Physic Principles of Shortwave
Continuous and Pulsed mode shortwave
Description of Diatermed II
Controls
Control Functions
Equipment Operation
Use of Intensity and Tunning Controls
Protection Devices
Therapeutic Effects
Indications
Contraindications
Preservation and Preventive Maintenance
Corrective Maintenance
Schiliephakes Electrode
Adjusting the Electrode Skin distance
Technical Features
Optinal Accessories
Declarations
Final Considerations
Bibliographic References
European Representative
MU_4022_ENG_Rev09_082010
Diatermed II 4022
PRESENTATION
2
2
3
4
6
9
12
13
16
17
18
20
20
21
21
22
23
24
25
26
27
29
30
31
35
36
36
01 User manual
01 Three-pole power cable
03 Fuses 20 AG - 3 A (for use at 220 V ~ )
03 Fuses 20 AG - 5 A (for use at 127 V ~ )
02 Electrode boards in silicone (12 x 17 Cm)
02 Silicone cables for connection with electrode boards
04 Woo Separation (12 x 17 Cm)
02 Cotton packs for electrode boards
To buy optional accessories, please verify the codes at page 26, Additional
Accessories .
If you have any doubt, please contact:
Technical Assistance Department
Rua lvares Fagundes, 359 So Paulo SP Brasil -CEP 04338-000
Tel.: (0XX11) 5621 7024 / 5622 8205
e-mail : sat@carci.com.br
MU_4022_ENG_Rev09_082010
Diatermed II 4022
G EN E R A L I NF O R M A T I O N
Diatermed II 4022
Equipment symbols
The references to the clinic use of high frequency electric currents were
tested for the first time in 1890. drsonval caused a high frequency current
of 1A to pass through his assistants and his own body. Although he knew
that similar electrical intensities at low frequencies were potentially fatal,
drsonval described only a sensation of heat (Guy, 1984). Following works
led to the development of inductive and capacitive methods for the
application of high frequency currents in the body, generating a nonsuperficial heat (Guy, 1984). These methods became known as
diathermy, from the Greek word that means heating by means of.
Equipment off
Equipment on
This equipment has physiological effects.
Consult instructions manual.
IPX0
Manufacturing date
Serial number
Manufacturer identification
MU_4022_ENG_Rev09_082010
MU_4022_ENG_Rev09_082010
Diatermed II 4022
Diatermed II 4022
Electrical Installation / Connection
Cord switch
WARNINGS
CE Mark and certifying body identification
1. This device can only be operated by qualified personnel;
2. The electrode application close to the thorax may increase the risk of heart
fibrillation;
European Representative
4. C o m b i n a t i o n t h e r a p y
Since the DIATERMED radiates an electromagnetic field that can affect
electronic circuits inside equipment in the direct vicinity, you are strongly advised
against any sort of combination in treatment whereby.
6. Do note place the device on a soft surface that may block the bottom
ventilation openings.
Brazil:
MU_4022_ENG_Rev09_082010
Other Countries:
IEC 60364-7-7 (10/2002) Electrical Installations medical locations;
Or another related norm applicable in the utilization country.
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Diatermed II 4022
Diatermed II 4022
Notes:
This device is equipped with a special electronic line filter, which is intended to
avoid that part of the noise signals generated by this equipment interferes in
other equipment. The connection of the ground cable is critical for the correct
operation of the circuit.
Take out the lid of the fuse Holder with the help of a Screw driver.
Take the fuse out and replace it by other of the same specification.
Install the fuses in the fuse ports B1 and B2, in accordance with
the local electric network.
MU_4022_ENG_Rev09_082010
This equipment generates high frequency magnetic fields that cross walls,
ceilings, floors, etc. Such magnetic fields may cause interferences in electronic
devices installed in the surroundings. In order to mitigate such interference, you
must:
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Diatermed II 4022
Diatermed II 4022
Body of patients who have metal implants (medullary pins, for example) should
normally be excluded from the treatment area, unless special techniques are
used;
The patient must not come into contact with conductive parts that are
connected to land or have an appreciable capacitance to ground and that can
lead to unwanted paths represent current and radiofrequency. In particular,
should not be used beds or chairs with metal frame;
Never use other output cables than those supplied with the equipment and
approved by CARCI
because there may be performance degradation and security equipment.
Do not dispose of such equipment or fittings in the trash at the end of its useful
life. There are substances in the equipment that may be harmful to nature, if not
treated properly. In need of disposal of the equipment or its accessories, refer
to the material CARCI, which will follow up accordingly.
Do not wrap the cord in order to shorten it, it may damage the appliance
through induced currents;
Keep the electrode cables parallel. Do not cross or approach them, because
there will be loss of power, damaging the unit.
Important observations:
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10
Diatermed II 4022
Diatermed II 4022
P H YS I C P R I NC I PL E S o f SH O R T WA V E S
Electromagnetic Interference.
The Diatermed II 4022 produces an electromagnetic field which is intended to
generate thermal and biological effects in tissues and joints of the human body.
In the open air, the strength of the electromagnetic field generated from
electrodes, cables and treated patient is reduced in quadratic form with
distance. This electromagnetic field can affect the electronics equipments
placed in the neighborhood.
For medium and low frequency physiotherapy equipments, this modulation can
become perceptible to the patient as well.
The susceptibility to electromagnetic interference of equipments from different
manufacturers can be very different. This is due to the fact that some
manufacturers are still insufficiently shielding their equipment against external
electromagnetic fields. In the event of interference, we recommend contacting
the manufacturer.
The greater the distance between the short-wave equipment and other
equipment, lower electromagnetic interference.
Place your shortwave unit and the patient in treatment, at least 8 meter from
other electronic equipment.
Make sure there are no metal oblong conductors objects in the vicinity,
because they act as antennas (specially objects with a length of about 5,5
meters).
The heat produced by the Short Waves therapy is based on the principle
that dipolar molecules found in living tissues are made basically of water
and some proteins. These molecules are also affected by the electric fields.
The positive pole of the molecule lines up towards the negative pole of the
electric field and, this way, the alternate field of Short Waves Diathermy
cause the rotation of such molecules, since the electric field between the
electrodes is rapidly altered (about 27 million times per second). The heat
resulting from the frictional drag between adjacent molecules describes this
process as a reasonably efficient method of heating.
11
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12
Diatermed II 4022
Diatermed II 4022
Figure 4
C O N T I N UO US a n d P UL S ED M o d e SHO R T
W A VE S
Brief discharge of
Short Waves
Resting period
between Short Wave
discharges
When Short Waves are continuously applied for a certain period of time, the
dipolar molecules of the tissue initiate a continuous oscillating movement,
which generates energy by the frictional drag between adjacent molecules,
which is then transformed into heat.
27.12 Mhz
As in:
20 minutes period
T=1/f
Pulsed Mode Short Waves
The pulsed Short Waves consist of the application of a series of pulse trains
with a specific frequency and duration.
Figure 4 exemplifies the emission of Short Waves in pulsed mode. High
frequency (27.12 MHz) is modulated by a low frequency (selected
according to the type of treatment). The duration of the pulse trains is
always constant in 400 ms.
The Pulse Duration is steady (400 ms). The conclusion is that, for the same
intensity, if the modulation frequency is increased the energy applied is also
increased, which causes the median power to increase in the same
proportion.
The median power is obtained through the following equation:
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Diatermed II 4022
The chart below illustrates the parameters required to calculate the median
power:
Diatermed II 4022
D E SC R I PT I O N O F D I AT E R M ED I I
Diatermed II 4022 Short Waves may be used with plate electrodes (17x12
cm) or round electrodes of Schliephake type.
The plate electrodes come with two 0.8 cm thick distancing felt pads and a
cloth cover to involve them, which is intended to increase the electrode-skin
distance.
Pulse time
400 mts
Next to the electrode outputs there is a place to install the support for
Schliephakes electrodes, as indicated in figure 6 A.
median power
For a more efficient use of Diatermed II 4022, the electrode cables (plates
and Schliephake) are of connection type, which allows the combination of
electrodes to be used according to the application. These electrodes
combination may be: two plates, two Schliephake, one plate and one
Schliephake; always associating the electrode-skin distance in order to
better distribute the heat and the deep heat production.
Pulse frequency
There is a security device (figure 6B) located on the top of the right side, in
which the patient may activate a protection system pulling a cord and
interrupting immediately the equipment operation.
A: Place to install the support for Schliephakes electrodes
B: Cord switch
seconds).
Therefore, the median power for the lowest frequency, which is 45 Hz, will be:
Pm (45 Hz) = 250 x 400x10
Pm (45 Hz) = 4,5 Watts
x 45
And for the highest frequency, which is 400 Hz, it will be:
Pm (400 Hz) = 250 x 400 x 10
Pm (400 Hz) = 40 Watts
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x 400
15
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Diatermed II 4022
Controls
Diatermed II 4022
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
On/Off Key
Operation Indicator Led
INTENSITY and RESET LOCK Intensity Control
Timer Reset Key
Treatment Time Selection Key
Continuous/Pulsed Modes Selection Key
Active Pulse Mode Indicator Led
Active Continuous Mode Indicator Led
Pulse Mode Frequency Selection Key
Tuning Indicator
Tuning Controller
Control Functions
1. On/Off Key Starts the equipment;
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2.
3.
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Diatermed II 4022
Diatermed II 4022
E q u ip m e n t O p e ra t i on
4.
Timer Reset Key Resets the timer to start a new time counting. Every
time the timer gets to the end of the selected time, a buzzer produces
a repeated signal to indicate the end of the time. To restart it and
perform a new time counting, the intensity control must be set back to
the Reset Lock position and then the Reset button must be pressed.
5.
6.
7.
8.
9.
1.
2.
3.
4.
5.
U s e o f I n t e n s i t y a n d T un i n g C o n t ro l s
10. Tuning Control enables the equipment output circuit to be tuned to
the maximum transference to the patient.
To use this control, place the electrodes on the patient, select the
desired intensity and turn this control to the right or to the left, until the
point at which the leds indicating %TUNING (control 11) display the
maximum indication (higher number of leds on). At this point the
equipment will be tuned.
11. Tuning Indicator This equipment allows you to view the maximum
energy transference to the patient circuit obtained through the tuning
control (control 10).
The percentage values indicated in this function are related to the
equipment output power.
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19
1.
2.
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20
Diatermed II 4022
Diatermed II 4022
P r o t e c t io n D e v i c e s
Indications
a)
b)
c)
Upon occurrence of any of the items above, check for the reason for which
the device was activated. To retake the application:
a)
b)
c)
d)
e)
T H ER AP E UT I C E F F E CT S
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B-
Postoperative diseases:
Post-operation of the mandible
Post-operation of foot and thigh.
C-
Inflammations :
Chronic osteitis
Bursitis
Sinusitis
D-
E-
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Diatermed II 4022
Do not apply locally (with exception of submitis dose) since it is difficult for the
tissue in question to adapt to the
supplied heat.
Absolute Contraindications
The Short Waves therapy is contraindicated in the following cases (nonexhaustive list):
P r e s e r v a t io n a n d P re v e n t i v e M a i n t e n a n c e
MALIGNANT TUMORS
IMPLANTED ELECTRONIC DEVICE
PACEMAKERS AND HEARING AIDS
PREGNANCY
TUBERCULOSIS
FEVER
RHEUMATOID ARHTRITIS -
Relative Contraindications
IMPLANTED METALS
HEAT SENSITIVITY PROBLEMS
SEVERE ARTERIAL AND VENOUS CIRCULATORY PROBLEMS such as
ARTERIOSCLEROSIS,THROMBOSIS, ETC.
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Diatermed II 4022
23
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Diatermed II 4022
Diatermed II 4022
C o rr e c ti v e M a i n t e n a n c e
Problems
Equipment does
not turn on
Power On
Indicator lights up
Tuning %
Indicator does not
exceed 60 %
Patient reports
heating in only
one electrode
MU_4022_ENG_Rev09_082010
Solutions
Picture 7
S c h l ie p h a k e s El e c t ro d e
The Schliephakes electrode is an optional accessory.
After the installation of the Schliephakes electrodes (installation guide goes
with the Schliephakes electrode) follow the details of the electrode support
fixation below:
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26
Diatermed II 4022
Diatermed II 4022
D) Different electrode-skin
distance, with electrodes of the
same size, the field lines
concentrate in the electrode
closer to the skin.
A d j u s t i n g t h e E l e c t ro d e - Sk i n D i s t a n c e
The Schliephakes electrodes of Diatermed II 4022 have a graduation for
the electrode-skin distance from 0.0 cm to 2.5 cm. To achieve the desired
distance, hold the electrode as indicated in the figure and spin it counter
clockwise, until the distance indication appears, as indicated in figure 12.
Each indication is equivalent to a distance of 0.5 cm.
Figure 12
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Diatermed II 4022
Diatermed II 4022
Environmental temperature
Relative humidity
Atmospheric pressure
Technical F eatures
Operation Frequency
: 27.12 MHz 1%
Timer
: 10 to 30 minutes (10%)
With 5-minute intervals
Mains Supply
O p tio n a l Ac c es s o r ie s
: 0.4 ms. ( 5 %)
: 45, 75, 85, 115, 145, 175,
200, 230, 300, 400Hz (5%)
---------------------------------------------------------------------------------------------------
Classification according to NBR IEC 60601.1 and NBR IEC 60601.2.3 rules:
- Type of protection against electrical shocks:.....................
class I
- Protection level against electrical shocks of the applied part: BF type
- Protection level against harmful water penetration:
IPX0
- Disinfection methods:
see preventive maintenance
- Safety degree of application in the presence of anesthetic mixture inflammable
with air, oxygen or nitrous oxide:
not applicable
- Operation mode:
continuous
----------------------------------------------------------------------------------------------------
Fuses
Maximum Consumption
: 370 VA
Dimensions
Gross Weight
TM
UMDNS Classification
Equipment Working Conditions:
Environmental temperature
Relative humidity
Atmospheric pressure
: 49 x 74 x 30 (W x H x L) Cm
: 33 Kg
: 11-248
: 5C to 50 C
: 20% to 80%
: 500 to 1060hPa
User manual
Schliepack Electrode
Complete Set of Articulate arms (Schliephake elec.)
Circular Electrode for Schliephake (17 cm )
Circular Electrode for Schliephake (13 cm )
Circular Electrode for Schliephake (8,5 cm )
Fuse 1,0A 250V
20AG
Three-pole power cable
Fuses 20 AG - 3 A (for use at 220 V )
Fuses 20 AG - 5 A (for use at 110 V)
Electrode boards in silicone (12 x 17 Cm)
Silicone cables for connection with electrode boards
Woo Separation (12 x 17 Cm)
Cotton packs for electrode boards
Code 13921G
Code 4024S
Code 05548
Code 13918G
Code 13919G
Code 13920G
Code 10308G
Code 14747G
Code 13735G
Code 13736G
Code 10266G
Code 14641G
Code 10275G
Code 10349G
: 5C to 40C
: 20% to 80%
: 700 to 1060hPa
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Diatermed II 4022
MANUFACTURERS DECLARATION AND INSTRUCTION
ELECTROMAGNETIC EMISSIONS
DIATERMED II 4022 should be used in the electromagnetic environment described
as follows. DIATERMED II 4022 purchaser or operator should be aware that the
device operation is being done in such environment.
Electromagnetic environment
Emission tests
Compliance
- instructions
DIATERMED II 4022 uses RF
energy only for its internal
functioning. This way, its RF
RF Emission
Group 1
emission is very low and it is not
CISPR 11
probable that it causes any
interference in another electronic
device nearby.
RF Emission
DIATERMED II 4022 is intended
Class B
CISPR 11
for
utilization
in
all
establishments,
including
Harmonic Emission
Class A
household applications and
IEC 61000-3-2
those directly connected to the
Voltage Floating / Flicker
utility power supply that provides
Emission
According to
for constructions of household
IEC 61000-3-3
purposes.
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Diatermed II 4022
Fast transients /
Blasts
IEC 61000-4-4
2 kV power
supply line
1 kV signal
input and output
line
Surge
IEC 61000-4-5
1
kV
differential mode
2 kV common
mode
1
kV
differential
mode
2
kV
common
mode
<5% Ut
(>95%
Ut
reduction)
For 0.5 cycle
<5% Ut
(>95%
Ut
reduction)
For 0.5 cycle
40% Ut
(60%
reduction)
For 5 cycles
40% Ut
(60%
Ut
reduction)
For 5 cycles
Voltage failures,
short
interruptions
and voltage
variations in
power supply.
IEC 61000-4-11
Magnetic fields
of utility
frequencies
(50/60 Hz)
IEC 61000-4-8
Ut
2 kV power
supply
Not applicable
70% Ut
(30%
Ut
reduction)
For 25 cycles
70% Ut
(30%
Ut
reduction)
For 25 cycles
<5% Ut
(>95%
reduction)
For 5 s
<5% Ut
(>95%
reduction)
For 5 s
Ut
3 A/m
3 A/m
The
electrical
system
quality should be that of a
typical
hospital
or
commercial environment.
Ut
Note: Ut is the utility voltage C.A before the test level application.
Conducted
RF
IEC 61000-4-
3 Vrms
150 kHz to
80 MHz
MU_4022_ENG_Rev09_082010
3V
32
6
3 V/m
Irradiated RF
IEC 61000-43
3 V/m
80 MHz to
2.5 GHz
Diatermed II 4022
Diatermed II 4022
base (mobile/wireless) and land mobile radio stations, amateur radio stations
and AM, FM and TV radiobroadcast stations cannot be theoretically identified
with precision. In order to evaluate the electromagnetic environment caused by
fixed RF transmitters, a study on the site electromagnetic field should be taken
into account. If the field intensity measured at the site where DIATERMED II
4022 is used exceeds the compliance level above, DIATERMED II 4022 should
be checked for normal operation. If abnormal performance is observed,
additional measures should be taken, such as DIATERMED II 4022
reorientation or reallocation;
For any value above the frequency scale of 150 kHz to 80 MHz, the field
intensity should be less than 3 V/m.
d 1,17. P
d 1,17. P
80 MHz to 800
MHz
d 2,3. P
GHz
Where P is the max. output power
of the transmitter in watts (W),
according to the transmitter
manufacturer, and d is the
recommended distance in meters
(m).
The field generated by fixed RF
transmitters,
as
determined
through an on-site electromagnetic
a
field study , should be lower than
the compliance level in each
frequency rangeb.
Interferences may occur in the
neighboring area of the equipment
with the following symbol:
NOTE 1: within the of 80 MHz and 800 MHz, the highest range frequency should be
applied.
NOTE 2: This procedure may not be applicable to all situations. The electromagnet
propagation is affected by absorption and reflection of structures, objects and
people.
a. The intensity of fields generated by fixed transmitters, such as telephone radio-
MU_4022_ENG_Rev09_082010
33
b.
150 kHz to 80
MHz
80 MHz to 800
MHz
d 1,17 P
d 1,17 P
d 2,3 P
0.01
11.70 cm
11.70 cm
23.00 cm
0.1
37.00 cm
37.00 cm
72.70 cm
1
1.17 m
1.17 m
2.30 m
10
3.70 m
3.70 m
7.27 m
100
11.70 m
11.70 m
23.00 m
For transmitters with declared value of max. output power not listed above, the
recommended distance (d in meters) may be determined through the equation
applicable to the transmitter frequency, where P is the max. output power of the
transmitter in watts (W), according to the transmitter manufacturer.
NOTE 1: between 80 MHz and 800 MHz: the highest frequency distance should be
applied.
NOTE 2: this procedure may be applied to all situations. The electromagnet
propagation is affected by absorption and reflection of structures, objects and
people.
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34
Diatermed II 4022
F i n a l C o n s i d e ra t i o n s
Carci has striven its best efforts regarding the quality of its products. Carci
reserves itself the rights to perform any changes in design and
specifications, as well as add items and improve its products without any
obligation to install such additions or improvements in products previously
manufactured.
The texts, illustrations and specifications included in this guide are based
on information available by the time of printing.
All rights reserved.
This manual cannot be totally or partially reproduced without previous
written consent by Carci.
Diatermed II 4022
Technician in Charge:
Orlando Orlandi Melo de Carvalho
Registered in CREA/SP under number 5061377287/D
The Regional Council of Engineering, Architecture and Agronomy
B i b l i o g ra p h i c R e f e re n c e s
Eletroterapia de Clayton -Sheila Kitchen and Sarah Bazin, Editora
Manole, 10 edio.
Thermal Agents in Rehabilitation - Susan L.
Contemporary Perspectives in Rehabilitation, 3 Edition.
Manufacturer Data
Michlovitz,
European Representative
OBELIS SA
34, Av. de Tervuren, bte 44
B 1040 Brussels , BELGIUM
Tel: (32) 2.732.59.54
Fax: (32) 2.732.60.03
MU_4022_ENG_Rev09_082010
35
E-mail: mail@obelis.net
W AR R ANT Y C ERT IF IC AT E AT T ACH ED
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