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1. Hyperhidrosis IO Hypertonic muscles ET Subacute ccccoccccnnnnnnnnnnnnniininos 1 CHONG se a icr ape Incontinence ET Stress incont level 1 Stress incont level 2 Urge Incontinence Mixed incontinence Low back pain ET Ee TEE EE 1 Subacute iaa aas 1 CHEIODIGU aeaa 1 82 Phyaction C Lumbalgia ET Aci 180 Gubacute aceiri 120 Chronic 137 Interferential step 1 176 Interferential step 2 177 Myalgia IO seeesse 83 Myalgia US 144 Myofasc triggerp CO Gubacute eee 132 A 133 Myofasc triggerp ET Gubacute eee 97 Chronic 182 Myofasc triggerp IO SUD ACUTE e iet 83 Chronic mnc tetas 91 Myositis Ossificans IO 86 Neuralgia IO Gubacute eee 83 Chronic 91 Neuralgia ET A 180 Gubacute eee 102 A ede 181 Neuropathy CO 360 Neuropathy US 66 Osgood Schlatter s disease ET 178 Pelvic floor dysf ET Very weak muscle 54 Weak muscle 55 Muscle tone reduction 136 Muscle exhaustion 141 Phantom pain ET ACUTO aaa 180 COMIC Hse ieri ete etes 181 Plantar fasciitis IO 91 Post surgical pain ET ACUTE uti 180 Subacute 181 Post operative weakness ET 175 Posttraum diseases
2. 136 225 Hypertonic muscle exhaustion 141 226 80 Denervation limit atrophy Triangular pulses 60 Rectangular pulses 61 Improve trophic condition Superficial tissue 139 213 Muscular tissue 194 214 Via sympathetic nerve System 135 215 Reduce local edema 119 216 Improve tissue repair Skin wound 51 217 Skin wound infection necrosis 52 218 Repair in connective tissue 140 219 Stimulate fracture healing 53 220 Improve activities daily life Improve activities daily life 142 ET iontophoresis lontophoresis sssssssss 40 Ultrasound therapy Improve trophic condition Tendinitis Stage 3 or 4 subacute 63 Stage 1 or 2 chronic 62 Ligament lesions Subacute u i 64 A 144 Muscle lesions Subacute enges 64 CDEOPIG s s ioo toten 144 Osteo chondral lesions 144 Neurogenic lesions 64 Increase extensibilty Superficial contractures 65 Partial joint contractures 145 Phyaction C Improve cell function Acute joint lesions eeeee 66 Acute muscular lesions 66 Acute neurogenic lesion 66 Fracture healing 67 9 7 4 Indication list Press and select Indication list ET Electrotherapy US Ultrasound therapy CO Combination therapy IO lon
3. Press to go to the Guide Objectives menu Conventional TEHS Select the desired menu item until 2 piis tins 7 the treatment appears ee Select the desired parameters Frew increase tine You can only change the pre o Frea decrease time numbered parameters 18 CC CU Set the Treatment time as follows Select treatment time once to set the minutes select treatment time twice to set the seconds Change the value of the parameter with A and V The setting range of the parameter is shown at the bottom of the screen You can change the parameter as long as the parameter has a black background Rotate intensity knob A or B to start the treatment and to set the desired intensity The set intensity is displayed in the screen 4 4 2 Set channels A and B The Phyaction C has two separated electrotherapy channels A and B The only restriction is that both are in the CC mode or the CV mode The channels A and B can be used independently You can treat two different indications simultaneously with two different therapies 1 2 3 0N O Ol Press E The System setting menu appears See 84 10 If necessary change the parameter Copy channel parameters to OFF The selected channel has a black background If desired press or to change the first channel Press Ca or Select the desired treatment See 4 1 Set the parameters for the first channel See 4 4 1 Press or to select the other channe
4. 1 Press fs The System settings EGUSTER SETTINGS menu appears 2 Change the desired system 1 Contrast 16 7 2 Language English setting 3 Sound settinas 4 Stand by time 10 99 5 Text for start up screen amp First screen GUIDE T Copy channel parameters OFF 8 Sustem information 9 Plate electrode test 18 Cable test 11 Error history 12 Counter working hours 13 Reset Meru 14 Stop time if bad US 4 10 2 Parameters Contrast 1 20 The contrast of the display Language The language selection select the language with which the read out must work Sound settings Sound settings See 4 10 3 Stand by time 5 10 15 20 minutes off If the device is not used during the stand by time the device goes to the stand by mode Press any key to reactive the device 42 Phyaction C Text for start up screen The text that appears in the top of the start up screen after the equipment is switched on See 84 70 6 First screen guide menu therapy menu The first screen you see when activating the device Copy channel parameters on off Choose channel A and B the same or different is set by the copy channel parameter See 84 4 2 System information System information of the equipment Always have this information available when you contact the technical service department Plate electrode test Test the condition of the rubber electrodes See 4 70 8 Cable test Test the cables See 4 10 7 Error
5. 3 Place the sponges on the part of the body that must be treated 4 Fasten the sponges to the part of the body with the elastic fixation straps 5 Connect the rubber electrode with the red connector to the red connector of the two ply electrode cable 6 Connect the rubber electrode with the black connector to the black connector of the two ply electrode cable 7 Connect the two ply cable to connector Ya or V B of the Phyaction C 26 Phyaction C Placing the adhesive electrodes galvanic component such as galvanic diadynamic MF rectangular pulsed rectangular and triangular currents These currents can cause skin etching Do not use adhesive electrodes with currents that have a 1 If possible disinfect the parts of the body where the adhesive electrodes are to be placed 2 Place the electrodes on the part of the body that must be treated 3 Connect the connectors of the adhesive electrodes to the adapter cables 4 Connect the adapter cables to the two ply electrode cable 5 Connect the two ply electrode cable to connector Y a or Y s of the Phyaction C 4 5 2 Perform electrotherapy with vaginal anal or rectal stimulation probe treatments a probe may only be used for one patient Never disinfect the probes in an autoclave The probes can be damaged by the extreme temperature Considering the very personal and intimate character of these 1 Clean the probe carefully with soap and water
6. Triangular pulse current Medium frequency rectangular current CP LP Phyaction C 3 7 3 Interferential currents Z Dipole vector field Isoplanar vector field 3 7 4 TENS currents Conventional TENS asymmetrical IM Conventional TENS alternating asymmetrical Conventional TENS Jr symmetrical 3 7 5 NMES currents Rectangular surge ll current Triangular surge current Medium frequency surge A current Isoplanar vector field surge mM il d lb dd ib Y UN H TT WP b TB 2 pole medium frequency Conventional TENS alternating symmetrical TENS burst TENS burst alternating Biphasic surge current Intrapulse interval surge current Russian stimulation A suniphy Phyaction C 20 Phyaction C 4 OPERATION 4 1 Therapy selection You can select a therapy with different keys e Therapy Menu Select a therapy method See 4 2 e Guide Menu Gives access to Objectives Select a therapy on the basis of an objective See 4 3 1 Indication list Select a therapy on the basis of a medical indication See 84 3 2 Program number Select a certain program number See 84 3 3 Diagnostic programs Perform a diagnosis for example to determine the rheobase and the chronaxie or an S d curve See 4 3 4 Contra indications Display an overview with contra indications for the different therapies See 84 3 5 e Memory Menu E Select a saved the
7. 117 Cervicobrachialgia ET EH REED 180 Subacute ssssssssssss 181 Chrono dee cite ots 182 Phyaction C Cervicoceph syndr ET SU bacute emend 180 Ee tooo aro et Das 181 Contractures CO Superficial sss 354 Deep ust tend 355 Contractures ET SUBACUTE Aa secet 84 ll 118 Contractures IO 82 Contractures US SUDEITICIAl EE eben 65 Deepan fee elise da 62 Coxarthrosis ET Gubacute cece 84 ENTONICA 2 ebe Becta es 181 Decubitus ET With infection necrosis 52 Without infection 51 Decubitus lO ees 87 Decubitus US s 88 Dupuytren US 65 Dysmenorrhoea ET ACUTE ote ttu 84 SUBACUTE oci tai cidad 181 Edema ET ie 119 Edema IQ 55 ass 89 Epicondylitis CO S bacute ende 356 A 357 Epicondylitis ET Local on e A 139 Local regional 97 Epicondylitis IO ACUTE rta pela da Mor Subacute ssssssssssss CHROMIC Ec teca I ead Epicondylitis US SUBACUTE iui es AN ea aa Fractures ET oes Fractures US Frozen shoulder ET SubaGcute ec A ets 1 Frozen shoulder US 1 Fungal infections IO Gonarthrosis ET Subacute CREOnICA Su cce 1 Gouty arthritis lO Herpes Simplex lO Herpes Zoster ET EE aua Ee sca cha 1 Subacute sssssssssss 1 Herpetic Whitlow IO
8. Guidance and declarations Guidance and manufacturer s declaration electromagnetic emissions The Phyaction series devices are intended for use in the electromagnetic environment specified below The customer or the user of a Phyaction series device should assure that it is used in such an environment Emission test Compliance Electromagnetic environment guidance RF emissions Group 1 The Phyaction series devices use RF energy only CISPR 11 for their internal function Therefore their RF emissions are very low and are not likely to cause any interference in nearby electronic equipment Class B The Phyaction series devices are suitable for use Cl B in all establishments including domestic Harmonic ass establishments and those directly connected to emi sIons the public low voltage power supply network that IEC 61000 3 3 supplies buildings used for domestic purposes Voltage Complies fluctuations flicker emissions IEC 61000 3 3 70 Phyaction C Guidance and manufacturer s declaration electromagnetic immunity The Phyaction series devices are intended for use in the electromagnetic environment specified below The customer or the user of a Phyaction series device should assure that it is used in such an environment Immunity IEC 60601 Compliance level Electromagnetic environment test test level guidance Elec
9. Random frequency TENS See TENS currents with the exception of Pulse frequency 1 150 Hz with automatic stochastic frequency variation of 35 maximum Burst TENS See TENS currents with the exception of Pulse frequency 20 150 Hz Burst frequency 1 10 Hz 56 Phyaction C Rectangular surge current Triangular surge current Pulse time 0 1 5ms Pulse frequency 1 150 Hz Intensity of CC 0 80 mA with 300 to 1000 Q Intensity of CV 0 80 Vy with lt 80 mA Biphasic surge current Biphasic surge intrapulse interval with a fixed interval between positive and negative pulses of 100 us Pulse time 10 650 us Pulse frequency 1 150 Hz Pulse shape symmetrical asymmetrical only for Biphasic surge current Intensity of CC 0 120 mA with 300 to 1000 Q Intensity of CV 0 120 Vs with lt 120 mA 2 pole medium frequency surge current Isoplanar vector field surge Carrier wave frequency 2 10 kHz AM frequency 1 200Hz Intensity of CC 0 100 m with 300 to 1000 O Intensity of CV 0 100 Vs with lt 100 mA Russian stimulation Carrier wave frequency 2 10 kHz Burst frequency 20 100 Hz Intensity of CC 0 100 mA with 300 to 1000 Q Intensity of CV 0 100 Vy with lt 100 mA Expert parameters for NMES currents On time ON 1 100s Off time OFF 0 100s Rest time 0 100s Surge time 0 100s Shrink time 0 100s Special modes OFF REST ON2 Frequency sweep Manual stimulation Alternating channels ON OF
10. Electrotherapy Test 3 Ultrasound therapy Test 4 Electrical safety inspection measurement of the earth leakage current and patient leakage current according to DIN VDE 0751 1 ed 2 0 Inspection result 1 2 3 4 A registration must be maintained of the technical safety inspections Use the inspection report in the appendix for this purpose See 8 5 Copy this appendix Complete the copied appendix Keep the inspection reports for at least 10 years The inspection is successful if all inspection items are passed Repair all faults on the equipment before the equipment is put back into operation By comparing the registered measurement values with previous measurements a possible slowly deteriorating deviation can be ascertained 48 Phyaction C 5 2 Maintenance Component Check Frequency Rubber electrodes Cleaning See 55 2 1 After every treatment EL sponges Cleaning See 85 2 2 After every treatment Fixation bandages Cleaning See 55 2 3 If necessary Vaginal anal and Cleaning and disinfecting After each use rectal stimulation See 5 2 4 probe US head Cleaning See 55 2 5 After each use Accessories that come in contact with the body of the patient N must be washed with pure water after the disinfection to prevent allergic reactions 5 2 1 Cleaning the electrodes 1 Clean the electrodes in a non aggressive soap solution or in a 7096 alcohol solution 2 R
11. Form 296 solution Histamine Revulsive and vasodilator Application degenerative and articulary rheumatic pains such as cramp Maximum duration of iontophoresis 3 min Longer treatment causes allergic reactions and cephalgia Form 0 02 bicarbonate solution Coltramyl Myorelaxant Application contractures Form solutions up to 0 04 2 ml coltramyl 4mg ampoule to be dissolved in 8 ml distilled water Indocid A I N S Application inflammatory illnesses Form 1 solution 50 mg freeze dried powder to be dissolved in 5 ml distilled water Voltaren A I N S Application inflammatory llnesses Form 0 75 solution 3 ml 75 mg ampoule to be dissolved in 7 ml distilled water Acetic acid A I N S Application To dissolve deposition layers caused by ossifying myositis and periarticular ossification Form 2 water solution is A suniphy Phyaction C 8 2 Diagnostic S D curve Physiotherapist Date of investigation Name of patient Date of birth M F Anamnesis Evaluation neuro muscular Accommodation Quotient Rheobase mA Chronaxie ms Conclusion Treatment 66 Phyaction C 8 3 Electrode and US head placements Select the therapy via indication list to g
12. measures may be necessary such as reorienting or relocating the Phyaction series device b Over the frequency range 150 kHz to 80 MHz field strengths must be less than 10 V m 72 Phyaction C Recommended separation distances between portable and mobile RF communications equipment and the Phyaction series device The Phyaction series device is intended for use in the electromagnetic environment in which radiated RF disturbances are contolled The customer or the user of a Phyaction series device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Phyaction series devices as recommended below according to the maximum output power of the communications equipment Rated maximum Separation distance according to frequency of transmitter output power of m Le es 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 0 35vp d 0 35vp d 0 70vp 0 01 0 04 0 04 0 07 0 1 0 11 0 11 0 22 1 0 35 0 35 0 70 10 1 11 1 11 2 21 100 3 50 3 50 7 00 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE1 At80 MHz and 800 MHz
13. 107 860 113 334 114 142 109 944 Phyaction C 7 8 Optional accessories ultrasound therapy Quantity Description Art no 1 US hor multi frequency 1 3 MHz ERA 323 595 1 cm incl holder 7 1 Contact gel can 5 100 019 Io 1 Pump for can 5I 100 020 Article numbers can change in the course of time Check the article numbers in the most recent catalogue or ask your dealer The drawings are merely indicative no rights can be derived from them SS A suniphy Phyaction C 64 8 APPENDICES 8 1 Phyaction C Agents for iontophoresis Agent Property Application and form Calcium Analgeticum and sedative Application post traumatic pain distorsion algodistrophic syndromes and neuralgia Form 2 calcium chloride solution Magnesium Analgeticum and Applications as with calcium agent fibrolyticum 10 magnesium chloride solution lodine Sclerolyticum Application stubborn scars cutaneous adherences sickness of Dupuytren stiffness of joints and adhesive capsulitis Form 1 2 potassium iodine solution Salicylate Anti inflammation Application periphlebitis osteoarthritis ab articular rheumatism articulary stiffness and adhesive capsulitis Form 2 sodium salicylate solution Procaine and lidocaine Anti inflammation agent Application production of local anaesthesia in the neuralgia of the trigeminal nerve e g with acute inflammation
14. 2 Select the desired electrotherapy program ed Nusuniphy Phyaction C 3 Connect the probe to the Phyaction C The vaginal and anal probes are immediately detected by the equipment To prevent unpleasant stimulations you can only set alternating currents with a Constant Voltage CV setting such as TENS NMES and 2 pole interferential currents With a rectal stimulation probe select only alternating currents with a Constant Voltage CV setting such as TENS NMES and 2 pole interferential currents This prevents skin etching and unpleasant stimulations The rectal stimulation probe is not detected by the equipment Apply an antiseptic lubricant to the probe Place the probe Rotate intensity knob A or B to start the treatment and to set the desired intensity 7 Check the patient s reaction Repeat this check regularly during the treatment 8 The equipment stops the treatment and indicates that the treatment is completed Remove the stimulation probe 9 Clean the stimulation probe See 55 2 4 Ook 4 5 3 Electrotherapy with sequential steps A treatment with sequential steps consists of a succession of the same current form but additional with different parameter settings When the treatment is active you can set the time and the stimulation beep between steps Advantages Electrotherapy with sequential steps has several advantages e In one electrotherapy you can realise several objectives e natreatm
15. 5 With selection via indication list you can view the placement 1 Select Electrode placement ET CO US head placement US CO or Treatment method 10 2 If necessary select the location You get an advice to place the electrodes and US head 3 If available select a number for the precise anatomic location See 88 3 22 Phyaction C 4 3 3 Program number selection 1 Press Ta 2 Select Program number 3 Select the desired program with T A Or V See 9 1 Program number 4 Select 1 1 Bo to selected program EE Program number Select nr with T keys 4 3 4 Diagnostic program selection With the diagnostic programs you can localise and treat pain points and look for stress fractures etc 1 Press T EI Diagnostics 2 Select Diagnostic programs Diagnostic programs 3 Select the desired diagnosis 1 Rheobase and chronaxie 2 Rheobase and AQ See 4 8 3 S D curve rectansular 4 5 D curve triangular 5 S D curve rect tri amp Pain points 7 Diagnosis stress fracture 4 3 5 Contra indication selection 1 Press T IJ Contra indicat 2 Select Contra indications Contra indications 3 Select the therapy for which you 1 Electrotherapy 2 Ultrasound therapy want to see the contra 3 Combination therapy indications 4 Scroll through the text with or ES A suniphy 4 4 Phyaction C Performing therapy 4 4 1 Set and start therapy 1 2
16. 65 8 1 AGENTS FOR IONTOPHORESIS ccceceeecceeeeeeeeeesaseenaeeaaes 65 8 2 DIAGNOSTIC S D CURVE sssssssssnn ee enses 66 8 3 ELECTRODE AND US HEAD PLACEMENTS enn 67 8 4 EMC DIRECTIVE issssssssessssee se nne annes san sanas 70 8 5 TECHNICAL SAFETY INSPECTION senem 74 8 6 DISPOSAL serias eure a eq E ISO dw ee eese 78 REFERENCE et teca dein edoceri E eu dee 79 9 1 FUNCTION OVERVIEW ssseee nme semen nn 79 9 2 LITERATURE use A a 85 9 3 TERMINOLOGY ssessseee en a ases nina n 85 INDEX E 89 Phyaction C 1 SAFETY 1 1 Purpose The Phyaction C is intended solely for medical applications You can use the Phyaction C for electrotherapy ultrasoundtherapy and combined therapy The device is suited for continuous use 1 2 Safety instructions 7 2 1 General A Only qualified people who are trained in the application of the therapies may use the appliance Only a technician authorised by GymnaUniphy N V may open the equipment or the accessories Follow the instructions and directions in these user instructions Place the equipment on a horizontal and stable base Keep the ventilation openings at the bottom and rear of the equipment free Do not place any objects on the equipment Do not place the equipment in the sun or above a heat source Do not use the equipment in a damp area Do not let any liquid flow into the equipment Do not disinfect or sterilise the equipment Cl
17. 9 2 Selecting a saved program Selecting a program by the list 1 Press E 2 Select Recall by list Recall by list 3 Select the desired program BEN Y JLILO20 00 JOHN 3 INH2D 10 30 If necessary scroll through the Empty Empty list with q or P Empty Selecting a program by the number 1 Press E 2 Select Recall by number Recall bu number 3 Select the desired program with Hr 508 BEN Y Dn S20 0b A or V Memory number 4 Select Go to selected number 1 Go to selected number 8 8 m CC 4 9 3 Erase a saved program Erase a program by the list 1 Press E 2 Select Erase by list Erase by list 3 Select the desired program BEN Y nnezo JOHN ai INKED 10 30 If necessary scroll through the Empty P Emp tu list with 4 or P Empty Empty 4 Select Erase memory number to delete the program 4 568 581 582 383 584 587 386 gt A suniphy Phyaction C Erase a program by the number 1 Press E 2 Select Erase by number Erase bu number 3 Select the desired program with Hr 508 BEN Y TL 820200 A or V Memory number 4 Select Erase selected number 1 Erase selected number 2 Do not erase twice to delete the program 4 10 System settings With the system settings you can adapt the Standard settings of the equipment You cannot change the system settings during a therapy 4 10 1 Changing the system settings
18. D curve Is finished Depending on the measurement the Optimal pulse time OPT Rheobase Rh Chronaxie Ch and Accommodation Quotient AQ results are shown 11 If desired press 7 to save the data in the memory See 84 9 7 co Ba O0 CTI Fe CA td td td d C1 C id 16 imm 1008ms A suniphy Phyaction C 4 8 4 Pain points 1 Press Ta 2 Select Diagnostic programs 3 Select Pain points 4 Select the diagnostic program for pain points 4 9 Memory You can save 50 of your own programs for later use programs 500 up to and including 549 You can modify these programs for much used or specific current shapes for a certain patient 4 9 1 Saving a program 1 Select a therapy See 84 1 2 Change the settings for the patient See 4 4 Therapy or ne E 2 Recall by list B B m CC 4 Select Save 3 Recall by nunber 5 Select a free program number or 5 Erase bu number overwrite an existing program number If desired scroll through the list with 4 or gt 6 Enterthe name of the program Use the name or the number of Save at number 580 the patient for example e Therapy Yo 20 00 Select a character with A ES and V 1 Move cursor to the left e Select Move cursor to the 2 Nove cursor to the right 3 Ready and save left right to change the cursor position 7 Select Ready and save Select character with t keys 40 Phyaction C 4
19. diadynamic 3 6 Parameter symbols 3 6 1 Electrotherapy Red Polarity indication Red s Alternating polarity Biphasic pulse shape Tlr symmetrical Biphasic pulse shape 1 asymmetrical Frequency sweep mode VN 12s 12s 12 SA 6s 6s 6 ep en en CHR laa CC CV lt gt Russian stimulation 2 pole medium frequency Dipole vector field Isoplanar vector field S d curve rectangular S d curve triangular S d curve rectangular triangular Rheobase and chronaxie Rheobase and AQ Constant Current Constant Voltage mA peak Volt peak Jee 1s 5s 18 5s T ai 1s 1s A suniphy Phyaction C 3 6 2 Ultrasound therapy n 19 TL 20 TL 30 TL 40 TL 50 I 100 I set W cm 3 7 3 7 1 LJ Zus Sms 3 7 2 Diadynamic currents US duty cycle 1096 US duty cycle 2096 US duty cycle 3096 US duty cycle 4096 US duty cycle 5096 US duty cycle 10096 Set US intensity Peak US output power Unit of the set US intensity Current shapes Unidirectional currents Rectangular pulse current 2 5 current UltraReiz N A MF A22 1 10 ms 2 10 ms 3 10 ms 4 10 ms 5 10 ms 10 10 ms gt S il UI Soe WS US on US on US on US on US on US on period time 10 period time 20 period time 30 period time 40 period time 50 period time 100 US head ERA 4 cm US head ERA 1 cm
20. history The total number of error reports that the equipment has had and details about the last 10 error reports Always have this information available when you contact the technical service department Counter working hours hours minutes sec The time that the accessories for electrotherapy or ultrasound therapy have been in use For this the output of the channel must have been higher than zero Reset menu Reset working hours Set the number of working hours of a plate electrode or an US head to zero e Change therapy programs Change the settings from the programs in the Therapy menu See 84 10 5 e Erase total memory Restores the standard settings of the standard programs and of the edited programs Stop time if bad US on off When there is a bad US contact the treatment time counter stops When the contact is restored the counting continues s A suniphy Phyaction C 4 10 3 Setting the sound i 1 Press A SYSTEM SETTINGS 2 Select Sound settings Sound settings 3 Change the desired sound 1 Beep at end of treatment 2 Beep at pressing of a key setting 3 ET stimulation beep 4 Beep volume 5 ET bad contact beep amp US bad contact beep 4 10 4 parameters sound settings End of treatment On A sound signal will be heard at the end of the treatment Pressing a key On A sound signal will be heard every time a key is pressed ET stimulation On A sound signal will be heard at each
21. on the ground or knocks against something See 85 7 7 Check the US head at least once a month During the check look for dents cracks and other damage that could allow liquids to ingress Check whether the insulation of the cable is still intact Check whether all pins are present and straight in the connectors Replace the US head if the head the cable or the connector is damaged See 85 7 Move the US head evenly over the skin during the treatment 1 3 Medical Devices Directive The device complies with the essential requirements of the Medical Device Directive of the European Committee 93 42 EEC as most recently changed A suniphy Phyaction C 1 4 Liability The manufacturer cannot be held liable for injury to the therapist the patient or third parties or for damage to or by the equipment used if for example e an incorrect diagnosis is made the equipment or the accessories are used incorrectly the user instructions are wrongly interpreted or ignored the equipment is badly maintained maintenance or repairs are performed by people or organisations that are not authorised to do so by GymnaUniphy Neither the manufacturer nor the local GymnaUniphy dealer can be held liable in any way whatsoever for the transfer of infections via the vaginal anal and rectal probes and or other accessories 2 2 1 2 2 N ONOTRWN gt N Phyaction C INSTALLATION Receipt Check whether the equipment has b
22. pulse of the electrotherapy Beep volume min 1 standard 5 max 10 The volume of the sound signals ET bad contact On A sound signal will be heard if the electrode does not make good contact with the skin US bad contact On A sound signal will be heard if the US head does not make good contact with the skin 44 Phyaction C 4 10 5 Change therapy programs Save new therapy program settings Change the program to your required settings 1 Use the Therapy menu to SYSTEM SETTINGS select a program Reset Nenu 2 Make the changes in the 1 Reset working hours 2 Change therapy programs program 3 Erase total memory Press E Select Reset Menu Select Change therapy programs 6 Select Save new ther progr settings twice to change the Des sucia Ue een program settings DEG Restore this therapy program Change the program back to the manufacture s settings 1 Use the Therapy menu to select a program 2 Goto the Change therapy programs menu 3 Select Restore this therapy program twice Restore all therapy programs Change all therapy programs back to the manufacture s settings 1 Goto the Change therapy programs menu 2 Select Restore ALL therapy program twice 4 10 6 Set text for start up screen You can set your own text for the start up screen For example you can put your name or address information here 1 Press D AW SVSTEN SETTINGS 2 Select Text for start up screen Text fo
23. the DF phase If the patient is very sensitive this difference in perception can be adjusted with this parameter On Reduce the amplitude of the MF phase by 12 596 S A suniphy Phyaction C Off time off s The interval between two series of current pulses On2 amplitude The amplitude of the pulses during the On2 period This amplitude can be set as a percentage of the set amplitude during the On period On2 frequency Hz The frequency of the pulses during the On2 time On time on s The time that the series of current pulses is switched on Polarity The polarity of the current pulse Polarity change on off Switch polarity between red and red during the treatment Pulse pause ms or s The duration between the current pulses Pulse shape The shape of the electrical pulse See 33 6 f Pulse time us ms or s The duration of the current pulse Rest amplitude 96 The amplitude of the pulses that is maintained during the active rest period The active rest period stimulates recovery which is otherwise realised by the Off time The amplitude during the active rest period is set as a percentage of the amplitude during the On time Rest frequency Hz The frequency that is maintained during the active rest period of the NMES current Rotation angle 0 355 The actual angle between the line with the maximum amplitude and the line between the electrodes of channel B If Manual is selected fo
24. the higher frequency range applies NOTE2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 13 A suniphy Phyaction C 8 5 Technical safety inspection Phyaction C with serial number is is not in good working order Inspection performed by Owner Location Name Name Date Initials Initials T Cross out what does not apply If a specific test does not apply to this equipment place a mark in the NA not applicable column 8 5 1 Test 1 General Yes No NA 1 The results of earlier safety inspections are available 2 The logbook is present 3 The type plate and the supplier s label are legible 4 The housing adjusting knobs keys and display are undamaged 5 The power connection and power cord are undamaged 6 The output connectors are undamaged 7 The electrode connectors and cables are undamaged 8 The cables and connectors of the US head s are undamaged 9 The US head s do not display any cracks or other damage that can endanger the insulation 10 The automatic self test at switch on does not give an error message 11 The display does not show any defective points or lines 74 Phyaction C 8 5 2 Test 2 Electrotherapy Yes No 1 Connect loads of 5
25. uniphy com E mail info gymna uniphy com Your dealer
26. 00 to both normal electrode pairs Connect an oscilloscope to these pairs black to ground 2 Select channel A program 4 MF constant 3 At maximum intensity the output currents correspond within 10 with the values on the display 4 The output signals correspond with figure 1 5 The polarity changes to negative if RED is selected 6 The warning Bad contact with the patient is given if the load is disconnected 7 Select channel B program 4 MF constant Select CC 8 Atmaximum intensity the output currents correspond within 1096 with the values on the display 9 The output signals correspond with figure 1 10 The polarity changes to negative if RED is selected 11 The warning Bad contact with the patient is given if the load is disconnected 12 Remove the load so that the unloaded output voltage can be measured 13 Select channel A program 23 2 pole medium frequency Select CV 14 At maximum intensity the output voltage corresponds within 1096 with the values on the display 15 The output signals correspond with figures 2 and 3 16 The yellow lamp next to the output connectors lights if the intensity is not O 17 Select channel B program 23 2 pole medium frequency Select CV 18 At maximum intensity the output voltage corresponds within 1096 with the values on the display 19 The output signals correspond with fi
27. 2 6 x 8 cm per 2 Os 2 109 959 pces EL sponge no 2 for electrode 6 x 8 cm 100 658 per 4 pces e 4 Elastic fixation bandage 5 x 60 cm 108 935 2i 1 US head 1 3 MHz ERA 4 crm incl 323 584 holder t 1 Contact gel 500 ml 114 827 C 1 Power cord 100 689 Esc 1 Test connector V V Amm 108 919 LS 1 VAS score card 115 684 lt gt EN 322 824 NL 322 868 1 User manual Phyaction C FR 322 912 DE 322 956 1 This power cord has a CEE 7 7 type plug For countries with other outlets a different power cord with the appropriate plug is supplied qn A suniphy Phyaction C 7 7 Optional accessories electrotherapy Quantity Description Advice Replace the electrode material at least every 6 months 1 Vaginal stimulation probe with 6 pole DIN d plug 1 Anal stimulation probe with 6 pole DIN e plug TS 1 Rectal stimulation probe Co 2 Rubber electrode no 1 4 x 6 cm Cd 2 Rubber electrode no 3 8 x 12 cm lt gt 4 EL sponge no 1 for electrode 4 x 6 cm lt gt 4 EL sponge no 3 for electrode 8 x 12 cm So 4 Adhesive electrode 3 cm diameter SS A Adhesive electrode 3 8 x 5 cm ES 4 Adhesive electrode 5 x 5 cm gt 4 Adhesive electrode 5 x 10 cm 1 Adapter cable for adhesive electrode 4 gt SES 2 mm 1 Pin electrode 15 mm diameter with grip Pp and sponge 10 EL sponges for pin electrode 62 Art no 107 348 107 349 112 166 109 958 109 960 100 657 100 659 113 335 107 858 101 795
28. 21 22 23 24 25 hee O 12 Q 20 COO us PS W A 18 I 15 17 14 16 26 27 28 29 1 Display See 3 3 17 Indicator lamp device on off 2 Select menu option or 18 Indication Read manual parameter 19 Connectors for US head 3 Scroll through the list numbers 20 Indication Floating patient 4 Increase or set a parameter circuit 5 Decrease or set a parameter 21 On off switch 6 Therapy menu 22 Fuse holder 7 Guide menu 23 Connection to mains supply 8 Memory menu 24 Type plate 9 System settings menu 25 Ventilation opening 10 Back 26 Connector for electrotherapy 11 Pause channel A 12 Stop 27 Indicator lamp for channel A 13 Select channel A 28 Connector for electrotherapy 14 Select channel B channel B 15 Intensity of channel A 29 Indicator lamp for channel B 16 Intensity of channel B 14 M T 2 3 4 5 6 Phyaction C Display i Indication list 338 EN Y _ US Conventional TENS 9 14 68 1 Treatment time 16 88 2 US head electr placement c red 1 0 8 3 Pulse time BS a 4 Pulse shape Bau CU 5 Base frequency 188 Hz k 1 1 6 E Tor frequency 158 Hz 7 Frequency sueep mode ve EIS 8 ERA 4 8 cm E 9 3 US frequency 1 1 MHz 18 Dutu cycle m yx m12 On time Period time 18 18 ms 11 Contact detection beep DN Iset H H hicem Just perceptible comfortable Selected channel Title of the screen Program number Therapy Current sha
29. 33 Segment time 33 Selection therapy 21 Sequence step number 29 33 Sequential steps treatment 29 Service 52 Skin etching 88 Slow twitch muscle fibrel 88 Sound Set 44 Sound settings 42 Stand by time 11 42 Step time 33 Stimulation beep 33 Stop 25 Stop treatment 25 Storage 12 conditions 60 Sweep mode 33 System information 43 System setting parameters 42 System settings 42 changing 42 T Technical information 55 Technical life time 53 TENS currents 19 79 Terminology 85 Tetanic contraction 88 Text for start up screen 43 Text start up screen set 45 Therapy program selection 23 selection via indication list 22 selection via objectives 22 set 24 Start 24 A suniphy Therapy menu 79 selection 21 Tissue repair improve 80 Tone 88 Total sequence steps 33 Transport 12 conditions 60 Treatment interruption 25 sequential steps 29 stop 25 Treatment time 33 35 Trophic 88 improve condition 80 Trophic condition improve 80 Phyaction C 92 U Ultrasound therapy 34 optional accessories 63 parameters 35 Perform 34 Read out values 35 safety 9 selection 21 technical information 58 Unidirectional currents 18 79 US frequency 36 US head cleaning 50 contact 35 Indicator light 36 placement 36 test 47 V Vaginal stimulation probe cleaning 49 perform electrotherapy 27 VAS score 88 A suniphy Uniphy is a division from GymnaUniphy N V Tel 32 0 89 510 Fax 32 0 89 510 51 www gymna
30. 7 1 1 PURPOSE oiiire aae ee AE DR exi dee 7 1 2 SAFETY INSTRUCTIONS sssssssen nennen sinn nnn 7 1 3 MEDICAL DEVICES DIRECTIVE csse 9 TA LIABILITY EE 10 2 INSTALLATION esee nennen nnn nnne nnn nn 11 Zod RN Ce GE 11 2 2 PLACING AND CONNECTION ccccccceeeceeeeeeeeeeaeesseeeaaes 11 2 3 PERFORMING THE FUNCTIONAL TEST eseee nnns 11 2 4 SETTING CONTRAST LANGUAGE AND STAND BY TIME 11 2 5 USE IN COMBINATION WITH AN OTHER DEVICE s sse 12 2 6 TRANSPORT AND STORAGE ccccccecceeeceeeeeeeneeescueesueeaaes 12 2 7 RESELLING ccccccccc cece eecceeaeeeeaeeeaeeeaeeesaseeaueegueetueeeeaaes 12 3 DESCRIPTION OF THE EQUIPMENT ccccccccceeceeeeeeeesesererees 13 3 1 PHYACTION C AND STANDARD ACCESSORIES s se 13 3 2 COMPONENTS OF PHYACTION C A 14 4 3 DISPLAY iini iR XR X SIEGE CIR SA X GE Y TIN VA T eU p gr S GA 15 3 4 DISPLAY SYMBOLS ssssssssse ene nhe senem nn 16 3 5 SYMBOLS FOR CURRENT SHAPES cccecceeeceeeeeeeeeeusseeaaes 16 3 6 PARAMETER SYMBOLS ccceceeesceeeeeeeeeeuaeeeaeeeeeeessueeaues 17 3 7 CURRENT SHAPES sssssssesssse ese ane ashes sais sanas 18 4 OPERATION cionado 21 4 1 THERAPY SELECTION c ccccccccnnnccnncanncannnonnnnnennnnrnnennnnananass 21 4 2 SELECTION BY THE THERAPY MENU ccecceeceeeseeeeeeeeaeeees 21 4 3 SELECTION BY THE GUIDE MENU cccceceeeeeeeeeeeeeeeaeeees 22 4 4 PE
31. F not for Isoplanar vector field surge current On2 amplitude 1 100 Rest amplitude 1 100 d A suniphy Phyaction C 2 pole medium frequency current Isoplanar vector field Carrier wave frequency 2 10 kHz AM frequency min 0 200 Hz AM frequency max 0 400 Hz Frequency variation mode 0 1 0 1 5 1 6 0 6 12 0 12 Intensity of CC 0 100 mA with 300 to 1000 Q Intensity of CV 0 100 Vy with lt 100 mA Dipole vector field See 2 pole medium frequency current Rotation time 0 20s Rotation angle O 355 Segment angle 0 x45 Segment time 0 10s Diagnostic programs Rheobase and Chronaxie Rheobase and AO S D curve rectangular S D curve triangular S D curve rect tri Intensity of CC 0 80 mA with 300 to 1000 Q with Rheobase max 40 mA Variable parameter for determination Chronaxie Pulse time 0 1 100 ms Variable parameter for determination S D curves Pulse time 17 fixed steps between 0 1 1000 ms Recording mode auto manual 7 3 Ultrasound therapy 7 3 1 General Insulation classification Type BF Peak power 0 2 W cm duty cycle 100 0 3 W cm duty cycle lt 100 Accuracy of intensity 10 of maximum at set values above 1096 of this maximum Treatment time 0 30 min Deviation of time clock 0 596 Modulation frequency 100 Hz Modulation type CW rectangular on off Repetition period of pulses 10 ms 58 Phyaction C 7 3 2 Modulation and pulse duration Modu
32. O CULTO etur sepu Eeer 83 Subacute 91 ChEFOPIG3 ioca hilo 92 Tendinitis US SUBACUTE i es 63 CHRONIC ON 62 Tendosynovitis ET 85 Tension headache ET 173 Torn muscle ET 173 Ulcus Cruris ET With infection necrosis 52 Without infection 51 Ulcus Cruris IO 87 Ulcus Cruris US 88 Viral infections IO 95 Weak abdominal musculature ET 84 Phyaction C 9 7 6 Contra indication Electrotherapy General High fever Severe cardiovascular problems Psychological problems Cancer with tumor metastasis Generalised tuberculosis Specific absolute On demand pacemakers Specific relative for monophasic pulses Skin lesions Thrombosis thrombophlebitis Skin infections Varices Increased risk to haemorrhage Superficially implanted materials Heart disease rhythm disorder Decreased sensibility Locat near sinus caroticus Menses Pregnancy Specific for relative biphasic pulses Skin infections Thrombosis thrombophlebitis Heart disease rhythm disorder Locat near sinus caroticus Decreased sensibility Pregnancy 9 2 Literature Ultrasound therapy General High fever Severe cardiovascular problems Psychological problems Cancer with tumor metastasis Generalised tuberculosis Specific relative for continuous ultrasound Infections Acute inflammations Thrombos
33. RFORMING THERAPY ssseene nennen nnn 24 4 5 ELECTROTHERAPY ssssssseesee enses hene sse asina n 26 4 6 ULTRASOUND THERAPY sssssssseees enne esse hs asina nnn 34 4 7 COMBINATION THERAPY ssssseese seen sees annes nn 37 4 8 DIAGNOSTIC PROGRAMS ssssssee ee ennemis nn 38 4 9 MEMORY A 40 4 10 SYSTEM SETTINGS sssssssesssssee se nennen sinas asse nn 42 5 INSPECTIONS AND MAINTENANCE eene 47 5 1 INSPECTIONS 6 2 dieci di iei xe rp adu e nex or ex es OR Ora es 47 5 2 MAINTENANCE cece nee he enses ssa sn aan nnn 49 10 Phyaction C MALFUNCTIONS SERVICE AND GUARANTEE 51 6 1 MALFUNCTIONS cccccecce cece erare R EA EER EO E REG aE 51 0 27 SERVICE 2 ENEE 52 6 37 GUARANTEE eeben Sege oa laa 52 6 4 TECHNICAL LIFE TIME ccccceccceecceeeeeeeseeuaeeeaeeeuaeeugueeaaes 53 TECHNICAL INFORMATION eee 55 n MN E N TEEN 55 7 2 ELECTROTHERAPY s poreda a e ae assesses asina assa nnn 55 7 3 ULTRASOUND THERAPY ssssesee ene enemies nnns 58 7 4 ENVIRONMENTAL CONDITIONS sssseees nnn nnns 60 7 5 TRANSPORT AND STORAGE ccccccecceeeececeeeeeeeucueenueeaaes 60 7 6 STANDARD ACCESSORIES ccccceecceesceeeeeeeeeeeeeusueeaueeaaes 61 7 7 OPTIONAL ACCESSORIES ELECTROTHERAPY eene 62 7 8 OPTIONAL ACCESSORIES ULTRASOUND THERAPY 63 APPENDICES osuna soten a Doctors de F v tria da data Fa ETC
34. US ACU ebe 66 lee 64 Posttraum dystrophy ET ACUTE eessssme 180 Subacute nosci 120 EE sie eegent aeni 181 Quervain IO EE eebe 83 lee 91 Raynaud ET Intensive local 80 Mild seomental 135 Specific points 81 Reumatic diseases IO 106 Scar tissue IO ess 82 Scar tissue US Des 66 Subacute sssssssssssss 65 Sciatica ET ACUE cte teca pere Esa Edge 180 Subacute 102 CHONO ege 181 Shin splints IO 91 Spasticity ET Detonisation 136 Reciprocal inhibition 131 Phyaction C Sprain CO AUTO tirs 350 Gubacute eee 351 Sprain ET Gubacute eee 84 E lte 80 Sprain US ACUC att 66 Subacute ee aden ieee ia 64 S deck s dystrophy ET Acute segmental 180 Subacute regional 120 Chronic central 181 Tendinitis CO SUBACUTE iraa 356 A E 357 Tendinitis ET A AEEA 139 Regional 97 9 7 5 Diagnostics Rheobase and chronaxie 27 Rheobase and AC 28 S D curve rectangular 29 S D curve triangular 30 S D curve rect zm 39 Pain points Electrotherapy Superficial Nerve points 109 Superficial motor points 110 Deep motor points 129 Painful area zone Combination therapy Triggerpoint high sensit 132 Triggerpoint low sensit 133 Stress fracture search 84 Tendinitis I
35. a low contraction speed The fibres are fairly thin produce a small amount of power and have a low fatigue level See also type muscle tissue tetanic contraction A persistent muscle contraction on the basis of several contraction waves that are simultaneously in a muscle You can cause tetanic contractions with an NMES surge current tone The tension state of tissues trophic The state of nourishment type muscle tissue Muscle tissue with a low contraction speed type ll muscle tissue Muscle tissue with a high contraction speed Set the parameters as follows for stimulation with NMES NMES parameter typel type Il Pulse time Long Short Pulse frequency Low High Pulse amplitude High Series duration and Short Long series pause Treatment time Long VAS score Score on the Visual Analogue Scale VAS Tool for evaluating a clinical complaint from the patient This usually concerns the degree to which pain is felt With a high VAS score a mild treatment is usually adequate With a lower VAS score a more intensive treatment is desired 88 Phyaction C 10 INDEX A Abbreviations 4 Absolute muscle power 85 Accessories 61 optional electrotherapy 62 optional ultrasound therapy 63 standard 61 Accomodation 86 Accomodation Quotient 39 Active rest 30 Active trigger point 86 Activities daily life improve 80 Agents for iontophoresis 65 Alternating channels 30 Anal stimulation probe clea
36. arthed socket required Insulation Type BF floating patient circuit Fuses 2 x T2AL250 V 7 2 Electrotherapy 7 2 1 General Treatment time 0 60 min Current limitation The smallest value 150 of the set value or 11096 of the maximum for the selected current shape Accuracy Set current value mA at 500 Q typically 10 CC CV mode For all current shapes with the exception of medium frequency rectangular current Polarity Red red and alternating polarity if applicable 35 A suniphy Phyaction C 7 2 2 Current shapes Medium frequency rectangular current Intensity 0 80 mA with 300 to 1000 Q lontophoresis MF rectangular Electrode area 6 300 cm Intensity 0 80 mA with 300 to 1000 Q Rectangular pulsed current Triangular pulsed current 2 5 Current Ultra Reiz Pulse time 0 1 ms 6s Pulse pause 1ms 6s Intensity of CC 0 80 mA with 300 to 1000 O Intensity of CV 0 80 Vy with lt 80 mA MF DF CP LP Intensity of CC 0 80 mA with 300 to 1000 O Intensity of CV 0 80 Vy with lt 80 mA Expert parameters MF time 1 100s DF time 1 100s ISO on off Conventional TENS Low frequency TENS Pulse time 10 650 us Pulse shape symmetrical asymmetrical Frequency min base 1 150 Hz Frequency max top 1 150 Hz Freq increase time 0 100s Freq hold time 0 100s Freq decrease time 0 100s Intensity of CC 0 120 mA with 300 to 1000 Q Intensity of CV 0 120 Vy with lt 120 mA
37. atient Switch the main switch off O Wait 5 seconds and switch the main switch on again I Contact your dealer if the error message reappears 51 A suniphy Phyaction C 6 2 Service the equipment or the accessories to perform repairs The equipment does not contain any components that may be replaced by the user f possible open the screen with the system settings before you contact the technical service department See 4 10 e Only a technician authorised by GymnaUniphy N V may open Service and guarantee are provided by your local GymnaUniphy dealer The conditions of delivery of your local GymnaUniphy dealer apply If you have qualified technical personnel that are authorised by GymnaUniphy to perform repairs your dealer can provide diagrams spare parts lists calibration instructions spare parts and other information on request for a fee 6 3 Guarantee GymnaUniphy and the local GymnaUniphy dealer declares itself to be solely responsible for the correct operation when e all repairs modifications extensions or adjustments are performed by authorised people the electrical installation of the relevant area meets the applicable legal regulations e the equipment is only used by suitably qualified people according to these user instructions e the equipment is used for the purpose for which it is designed maintenance of the device is regularly performed in the way prescribed See 85 e the t
38. ation or at least 1x per year Cable of US head Damage At least 1x per month Pins in connector straight Equipment Technical safety At least 1x per year inspection See 85 7 2 5 1 1 US head test Test the US head if its conduction is bad This is the case when the indication bar for the Ppk value displays __ __ __ or E _ 1 Select an ultrasound therapy 2 Place the US head in a bowl with water 3 Rotate intensity knob A or B to start the treatment 4 Check in the screen of the channel to see if the Ppk value is increasing 5 Contact your local GymnaUniphy dealer if the indication bar still displays ai UI _ mm __ _ 5 1 2 Technical safety inspection The Directive on Medical Devices from the European Commission 93 42 EEG requires that safe devices are used It is recommended to perform a yearly technical safety inspection If the legislation in your country or your insurer prescribes a shorter period you must adhere to this shorter period the equipment or the accessories e The inspection may only be performed by a suitably qualified person In some countries this means that the person must be accredited Only a technician authorised by GymnaUniphy N V may open A suniphy Phyaction C Inspection points The technical safety inspection contains the following tests he 2 3 4 Test 1 General Visual inspection and check on the operating functions Test 2
39. create the difference User Manual Phyaction C 2004 GymnaUniphy N V All rights reserved Nothing from this publication may be copied stored in an automated data file or made public in any form or in any way be it electronically mechanically by photocopying recordings or in any other way without prior written permission from GymnaUniphy N V Phyaction C User Manual Phyaction C Device for electrotherapy ultrasound therapy and combined therapy Manufacturer GymnaUniphy N V Main office Pasweg 6A B 3740 BILZEN Telephone 32 0 89 510 510 Fax 32 0 89 510 511 E mail info gymna uniphy com Website www gymna uniphy com Version 1 1 February 2005 gt A suniphy Phyaction C Abbreviations AQ Accomodation Quotient CC Constant Current CO Combination therapy GP Courte P riode CV Constant Voltage DF Diphas Fixe EMC Electromagnetic Compatibility ESD Electrostatic Discharge EL Electrode ET Electrotherapy HAC Hospital Antiseptic Concentrate LP Longue P riode MF Medium Frequency with unidirectional and interferential currents Monophas Fixe with diadynamic currents MTP Myofascial Trigger Point NMES Neuro Muscular Electro Stimulation TENS Transcutaneous Electrical Nerve Stimulation US Ultrasound VAS Visual Analogue Scale Symbols on the equipment Ab Read the manual Symbols in the manual AN Warning or important information Phyaction C TABLE OF CONTENTS 1 LGT Cu NEE
40. e intensity screen Press or B of the selected channel to open the intensity screen 4 5 6 Parameters for electrotherapy The following parameters are given alphabetically The setting range or the selection possibilities of the parameters depend on the treatment chosen Active rest s The duration of the rest period During the rest period a low frequency current is applied to stimulate the recovery process Alternating channels The NMES current alternates between channel A and B Burst Hz The frequency of the biphasic pulses The burst consists of a series of pulses that is repeated several times per second Each burst consists of a low frequency current with high internal pulse frequency 70 100 Hz anda long pulse duration 100 250 msec Carrier wave kHz The carrier wave frequency expressed as the number of cycles per second The frequency of this medium frequency current corresponds with the cycle duration A high frequency results in a short pulse duration A carrier wave frequency of 2 kHz is suited for muscle stimulation 30 Phyaction C CC CV Constant Current CC or Constant Voltage CV When using a dynamic electrode technique only use N alternating currents with Constant Voltage CV This prevents unpleasant stimulations for the patient when the contact is temporarily interrupted during the placement movement and removal of the electrode With a rectal stimulation
41. ean the equipment with a dry or moistened cloth See 85 Only treat patients with electrical implants pacemaker after obtaining medical advice The Directive on Medical Devices from the European Commission 93 42 EEG requires that safe devices are used It is recommended to perform a yearly technical safety inspection See 55 1 2 For optimum treatment a patient investigation must first be performed On the basis of the findings of the investigation a treatment plan with objectives will be formulated Follow the treatment plan during the therapy This will limit possible risks related to the treatment to a minimum Always keep these user instructions with the equipment 1 A suniphy Phyaction C 7 2 2 Electrical safety applicable legal regulations Connect the equipment to an outlet with a protective earth terminal The outlet must meet the locally applicable requirements for medical areas Only use the equipment in an area with facilities that meet the 7 2 3 Prevention of explosion Do not use the equipment in an area where combustible gases or vapours are present Switch off the equipment when it is not used 1 2 4 Electro Magnetic Compatibility Electro Magnetic Compatibility EMC Follow the instructions for the installation of the equipment See 2 e o not use mobile telephones or other radio shortwave or microwave equipment in the vicinity of the equipment This kind of equipment can cause disturbanc
42. echnical life time of the equipment and the accessories is not exceeded e thelegal regulations with regard to the use of the equipment have been observed The guarantee period for the equipment Is 2 two years beginning on the date of purchase The date on the purchase invoice acts as proof This guarantee covers all material and production faults Consumables such as sponges adhesive electrodes and rubber electrodes do not fall under this guarantee period 52 Phyaction C This guarantee does not apply to the repair of defects that are caused e by incorrect use of the equipment e by an incorrect interpretation or not accurately following these user instructions e by carelessness or misuse e as a consequence of maintenance or repairs performed by people or organisations that are not authorised to do so by the manufacturer 6 4 Technical life time The expected life time of the equipment is 10 years calculated from the date of manufacture See the type plate for this information In so far as possible GymnaUniphy will supply service spare parts and accessories for a period of 10 years from the date of manufacture s A suniphy Phyaction C 54 Phyaction C 7 TECHNICAL INFORMATION 7 1 General Dimensions Phyaction C w x h x d 265 x 275 x 122 mm Weight Phyaction C 3 650 kg Weight including accessories 4 6 kg Mains voltage 100 240 VAC 50 60 Hz Maximum power in operation 85 VA Safety class Class e
43. een damaged during transport Check whether the accessories are intact and complete See 87 6 87 7 and 7 8 e Inform your supplier of any damage or defects by no later than within 3 working days after receipt Report the damage by telephone fax e mail or letter e Do not use the equipment if it is damaged or defective Placing and connection Place the equipment on a horizontal and stable base e Keep the ventilation openings at the bottom and rear of the equipment free e Do not place the equipment in the sun or above a heat source e Do not use the equipment in a wet area Check whether the mains voltage that is stated on the rear of the equipment corresponds with the voltage of your mains supply The equipment is suited for a nominal mains voltage from 100 V to 240 VAC 50 60 Hz Connect the device to an outlet with protective earth terminal Performing the functional test Switch the equipment on with the switch at the rear of the equipment When the equipment is switched on it automatically performs a test Check whether the indicator lamps next to YA and YB light briefly during the test If the lamps do not light up See 86 Setting contrast language and stand by time Press e The System settings menu appears See 4 10 Select Contrast with the corresponding blue key 17 key in the row If necessary change the contrast with A and V Select Language with the corresponding blue key If necessary change the language w
44. ement of the US head You can select the numbers in the illustration with the blue keys for more information 1 Gives information on the precise anatomic location 2 Numbers with a black background gives specific recommendations 68 Phyaction C Relevant bone structures are shown for detailed information on the treated area The number of points below the US head gives an indication of the dimensions of the treated area The information in the illustration recommends a treatment technique This illustration shown an example of the dynamic technique If other areas are possible for the US head placement a black area is shown Select the corresponding number 2 for information on the screen If the area is on the rear a transparent area is shown 8 3 4 Combination Therapy The US head electr placement parameter for combination therapy shows the US head placement The electrode is not shown in the illustration Place the electrode near to the US head 69 A suniphy Phyaction C 8 4 EMC directive Use only cables electrodes and US heads that are specified in this manual See 7 The use of other accessories can have a negative effect on the electromagnetic compatibility of the equipment If you use the Phyaction C in the vicinity of other equipment you must check that the Phyaction C is functioning normally The following paragraphs contain information about the EMC properties of the equipment 8 4 1
45. ent surface with a cotton bud that is soaked in a 1096 HAC solution 3 Rinse the US head thoroughly with clean water 50 Phyaction C 6 MALFUNCTIONS SERVICE AND GUARANTEE 6 1 Malfunctions Component Problem Solution Phyaction C Equipment cannot be See 86 7 7 switched on Equipment does not react to See 86 1 3 commands or a fault report appears Foreign language on the Change the language See screen 4 10 2 EL sponges _ Furring Replace the sponges Bad conduction Replace the sponges 6 1 1 Equipment cannot be switched on 1 2 3 4 Check if the mains voltage has failed Check if the main switch is switched on I Check if the power cord and the fuses are in order If necessary replace the fuse See 86 7 2 Contact your dealer if the equipment still cannot be switched on 6 7 2 Replacing a fuse Switch the main switch off O Unplug the power cord from the equipment Pull the fuse holder carefully out of the equipment If necessary use a screwdriver Replace the fuse If necessary order new fuses from your dealer Install the fuse holder and plug in the power cord Switch the main switch on again I 6 71 3 Equipment does not react to commands or a fault report appears The safety system of the equipment has ascertained a fault You cannot continue to work An instruction usually appears on the screen 1 2 3 4 Disconnect the connection to the p
46. ent with one objective you can place different accents in the objective You can distinguish between different phases in a treatment for example preparation core effect and cooling Set new intensity between sequential steps The intensity determines the peak value during the treatment When changing to a following step the intensity is retained if safety allows Sometimes it is necessary to increase the intensity for the following step If the intensity cannot be maintained for safety reasons the intensity returns to zero In this case the treatment is stopped You must now set the intensity again 28 Phyaction C Setting a treatment with sequential steps 1 Select a treatment whereby you BE ET sequential can set sequential steps for Biph surge intrapulze inter example with Guide menu Powered 3 Stimulation bee Program number Select nr 230 4 Step Parameters 2 Set the Step time and Total sequence steps Stimulation beep parameters for the start of every individual step Select Sequence step number to select a different step 3 Rotate intensity knob A or B to start the treatment and to set the desired intensity Slight isometric contractions Skip step in treatment 1 Press to temporarily interrupt the treatment 2 Select Sequence step number and select the desired step 3 Rotate intensity knob A or B to continue the treatment again and to set the desired intensity 4 5 4 Performin
47. ential currents Unidirectional currents 2 pole medium frequency 23 Rectangular pulse nes 2 lsoplanar vector field 24 2 5 Current UltraReiz 5 Dipole vector field 25 Triangular pulse sssssss 3 Diagnostic programs enum freq Rectangular 4 Rheobase and chronaxie 27 lO Medium freq Rectangular 40 Rheobase and AQ 28 Diadynamic currents S D curve rectangular 29 NW 18 S D curve triangular 30 NEE 20 S Dourve rect Am 39 P HERD 21 Pain point uem 22 2 5 current Ultra Reiz 42 p EAE 43 TENS currents Conventional Tens 44 Conventional sssssess 6 Dipole vector field 45 Low frequency ssssssssssss 7 IU cy SEMEN 10 Ultrasound therapy Random frequency 9 Ultrasound therapy 31 NMES surge currents Combination therapy Rectangular surge 11 Conventional TENS 34 Triangular Surge i is 12 Burst TENS o 35 Biphasic sure 13 Random frequency TENS 38 Intrapulse interval surge 14 2 pole medium frequency 33 2 pole MF surge 15 Russian stimulation 16 Isoplanar vector field surge 17 9 1 2 System settings Press E Contrast Pla
48. es Only use the accompanying accessories that are supplied by GymnaUniphy See 7 6 7 7 and 87 8 Other accessories can lead to an increased emission or a reduced immunity Mledical electrical equipment requires special precautions for Phyaction C 7 2 5 Electrotherapy surgical equipment This combination can cause burning of the skin under the electrodes Do not use adhesive electrodes with currents that have a galvanic component such as galvanic diadynamic MF rectangular pulsed rectangular and triangular currents With these currents etching of the skin can occur Check the electrode cables and the electrodes at least once a month Check whether the insulation is still intact See 5 1 The safety standards for electrical stimulation advise not to exceed the current density of 2 0 MA ms cm However with iontophoresis treatments we advise a maximum current density of 0 25 m cm because of using the MF rectangular current Exceeding this value can result in skin irritation and burns Always use sterilised gauze with iontophoresis treatments Donotuse the equipment simultaneously with high frequency 7 2 6 Ultrasound therapy This prevents internal burns The US treatment heads are exchangeable The device detects the characteristics and supplies the right power at the right frequency Handle the US heads carefully With rough handling the characteristics can change Test the US head if it falls
49. ess c gt to return to the setting menu Just perceptible comfortable 4 4 4 Temporary interruption of treatment 1 If the other channel has to pause Select this channel with A or 2 Press y during the treatment The treatment time of the selected channel is stopped Pause appears on the screen The parameter settings are retained 3 Press Q to restart the treatment The intensity now increases gradually to the set level and the treatment time continues again 4 4 5 Immediately stop treatment 1 Press All active treatments are stopped immediately Stop appears on the screen The parameter settings are retained 2 Setthe intensity of the channel again to continue the treatment 23 A suniphy Phyaction C 4 5 Electrotherapy 4 5 1 Performing electrotherapy with electrodes 1 Select the desired electrotherapy program 2 Place the electrodes See page 26 Placing rubber electrodes and page 27 Placing the adhesive electrodes With Indication list treatments the Electrode placement parameter becomes available 3 Rotate intensity knob A or B to start the electrotherapy and to set the desired intensity See 54 4 1 4 Check the patient s reaction Repeat this check regularly during the treatment 5 The equipment stops the treatment and indicates that the treatment is completed Remove the electrodes Placing rubber electrodes 1 Moisten two EL sponges 2 Slide a rubber electrode into each sponge
50. et information about the placement See 84 3 2 8 3 1 Electrotherapy Select the Electrode placement parameter to show the optimal location for the placement of the electrodes The numbers in the illustration give information to the precise anatomic location Select the numbers with the blue keys The description of the location is often explained with the abbreviations pnp peripheral nerve point snp skin nerve point mnp motor nerve point mtp myofascial trigger point n nerve nn nervi m muscle mm musculi r ramus rr rami The types of nerves are represented in a different way 1 Peripheral nerve deep 2 Fascia 3 Skin nerve Peripheral nerve superficial 2 Peripheral nerve deep d A suniphy Phyaction C 1 Skin nerve on the point of the fascia Other information in the illustrations The electrodes shown on the front of the body are black The electrodes shown on the rear of the body are transparent The type of electrodes to use is not advised The size of the shown electrodes is an indication for the advised size The letters A and B give a recommendation for the choice of channel The symbols and recommends the polarity 6 3 2 lontophoresis The electrode placement parameter is replaced by the parameter treatment method The treatment method shows the iontophoresis method on screen 8 3 3 Ultrasound therapy Select the US head placement parameter to show the optimal location for the plac
51. g iontophoresis With iontophoresis medicines are administered to the body as electrically charged parts ions by means of a direct current To do this the Medium Frequency Rectangular current is used 1 Apply the medicament on a sterile gauze See 8 1 Care must be taken in administering medicaments allergies contra indications 2 Place the gauze on the electrode Make sure that the polarity corresponds with the medicament used Place the electrodes Select an lontophoresis therapy program Set the intensity between 0 1 and 0 25 m cm The intensity depends on the surface area of the electrodes With electrodes of 6x8cm 48 cm the current setting must be between 4 8 and 12 mA DEG Ab To prevent etching or burns never exceed 0 25 mA cm a9 A suniphy Phyaction C 4 5 5 Read out values for electrotherapy Channel Electrotherapy Current shape Remaining treatment time Polarity Present intensity Graphical representation of 8 8 mA CC SO Ore GN gt q ON ON Intensity Progress of current A Progress of current With NMES currents and 4 pole current shapes the progress of the current is graphically displayed This gives a clear insight into the phase in which the current is at that moment In this way you can optimally guide the patient during the execution of the exercise With the simultaneous application of two NMES currents the current is only graphically displayed in th
52. gures 2 and 3 20 The yellow lamp next to the output connectors lights if the intensity is not O Ze A suniphy Phyaction C Figure 1 fi 10 0v7 4 9 905 S0 0g Ai_ RUN Coupling BW Lim Ri o m At mo Figure 2 AL S0 0v Ai_STOP i AL Si YtoptA1 100 0 V Show Meas E Voltage Measurements ch Next off E V max V min V top v base Menu Figure 3 A1 50 0v p 0 00s 1008 Bi RUN Coupling BW Lim Invert Vernier Probe AL orf Ace i On 76 Phyaction C 8 5 3 Test 3 Ultrasound 6 7 The maximum power transfer takes place at the operating frequencies Connect the treatment head and place it in an ultrasound measurement device Select an ultrasound therapy Select 1 MHz continuous duty cycle 100 2 W cm The measured value is within 20 of the Ppk value in the channel window Select 1 MHz duty cycle 5096 3 W cm The measured value is within 20 of half the Ppk value in the channel window Select 3 MHz continuous duty cycle 10096 2 W cm The measured value is within 20 of the Ppk value in the channel window Select 3 MHz duty cycle 5096 3 W cm The measured value is 20 of half the Ppk value in the channel window Select 3 MHz duty cycle 5096 0 5 W cm With a dry treatment surface the Ppk value becomes O Select 1 MHz duty cycle 5096 0 5 W c
53. inse the electrodes thoroughly with water 3 Dry the electrodes 5 2 2 Cleaning the EL sponges 1 Rinse the EL sponges thoroughly with water or clean the EL sponges with a 7096 alcohol solution 2 Rinse the EL sponges thoroughly with water 5 2 3 Cleaning the fixation bandages 1 Clean the fixation bandages in a 7096 alcohol solution or another disinfectant 2 Rinse the fixation bandages in water 3 Letthe fixation straps dry 5 2 4 Cleaning and disinfecting vaginal anal and rectal stimulation probes treatments a probe may only be used for one patient Never disinfect the probes in an autoclave The probes can be damaged by the extreme temperature Considering the very personal and intimate character of these Immediately after every treatment 1 Clean the probe carefully with soap and water SS A suniphy Phyaction C 2 Place the probe in an HAC solution of 1 or in a 70 alcohol solution for at least 30 minutes Read the instruction leaflet in the packaging of the HAC N Mlake sure that the probe connector does not get into the HAC solution 3 Dry the probe with a clean towel 4 Store the probe in a plastic bag that is provided with the name of the patient Before reusing the probe 1 Clean the probe carefully with soap and water 2 Apply an antiseptic lubricant to the probe See 84 5 2 5 2 5 Cleaning the US head 1 Clean the US head with a lightly moistened soft cloth 2 Disinfect the treatm
54. is thrombophlebitis Varices Increased risk to haemorrhage Pacemaker Epiphyseal disc children Decreased sensibility Menses Cement of endoprosthesis Diabetes mellitus Specific relative for pulsing ultrasound Pacemaker Pregnancy Combination therapy See contra indications Electrotherapy and US A literature list can be sent on request Please contact GymnaUniphy 9 3 Terminology absolute muscle power The maximum total tension that a muscle can produce A suniphy Phyaction C accomodation The ability of the nerve tissue to protect itself against stimulations that slowly increase in strength Pulse time Delay in action potential of Accomodation rectangular pulse triangular Quotient AQ pulse 500 ms 1 1 5 to 1 3 1 5 4 1000 ms 1 2 to 1 6 2 6 active trigger point A point that with stimulation pressure stretch or electrical pulse besides the local pain also generates a projected pain in the area that the patient is complaining about antalgic The pain is reducing atrophy Deterioration in the nourishment state of organs As a result the organs become smaller or shrink chronaxie The time threshold that is required for a muscle contraction or a sensory impression after the occurrence of the necessary minimum required stimulation denervation Switching off or weakening of the innervation paralysis durability Being able to frequently repeat a muscle contraction ep
55. ith A and V Select Stand by time with the corresponding blue key If necessary change the stand by time with A and V Press to return to the Guide menu M Ag uniphy Phyaction C 2 5 Use in combination with an other device The Phyaction C can be used in combination with the Phyaction V For information about the use of the Phyaction C with the Phyaction V refer to the Phyaction V user manual 2 6 Transport and storage Take account of the following matters if the equipment has to be transported or stored e Transport or store the equipment in the original packaging The maximum period for transport or storage is 15 weeks Temperature 20 C to 60 C Relative humidity 10 to 100 Atmospheric pressure 200 hPa to 1060 hPa 2 7 Reselling This medical equipment must be traceable The equipment the US head and some other accessories have a unique serial number Provide the dealer with the name and address of the new owner Phyaction C 3 DESCRIPTION OF THE EQUIPMENT 3 1 Phyaction C and standard accessories 1 Phyaction C See 83 2 7 EL sponges for rubber 2 Power cord electrode 4 pieces 3 Contact gel 8 Rubber electrodes 4 pieces 4 US head 9 Two ply electrode cable 2 5 VAS score card pieces 6 Elastic fixation straps 4 pieces 10 Test connector 13 A suniphy 3 2 Phyaction C Components of Phyaction C 7 DEUDA LS 240
56. ith Pain points in the Diagnostics program Neuro Muscular Electro Stimulation NMES Contraction of an innervated muscle or muscle group by means of low or medium frequency electrostimulation The purpose of NMES is to improve or maintain the movement pain threshold The lowest level of stimulation that causes pain pain tolerance threshold The level of stimulation that can just be tolerated by the patient The pain tolerance threshold is past the pain threshold re innervation The restoration of the innervation responsiveness The degree to which a tissue or organ reacts to a stimulation With a high responsiveness a mild treatment is desired With a low responsiveness a more intensive treatment can be desired Make a good estimate of the responsiveness to determine the correct dosage rheobase The minimum galvanic current strength required with the stimulation of the nerve to cause a muscle contraction sclerolysis The solution of a hardening of the tissue The tissue can be chemically and electrically softened with a cathode in combination with chlorine or iodine 87 A suniphy Phyaction C skin etching Electro chemical reactions that can be threatening for tissues and organs especially for the skin With correct application a desired effect occurs for example improvement of the circulation Skin etching occurs with current shapes that have a direct current component slow twitch muscle fibre Muscle fibres with
57. ithelisation Recovery of the epithelium over the bottom of the wound A unidirectional current can stimulate the epithelisation Epithelisation can also be activated by an external electrical stimulation explosive muscle power The highest tension that a muscle can produce in the shortest possible time hyperalgesia An increased sensitiveness for pain Apply a modified dosage in the case of acute hyperalgesia injury current A small unidirectional current between the epidermis and the corium which occurs after a wound This current activates the recovery process With a slow recovery process an external unidirectional current can be applied to realise the same effect innervation The effect of the nerves on the working of the muscles or glands 86 Phyaction C iontophoresis The flow of ions through a tissue by means of a galvanic current isometric contraction A muscle contraction whereby the length of the muscle remains constant The external resistance of the muscle must be at least as large as the power that is generated by the contraction Under isometric circumstances especially the tension in the muscle increases and muscle cramp is avoided loadability The maximum load that can be carried loss of muscle tone The state of tension of muscles reduces Myofascial Trigger Point MTP A trigger point that is located in the myofascial tissue The MTP is located in a hard cord of a muscle The MTPs can be localised w
58. l Select the desired treatment for second channel See 4 1 Set the parameters for the second channel See 4 4 1 Both channels are selected simultaneously and automatically in case of 4 pole current shapes Alternating channels choice with NMES currents expert mode Combination therapy 24 Phyaction C Copy channel On the second channel you can set the same parameters for electrotherapy as for the first set channel 1 Press E The System setting menu appears See 4 10 2 If necessary change the parameter Copy channel parameters to ON 3 Press a or Select the desired treatment See 84 1 4 Set the parameters for the first channel See 4 4 1 5 Press A or 8 to select the other channel The treatment including the settings are copied to the other channel 6 If desired you can change the parameters or the treatment of the selected channel Clear channel 1 Make sure that the intensity is set to zero 2 Press or 8 to select the channel that you want to clear 3 Press c gt The channel is cleared 4 4 3 Opening the intensity screen 1 Setthe treatment See 84 4 1 2 Rotate intensity knob A or B to start the treatment 3 Press or B that corresponds to the selected channel The intensity screen appears The left part of the screen ma 38 shows channel A The right part Iset H N ng Pok 8 48 U Wm mm mm mm of the screen shows channel B 4 Pr
59. lation duty cycle 100 50 40 30 20 10 Pulse time 00 5 4 3 2 1 ms Ratio Of Pim p 1 2 250 333 5 10 7 3 3 US heads US head model U92 Acoustic operating 1 1 3 2 MHz frequency Output power 8 0 9 6 W Effective intensity of output 2 0 2 0 W cm voltage Effective Radiating Area 4 0 4 8 cm ERA Beam Non uniform Ratio 7 5 7 5 BNR Maximum intensity of beam 15 0 15 0 W cm Beam type Collimated Collimated US head model U91 Acoustic operating 1 1 32 MHz frequency Output power 1 2 2 0 W Effective intensity of output 2 0 2 0 W cm voltage Effective Radiating Area 0 6 1 0 cm ERA Beam Non uniform Ratio 5 0 5 0 BNR Maximum intensity of beam 10 0 10 0 W cm Beam type Divergent Collimated 39 A suniphy Phyaction C 7 4 Environmental conditions Temperature 10 C to 40 C Relative humidity 30 to 75 Atmospheric pressure 700 hPa to 1060 hPa 7 5 Transport and storage Transport weight 5 5 kg Storage temperature 20 C to 60 C Relative humidity 10 to 100 including condensation Atmospheric pressure 200 hPa to 1060 hPa Transport classification Single pieces by post The transport and storage specifications apply to equipment in the original packaging 60 Phyaction C 7 6 Standard accessories Quantity Description Art no Ge 2 Two ply electrode cable 108 725 Rubber electrode no
60. m With a dry treatment surface the Ppk value becomes O Yes No f the equipment does not function at the correct frequency this results in a too low output power It is therefore not necessary to check the operating frequencies 6 5 4 Test 4 Electrical safety test VDE 0757 1 The resistance of the safety earth is less than 0 2 Q 2 The housing leakage current is less than 1000 pA 3 The patient leakage current is less than 5000 pA Notes 77 Yes No A suniphy Phyaction C 8 6 Disposal Take account of the following environmental aspects when disposing of the equipment and the accessories e The basic device the cables and the electrodes fall under small chemical waste or electronic waste These components contain lead tin copper iron various other metals and various plastics etc Consult the applicable national regulations Sponges sponge bags and gels contain only organic material and do not require any special processing e Packaging materials and manuals can be recycled Deliver them to the appropriate collection points or include them with the normal household waste This depends on the local organisation of the waste processing 78 Phyaction C 9 REFERENCE 9 1 Function overview 9 1 1 Therapy menu Press mp The numbers refer to the program numbers Electrotherapy Interfer
61. ning 49 perform electrotherapy 27 Antalgic 86 Atrophy 86 B Burst 30 C Cable test 43 46 Carrier wave 30 Cell function improve 81 Change therapy program 45 Channel set 24 Chronaxie 38 86 Cleaning 49 Combination therapy 37 Combined therapy perform 37 selection 21 Connection 11 Constant Current 31 Constant Voltage 31 Contra indication 85 selection 23 Contrast 11 42 Copy channel parameters 43 Counter working hours 43 Current shape groups 16 Current shapes 16 18 D Denervation 86 Diadynamic currents 18 79 Diagnostic perform 38 Diagnostic program selection 23 Diagnostic programs 79 Diagnostics 84 Display 15 symbols 16 Disposal 78 Durability 86 Duty cycle 35 E EL sponges Cleaning 49 Electrical safety 8 Electrode Cleaning 49 test 46 Electrode placing 31 33 Electrotherapy 26 optional accessories 62 parameters 30 perform 26 Read out values 30 safety 9 selection 21 sequential steps 28 technical information 55 EMC 8 A suniphy EMC directive 70 Environmental conditions 60 Epithelisation 86 ERA 36 Erase list 41 number 42 Error history 43 ET iontophoresis 80 Explosive muscle power 86 Extensibilty increase 80 F First screen 43 Fixation bandage Cleaning 49 Frequency 31 Function overview 79 Functional test 11 G Guarantee 52 Guide menu selection 22 H Hyperalgesia 86 I Indication list 22 81 Injury current 86 Innervation 86 Inspections 47 Installation 11 Intensi
62. paration distance d 0 35vp d 0 07vp d 0 06 vp d 0 07vp d 0 08 vp d 0 35vp d 0 70vp d 0 12vp d 0 23vp d 0 23vp 80 MHz to 800 MHz 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Q NOTE1 At80 MHz and 800 MHz the higher frequency range applies NOTE 2 The guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and and mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey can be considered If the measured field strength in the location in which a Phyaction series device is used exceeds the applicable RF compliance level above the Phyaction series devices should be observed to verify normal operation If abnormal performance is observed additional
63. pe Parameters of the selected channel Explanation or recommendation Screen for channel A here electrotherapy See 84 5 5 10 11 12 13 Remaining treatment time Polarity Set intensity Screen for channel B here ultrasound therapy See 84 6 3 Numbers selection with the blue keys below display Scroll through numbers with the blue keys d and gt A suniphy Phyaction C 3 4 Display symbols 3 4 1 General NY Electrotherapy SEQ 3 Ultrasound therapy A YS Combination therapy B o Treatment time A B 0 00 Treatment completed ASB 3 4 2 Current shape groups Unidirectional currents 0 lontophoresis NI Diadynamic TENS currents C e NMES currents Symbols for current shapes Medium frequency unidirectional current Unidirectional rectangular current Rectangular pulse Unidirectional triangular current zs CEO ES Sri EF PEF Triangular pulse Sequential current shapes Channel A Channel B Channel A and B simultaneously Alternating channels 2 pole medium frequency Dipole vector field Isoplanar vector field Diagnostic programs Rectangular surge current Triangular surge current Biphasic surge current Intrapulse interval surge current 2 pole medium frequency surge current Phyaction C Conventional TENS Low frequency TENS Random TENS Burst TENS CP diadynamic DF diadynamic LP diadynamic SSSLELLE MF MF
64. pment stops the treatment and indicates that the treatment is completed Mos P 4 6 2 Phonophoresis Phonophoresis is used to enhance transdermal transport of several drugs especially anti inflammatory NSAID and local anestetics 1 Use the drugs gel ointment instead of the US contact gel 2 Press To 3 Select Objectives 4 Select Phonophoresis The frequency is 1 MHz the duty cycle is 2096 and the time is at least 5 minutes 34 Phyaction C 4 6 3 Read out values for ultrasound therapy 1 Channel 2 Ultrasound therapy 3 Type of US head 4 Remaining treatment time 5 5 Iset 6 Ppk 7 30 Ph 7 Contact of the US head Iset 8 8 Wem Fok 8 48 Contact of the US head The contact of the US head with the skin o m Bad contact US head switched off 0 W o m Bad contact o m Sufficient contact m mm Good contact mm mm wm um Very good contact Test the US head if its conduction is bad See 85 7 7 set W cm The power W of the US head per cm Py W The peak power of the US head set ERA The peak power delivered therefore depends on the size of the US head and the contact with the skin This value is 0 0 W if the contact with the skin is bad In this case the ultrasound treatment of the equipment is stopped to prevent overheating of the transducer 4 6 4 Parameters for ultrasound therapy Treatment
65. probe select only alternating currents with Constant Voltage CV such as TENS NMES and 2 pole interferential currents This prevents skin etching and unpleasant stimulations The rectal stimulation probe is not detected by the equipment Characteristics of Constant Current The voltage increases with an increasing load impedance a worsening contact Within the stated limits a variation in the load impedance has hardly any effect on the current e Without a load the voltage will go to the maximum level within a short time After this an error message will appear on the screen and the current will be switched off Characteristics of Constant Voltage With a decreasing load impedance the current increases e Without a load the output voltage is equal to the set value With a short circuit the output current in mA is equal to the set voltage in V Electrode placing Instructions for placing the electrodes Only available with treatment selection via Indication list Frequency min max base top Hz The minimum and maximum frequency of the current cycles expressed as the number of cycles per second Within the set sweep mode the frequency changes within these limits During the treatment frequency modulation is desired to prevent habituation It is recommended to select a fairly low minimum frequency for this 20 Isodynamic on off LP and CP use two phases MF and DF The MF phase is more intense than
66. ps the treatment and indicates that the treatment is completed 7 A suniphy 4 8 Phyaction C Diagnostic programs With the diagnostic programs you can investigate the state of the electrical sensitivity of the neuro muscular system Rheobase and chronaxie See 84 8 7 Rheobase and AQ See 4 8 2 Determine a S D curve See 84 8 3 Besides this there are diagnostic programs for localisation 4 8 1 1 2 3 4 5 Pain points See 84 8 4 Stress fracture search Press Ta Select Diagnostic programs Select Rheobase and chronaxie If desired change the Polarity and Stimulation beep settings Rotate intensity knob A to start the treatment The set intensity is displayed in the screen Increase the intensity in steps of 0 1 mA until you observe a tangible or visible contraction Select Confirm pulse amplitude The measured rheobase in m is saved The equipment now doubles the rheobase mA The pulse time changes to 0 1ms Increase the pulse time by A until you observe a tangible or visible contraction Select Confirm pulse time The chronaxie in ms is saved The results screen appears Determining rheobase and chronaxie Mi Diagnostics Determine rheobase Pulse shape Pulse time Pulse pause 1 Polarity 2 Stimulation beep 3 Confirm pulse amplitude 1000 ma 1000 mz Realise minimal muscle VEN 8 8 m CC MI Diagnostics Results rheobase chronaxie Fheoba
67. r 3 A m ot applicable Power frequency magnetic fields frequency 50 60 Hz magnetic field IEC 61000 4 8 should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE Uy is the a c mains voltage prior to application of the test level 71 A suniphy Phyaction C Guidance and manufacturer s declaration electromagnetic immunity The Phyaction series devices are intended for use in the electromagnetic environment specified below The customer or the user of a Phyaction series device should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 Radiated RF ENV 50204 3 Vims AM 1 kHz 8096 150 kHz to 80 MHz 3 V m AM 1 kHz 8096 80 MHz to 2 5 GHz 3 V m CW 200 Hz d c 5096 895 MHz to 905 MHz 10 V 0 15 80 Mhz B1 EE 6 78 Mhz 54 V 13 56 Mhz 50 V 27 12 Mhz 45 V 40 68 Mhz 10 V m 0 08 1 0 Ghz 26 V m 1 4 2 0 Ghz 30 V m 433 92 Mhz 30 V m 915 Mhz 30 V m 895 905 Mhz Portable and mobile RF communications equipment should be used no closer to any part of a Phyaction series device including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended se
68. r Rotation mode you can let this angle rotate step by step This makes it possible to localise deeper treatment points 32 Phyaction C Rotation mode manual auto The maximum amplitude is present at one line in the rotation field with 100 modulation depth Auto The line with maximum amplitude and 100 modulation depth automatically rotates 360 through the interference field during the set rotation time e Manual Position this line manually in the interference field You do not need to move the electrodes for this Rotation time 0 20 s The time in which the line with maximum amplitude and 10096 modulation depth rotates 360 through the interference field Use a short rotation time 3 5 s to prevent habituation Use a long rotation time 10 15 s to localise deeper treatment points Segment angle 0 45 With the segment angle a certain segment can be stimulated The segment angle can be set when the Rotation angle is set to Manual Segment time s The time in which the rotation angle changes within the set segment angle Sequence step number 1 5 The number of the sequential step that is activated See 4 5 3 Step time mm ss The time in which the selected sequential step number is performed Stimulation beep on off Switch stimulation beep on or off Sweep mode increase hold decrease time This parameter is only available if Frequency min base deviates from Frequency max top The freq
69. r start up screen 3 Enter the name for the start up amm screen Select a character with A Textbox and V e Select Move cursor to the D How See left right to change the Pe E 5 Readu and save cursor position Select Move to next line to enter a line 4 Select Ready and save 29 A suniphy Phyaction C 4 10 7 Cable test H Gbale Ee Press E Select Cable test Connect the electrode cable to channel A with the electrodes Connect the test plug to the connectors of the cable Set the amplitude to 20 mA with rotary knob A If the cables function correctly the following message will appear Condition cable OK Turn the amplitude back to O mA Press c gt 4 10 8 Plate electrode test 1 2 s 4 oo Press El Select Plate electrode test Connect the electrode cable to channel A with the electrodes Place the electrodes on each other without the sponges Make sure that the electrodes make contact over the whole surface Set the amplitude to 20 mA with rotary knob A If the electrodes function correctly the following message will appear Condition electrodes OK Turn the amplitude back to 0 mA 46 Phyaction C 5 INSPECTIONS AND MAINTENANCE 5 1 Inspections Component Check Frequency Electrode cables Damage At least 1x per month and electrodes Insulation intact US head Dents cracks or other At least 1x per month damage Test US head See 85 7 7 With bad oper
70. rapy See 84 9 Besides this you can change the system settings See 4 10 4 2 Selection by the Therapy menu 4 2 1 Electrotherapy 1 Press to go to the Therapy IE THERAPY menu Electrotherapu 2 Select Electrothera py with the 1 Unidirectional currents 5 2 Diadunamic currents corresponding blue key 3 TENS currents 4 HHES surge currents 3 Select the current shape group 5 Interferential currents amp Diagnostic programs with 4 Select the current shape with 4 2 2 Ultrasound therapy 1 Press lech 2 Select Ultrasound therapy The Ultrasound screen appears 4 2 3 Combination therapy 1 Press fey 2 Select Combination therapy 3 Select the current shape See 84 7 7 e A suniphy Phyaction C 4 3 Selection by the Guide menu 4 3 1 Therapy selection via objectives 1 Press to go to the Guide II Objectives menu Ultrasound therapu 2 Select Objectives 1 Improve throphic condition 2 Increase extensibilit 3 Select Electrothera py ET 3 Improue cell function iontophoresis Ultrasound therapy or Phonophoresis 4 Follow the on screen options to select the desired treatment 1 Press ae 2 Select Indication list 3 Use 4 and gt to select the ee following indications See 9 1 4 Rurale 10 4 Select the desired indication St e ET Electrotherapy ee ET e US Ultrasound therapy Pirosnd St e CO Combination therapy E iia e JO lontophoresis
71. se Chronaxie Press Go back key to yo back 10 If desired press 77 to save the data in the memory See 84 9 7 38 Phyaction C 4 8 2 Determining Rheobase and Accomodation Quotient AQ 1 Press Ta 2 Select Diagnostic programs 3 Select Rheobase and AQ 4 Determine the rheobase as with Rheobase and chronaxie See 4 8 1 Select Confirm pulse amplitude The measured rheobase is saved The equipment now selects a triangular pulse Increase the intensity in steps of 0 1 mA until you observe a tangible or visible contraction 7 Select Confirm pulse amplitude The measured AQ is saved The results screen appears 8 If desired press E to save the data in the memory See 34 9 1 D 4 8 3 Determine a S D curve 1 Press Il Diagnostics 2 Select Diagnostic programs Pon Se Fein ae 3 Select S D curve rectangular S sedis node D curve triangular or S D curve 3 Stimulation beer 4 Start recording S O rect tri 4 f desired change the Recording mode Polarity and Stimulation beep settings If Manual is selected for the Recording mode you can skip or repeat a measurement with A and V 5 Select Start recording S D 6 Rotate intensity knob A to start the treatment 7 Increase the intensity in steps of 0 1 mA until you observe a tangible or visible contraction Select Confirm 9 Repeat steps 7 and 8 for all the measurements 10 When END is marked the S
72. te electrode test Language Cable test Sound settings Error history Stand by time Counter working hours Text start up screen Reset menu First screen Stop time if bad US Copy channel parameters System information ae A suniphy Phyaction C 9 7 3 Objectives Press and select Objectives The numbers refer to the program numbers The first program number from electrotherapy is the conventional therapy If available the second program number from electrotherapy is the therapy with sequential steps Electrotherapy Decrease pain Severe pain VAS 75 100 180 200 Moderate pain VAS 50 75 181 201 Slight pain VAS 25 50 182 202 Fluctuating pain VAS 20 70 165 203 Aspecific back pain VAS 60 ssuss 172 207 Decrease muscle tone Moderate pain 183 204 Slight oam 184 205 Decrease spasticy 131 206 Improve muscle function Prevention atrophy 146 229 Decrease atrophy Clear atrophy 186 227 Slight atrophy 187 228 Specific muscle function Endurance strength 190 230 Absolute strength 147 237 Explosive strength 148 239 Anaerobic strength 150 250 Improve muscle SwwateTezg 143 Pelvic floor m dysfunction Hypotonic muscle very we k 54 221 Hypotonic muscle Weak osese 55 222 Urge incontinence 56 223 Mixed incontinence 57 224 Hypert muscle tone reduction
73. therapy pole The electrode is the positive pole With combination therapy a maximum current density of 2 0 MA me cm is advised Exceeding this current density can result in skin irritation and burns The intensity depends on the surface area of the US head For US U92 9 cm2 the current 2 e With combination therapy the US head is always the negative setting may be a maximum of 18 MA ms for US U91 3 cm a maximum of 6 MArms Press Iech pn THERAPY Select Combination thera py Ultrasound in combination with Select the current shape Haze TENS Connect the two ply electrode to 4 2 pale nexium frequency the connector V A and connect the US head to a US connector 5 Place the electrode which is connected to the red plug of YA on the patient See page 26 Placing rubber electrodes and page 27 Placing the adhesive electrodes 6 Apply contact gel to the skin to be treated and to the US head 7 Place the head on the skin 8 Rotate intensity knob A to start the electrotherapy Set the desired voltage Rotate intensity knob B to start the ultrasound therapy 10 Check the contact between the US head and the skin The following indications can indicate a bad contact The treatment stops The peak power of the ultrasound treatment goes to 0 0 Watt Go iN 11 Check the patient s reaction and the effect of the treatment Repeat this check regularly during the treatment 12 The equipment sto
74. time mm ss The duration of the treatment Duty cycle 10 20 30 40 5096 continuous Ratio of the pulse duration to the period duration Continuous Continuous ultrasound 100 10 20 30 40 5096 Pulsating ultrasound Select a high duty cycle for an intensive treatment Select a low duty cycle for a mild treatment 99 A suniphy Phyaction C ERA cm The effective radiating area expressed in cm of the treatment head connected This area equals the cross sectional area of the beam at the treatment surface The ERA depends on the frequency This parameter remains empty if no US head is connected Head placement Instructions for placing the US head This is only available with treatment selection via Indication list US frequency MHz The frequency of the US head The absorption at a US frequency of 3 MHz is three times higher and the penetration depth is three times less than at a US frequency of 1 MHz Use 3 MHz for superficial tissue and 1 MHz for deeper tissue 4 6 5 Indicator light of the US head The indicator light of the US head provides the following information Indication light Situation Blinking green The US head is properly connected Continuous green The US head is selected Continuous yellow The US emission is in progress Alternating yellow green Bad contact of the US head with the skin Blinking yellow End of the treatment 36 Phyaction C 4 7 Combination therapy 4 7 1 Performing combined
75. tophoresis The numbers refer to the program numbers Acrocyanosis ET Intensive local 80 Mild segmental 135 Specific points ss 81 Adhesions IO ess 82 Arteriosclerosis ET Intensive local 191 Mild segmental 135 Specific points 81 Arthralgia ET ae 180 Local regional 84 Specific points 85 Arthralgia IO ssssse 83 Arthritic shoulder ET 174 Arthritis lO EE 83 Gubacute eee 91 Arthrosis CO SUBACUTE sasani sirosis 350 CAIOMIG intent etc 351 Specific points 353 Arthrosis ET Morel meer 80 Local regional 84 Specific points 181 Phonophoresis Dhonopboresis 66 Arthrosis US SUDACU E sriain 64 A 144 Atrophy ET Clear atropbw 186 Slight atrophy 187 Prevention of atrophy 146 Bechterew US sss 62 Brachialgia ET ACUTE a ben 180 Subacute 181 Chronic 182 Burger ET Intensive local 80 Mild segmental 135 Specific points 81 Bursitis ET ACUTE ies claras 180 Suba GUte sicions 97 Bursitis U eee eee 62 Calcium deposits IO 86 Cellulitis ET Activ subcut muscle 116 Breakdown fat tissue
76. trostatic 6 kV contact 6 kV Floors should be wood concrete or Discharge 8 kV air contact ceramic tile If floors are covered ESD 8 kV air with synthetic material the relative No loss o humidity must be at least 3096 EC 61000 4 2 performance Electrical fast 2 kV for power x2 kV power 1 kV Mains power quality should be that ransient burst supply lines 1 0 of a typical commercial or hospital 1 kV for input No loss o environment EC 61000 4 4 output lines performance Surge 1 kV 1 kV diff 2 kV Mains power quality should be that differential comm of a typical commercial or hospital EC 61000 4 5 mode No loss o environment 2 kV common performance mode Voltage dips lt 5 Uy gt 95 Ur 100 0 5 Mains power quality should be that short dip in Uy for period of a typical commercial or hospital interruptions 0 5 cycle No loss of environment If the user of a and voltage performance Phyaction series device requires variations on 40 Ur 60 Uz 60 5 periods Continued operation during power power supply dip in Ux for No loss of mains interruptions it is input lines 5 cycles performance recommended that the Phyaction 70 Ur 30 Ur 30 series device be powered from an IEC 61000 4 11 2 2 ae uninterruptible power supply or a dip in Uy for 25 periods battery 25 cycles No loss of f performance lt 5 Uy gt 95 U1 100 dip in Uy for 5 seconds 5 sec Device resets to a safe state 60601 1 49 2 Powe
77. ty screen 25 Interferential currents 19 79 Interruption 25 lontophoresis 29 87 set 35 Isodynamic 31 Isometric contraction 87 Phyaction C L Language 11 42 Liability 10 Loadability 87 Loss of muscle tone 87 M Maintenance 49 Malfunctions 51 Medical Devices Directive 9 Memory 40 Muscle function improve 80 Muscle tissue type and type II 88 Muscle tone decrease 80 Myofascial Trigger Point 87 N NMES 87 currents 19 surge currents 79 0 Objectives 22 80 Off time off 32 On time 32 On2 amplitude 32 On2 frequency 32 P Pain decrease 80 Pain points 40 Pain threshold 87 Pain tolerance threshold 87 Parameter symbols electrotherapy 17 ultrasound therapy 18 parameters sound settings 44 Phonophoresis 81 90 Phyaction C Placing 11 Placing rubber electrodes 26 Placing the adhesive electrodes 27 Plate electrode test 43 Polarity 32 Polarity change 32 Ppk 35 Prevention of explosion 8 Program erase 41 number selection 23 saving 40 selecting 41 Pulse pause 32 Pulse shape 32 Pulse time 32 Purpose 7 R Recall list 41 number 41 Rectal stimulation probe cleaning 49 perform electrotherapy 27 Re innervation 87 Replacing a fuse 51 Reselling 12 Reset menu 43 Responsiveness 87 Rest amplitude 32 Rest frequency 32 Rheobase 38 39 87 Rotation angle 32 Rotation mode 33 Rotation time 33 S Safety 7 instructions 7 technical inspection 47 74 Sclerolysis 87 S D curve 39 Segment angle
78. uency cycle consists of four steps with variable set values increase hold decrease and hold During the treatment frequency modulation is desired to prevent habituation Total sequence steps The maximum number of sequential steps See 4 5 3 Treatment method Treatment method for ionthophoresis Always available with treatment selection via Indication list Treatment time mm ss The duration of the treatment SS A suniphy Phyaction C 4 6 Ultrasound therapy 4 6 1 Performing ultrasound therapy N Move the US head evenly over the skin during the treatment This prevents internal burns 1 Connects the US head into one of the two connectors of the Phyaction C You can connect two US heads but only one US head can be in operation at one time The device detects which US head is connected to the connector w 2 Select the desired ultrasound therapy With Indication list treatments the parameter Head placement is available 3 Setthe parameter ERA to 1 or 4 cm The corresponding US head is selected the green indication led on the US head is on Apply contact gel to the skin to be treated and to the US head Place the head on the skin Rotate intensity knob A or B to start the ultrasound therapy Move the US head evenly over the skin during the treatment This prevents internal burns 8 Check the patient s reaction and the effect of the treatment Repeat this check regularly during the treatment 9 The equi

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