DERMOTONUS SLIM
Contents
1. 2 11 MICRODERMABRASION eee nnn n n IH 34 SHIPPING DAMAGE E8 BE 1h D me 11 MECHANICAL MASEAGE eee 34 INSTALLATION INSTRUC TINS seres te 11 REFERENCES E annnak inanan 35 INSTALLATION CARE AND CLEANING scce 11 ACESSORIES ACCOMPANYING DERMOTONUS SLIM 37 EQUIPMENT CARE quateineangads Pein idas sac ERES 11 REPLACEMENT ACCESSORIES quossosandasi sn idisn engana 37 CLEANING OF DERMOTONUS SLIM 12 OPTIONAL ACCESSORIES 37 ENVIRONMENTAL PROTECTION 32292 229rkk Ra UEEREA HR pac Ends 12 TROUBLESHOOMN G sena sansrasa s aan nais cannes Er 38 ELECTRICAL FEED uenti amadas 13 TECHNICAL ASSISTANCE prnatas Pere desse ihn cda 39 NOTE O 13 CEFAI IBRAMED Center for Education and ELECTROMAGNETIC COMPATIBILITY GUIDANCE 14 Advanced Tl alu aos maia ERU ERG aD 40 SYMBOL DEFINITIONS BELOW ARE THE DEFINITIONS OF THE SYMBOLS USED ON THE EQUIPMENT AND THROUGHOUT THE INSTRUCTIONS FOUND IN THIS MANUAL UNDERSTAND THESE SYMBOLS AND THEIR DEFINITIONS BEFORE OPERATING THIS EQUIPMENT A Caution Refer to user manual Equipment with applied part of BF type AN Dangerous Voltage CLASS 1 equipment It has grounding resources miim for protection Start treatment It indicates Off no electric voltage ad Stop treatment Equipment not protected against harmful water It indicates On with electric vo2. gt 95 voltage drops in U by 5 seconds 3 A m is the A C mains voltage prior to applications of Compliance Level lt 5 U gt 95 de queda de tens o em U por 0 5 ciclo 40 U 60 de queda de tens o em U por 5 ciclos 70 U 30 de queda de tens o em U por 25 ciclos lt 5 U gt 95 de queda de tens o em U por 5 segundos e test level Electromagnetic Environment Guidance Mains power quality should be that of a typical commercial or hospital environment If the user of the DERMOTONUS SLIM requires continued operation during power mains interruptions it is needed that the DERMOTONUS SLIM be powered from an uninterruptible power supply or battery Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment ELETROMAGNECTIC COMPATIBILITY Guidance and Manufacturer s Declaration Electromagnetic Immunity The DERMOTONUS SLIM is intended for use in the electromagnetic environment specified below The customer or the user of the DERMOTONUS SLIM should assure that it is used in such an environment li Immunity Test IEC GOGOL Electromagnetic Environment Guidance Test Level Level Portable and mobile RF communication equipment should not be used no closer to any part of DERMOTONUS SLIM including cable than be separation distance calculated from the equation applicable to the frequen
3. IBRAMED declares that the diamond tip of 150 microns small diamond tip of 100 microns accessories used with the equipment do not cause allergic large diamond tip of 75 microns respectively B Stylus with reactions there is no risk of harmful effects to the cells or diamond tip potential skin irritation 31 OPERATION INSTRUCTIONS Exemple 1 Turn the equipment on to start the standard default procedure Let us suppose that the existing clinical practice or literature suggests for a particular pathology the pulsed vacuum mode with 10 pulses per minute application time of 20 minutes and intensity of approximately 250mmkHg PULSE MIN 10 20 VACUUM MODE CONTIN 20 Figure10 Liquid crystal display example 1 parameter ad i 4 justment application time 20 minutes O aa 2 Using the NEXT BACK and SET SET keys select the TIMER field application time 20 minutes Figure 9 Liquid Crystal Display equipment default 3 E j SEL 3 Now press the START key to start the treatment Note that the flashing cursor will disappear and the vacuum pump is started Turn the vacuum intensity control until the indicator of vacuum quantity shows approximately 250 mm Hg At the end of the programmed time the vacuum pump will be turned off and a sound alarm will indicate the end of the treatment Press the STOP key to stop the alarm 2 Using the BACK NEXT keys
4. 6 A medium roller applicator 60 mm diameter D and B small roller applicator 50 mm diameter A B C D E Figure 4 adapter with screen protector pads with connection I to the applicator body suction cup and glass applicators gt Body accessories for connection of cupping ie 4 E a Figure 7 A glass sucker bird Glass suction cup applicator facial straight birdie C Facial cupping glass applicator 12mm D Applicator facial glass sucker duck s bill E Figure 5 A Cupping applicator 60 mm diameter for Facial cupping glass applicator 18mm discontractive maneuvers pulsed mode B cupping adapter with spheres continous mode T 30 ACESSORIES USED PATIENT PREPARATION MICRODERMABRASION e Examine the skin and clean the treatment area e Clean the application accessories before and after each therapy session e After the procedure it is common that the patient presents hyperemia in some cases slight swelling and hypersensitivity e Eventually crusts may be formed which should not be removed to avoid scarring or stains e Avoid the use of creams and lotions which contain acids E up until one month before the treatment e Avoid direct exposure to the sun after the treatment e Use sunscreen and hydrating creams e BIOCOMPATIBILITY of the materials in contact with Figure 8 A Sandpaper for microdermabrasion smal the patient ISO 10993 1
5. any given time during the CU session After pressing the START key turn the vacuum intensity control and adjust Figure 11 A B and C Liquid crystal display with the de Diecessan ang it YOU Walt Co ALETU messages of presentation or stop the treatment press the STOP A 33 TECHNICAL APPLICATION MICRODERMABRASION Figure 12 Facial application technique with diamond tip pen Diamond Peeling Figure 13 A and B body application technique with cupping spheres REFERENCES Adcock D Paulsen S Jabour K Davis S Nanney LB Shack B Analysis of the effects of deep mechanical massage in the porcine model Plastic and Reconstr Surg 2001 July 233 240 Alster TS Tehrani M Treatment of Cellulite With Optical Devices An Overview With Practical Considerations Lasers Surg Med 2006 38 727 730 Avram MM Cellulite a review of its physiology and treatment J Cosmet Laser Ther 2004 6 181 185 Chang P Wiseman BS Jacoby T Salisbury AV Ersek RA Nonivasive mechanical body contouring Endermologie A one year clinical outsome study update Aesth Plast Surg 1998 22 145 153 Ciporkin H Paschoal LHC Atualiza o terap utica e fisiopatog nica da lipodistrofia Gin ide LDG celulite S o Paulo Santos 1992 Curri SB Las paniculopatias de estasis venosa diagn stico cl nico e instrumental Haumsann Barcelona 1991 Gordon C Emiliozzi C Zartarian M Use of a Mechanical Massage Tech
6. at least 3 meters away professionals in the Health field e Radiofrequency communication equipment mobile or portable may cause interference and affect the functioning of DERMOTONUS SLIM from shortwave or microwave therapy equipment 14 ELETROMAGNECTIC COMPATIBILITY The electromedical devices demand special attention regarding electromagnetic compatibility EMC and must be installed and operated according to the EMC information provided as follows Manufacturer s guidelines and declaration Electromagnetic emissions The DERMOTONUS SLIM is intended for use in the electromagnetic environment specified below The customer or the user of the NEURODYN II should ensure that it is used in such an environment Emission Test Compliance Electromagnetic environment guidance The DERMOTONUS SLIM must emit electromagnetic energy RF Emissions in order to perform it s intend function Nearby electronic NBR IEC CISPR 11 goe equipment may be affected IEC CISPR 11 RF Emissions NBR IEC CISPR 11 Class A IEC CISPR 11 Harmonic The DERMOTONUS SLIM is suitable for use in all Emissions Class A establishments other than domestic those directly connected IEC 61000 5 2 to the public low voltage power supply network that supplies buildings used for domestic purposes Voltage fluctuations flicker emissions IEC 61000 3 3 ELETROMAGNECTIC COMPATIBILITY Guidance and Manufacturer s Declaration Electromagnetic Immunity
7. scroll down the other parameters and select the values shown in the example 1 Choosing the pulsed vacuum mode with 10 pulses per minute Press the SET key until the VACUUM MODE field shows PULSE MIN 10 At this moment the liquid crystal display will indicate 32 OPERATION INSTRUCTIONS PROGRAMMING EQUIPMENT SELECTION OF PARAMETERS Check if the power cable is connected to the electrical feed The BACK NEXT keys allow you to select the parameter source on the wall Press the ON OFF key to the ON position necessary for the treatment Press the keys in the cursor to The display will show the presentation message for a few move to the next parameter or take the cursor back to the seconds followed by the DERMOTONUS SLIM standard previous parameter The SET and SET keys allow you to default screen select the parameters necessary for the treatment p 4 PROGRAMMING THE TREATMENT TIME A Program the desired time of session the application time can be adjusted from 1 to 60 minutes At the end of the N q programmed time the equipment will turn off the emission 7 automatically Start Treatment B f o TO START Press START to begin therapy VY Stop Treatment y Press the STOP button to end CC P e STOP the therapy C p DT cu i Intensity of Vacuum VACUUM MODE CONTINUOUS 20 The intensity of vacuum can be increased hd MEL a8 or decreased at
8. IM PRODUCT PP FEMALE CABLE IEC 3 X 0 75X 1500MM 03019012 FUSE 5TH 20AG 03026009 CARD OF DIAMOND LINE FUSE PROTECTION 03026054 COILED TUBE PU 8X6 BLUE 03025102 FILTER SIEVE 18 5MM DIAMETER STRAIGHT BIRDIE 03026061 SUCTION ALKALINE GLASS FACIAL MODEL e 03026062 SUCTION ALKALINE GLASS FACIAL MODEL PE rom E 03026063 SUCTION ALKALINE GLASS FACIAL MODEL DUCK BEAK 03026064 SUCTION ALKALINE GLASS FACIAL MODE BIRD 03025002 ROLLER CUPPING 50MM 03025004 CUPPING 60MM 03025005 SPHERE CUPPING 03040004 IBRAMED 100511 DIGITAL OPERATION MANUAL 3 List of accessories and cable length designed with DERMOTONUS SLIM equipment for meeting the requirements of electromagnetic compatibility REPLACEMENT ACCESSORIES The replacement accessories are designed for use with DERMOTONUS SLIM As you order them provide the respective codes description and quantity desired The use of accessories cables and transducer Other than the ones destined for this specific equipment may degrade significantly the performance and immunity Do not use accessories cables and transducer of DERMOTONUS SLIM in other equipment or electromedical systems OPTIONAL ACCESSORIES cope PRODUCT 02039071 DIAMOND PEN KIT TROUBLESHOOTING What may initially appear to be a problem not always is really a defect Therefore before turning to technical assistance check the items described in the table below PROBLEMS SOLU
9. O NUS eum D CN f START _ V m IBRAMED QUESTAO DE RESPEITO Instructions for using DERMOTONUS SLIM Manufactured by IBRAMED Ind stria Brasileira de Equipamentos M dicos EIRELI ANVISA N 10360319002 7a edition REV 07 2013 SUM RIO NS Seem renais ndo nar 3 SYSTEM SPECIFICATIONS aneis na os poema ERES 22 CAR are ww PERNA as Naa ag 4 VACUUM SPECIFICALDION Saa 22 ABREVIATIONS GLOS SAIR ain MR NOUO ATE 4 ql 26 FIGURES GLOSSARY eames 5 CONTROLS INDICATORS AND CONNECTIONS 26 PORE WORD v 6 DEFINITION OF SYMBOLS 29 PRODUCT DESCRIPTION ype cen nn n ne 6 ACESSORIES USD ossos nas se teta Uem CR REPE 30 ESSENTIAL PERFORMANCE ERR a o 6 5 5 30 SAFETY PRECAUTION dicas sima rs 7 MICRODERMABRASION HH n n n n n nnm 31 PRECAUTIONARY DEFINITIONS S 7 gO LENI eS SP 2 V4 O EEEE 31 INDICATIONS CONTRAINDICATIONS AND PRECAUTIONS 9 OP eee em SRLC 32 INDICATIONS FOR 15 9 PROGRAMMING EQUIPMENT eee 33 CONTRAINDICATIONS EMITE 9 SELECTION 33 PRECAUTIONS En 10 PROGRAMMING THE TREATMENT TIME 33 GENERAL EQUIPMENT CARE ia
10. TION e Is the power cable properly connected not turn on 1 If it is not it is necessary to connect it Also check the socket on the wall The equipment does The equipment does e Have you checked the safety fuse not turn on 2 Check if there is a bad contact Check if the value is correct as stated in the instructions The equipment is Have you followed the recommendations of the instructions to use the equipment turned on but it does correctly not suck 1 Check them and repeat the steps in the controllers indications and op eration section e Have you checked the vacuum applicator connections quick coupling of the coiled hose and the connectiwon of the crystal tank storage and air filter e Check if the air filter and the crystal tank storage are adequately tight ened screwed The equipment is turned on but it does not suck 2 The equipment does not turn on and or it e Check the quick coupling of the coiled hose the tightness of the con nectionsof the works but it looks like cupping and the crystal tank storage weak 38 MAINTENANCE WARRANTY AND TECHNICAL SUPPORT WARRANTY TERM 1 IBRAMED warrants that this product is free of manufacturing defects for eighteen 18 continuous months provided the set terms presented in these instructions for use are followed 2 The warranty period takes effect from the date of purchase and applies to the original purchaser only even in the event of a product bei
11. The DERMOTONUS SLIM is intended for use in the electromagnetic environment specified below The customer or the user of the DERMOTONUS SLIM should assure that it is used in such an environment IEC 60601 Compliance Level Electromagnetic Environment Guidance Immunity Test Electrostatic discharge ESD IEC 61000 4 2 Electrical fast Transitories burst IEC 61000 4 4 Surge IEC 61000 4 5 Test Level 6 kV by contact 8 kV by air 2 kV for power supply lines 1 kV for input output lines 1 kV diferencial mode 2 kV common mode 6 kV by contact 8 kV by air 2 kV for power supply lines 1 kV for input output lines 1 kV diferencial mode 2 kV common mode 16 Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment ELETROMAGNECTIC COMPATIBILITY Immunity Test Voltage dips short interruptions and voltage variations in power input lines IEC 61000 4 11 Power frequency 50 60 Hz magnetic fild IEC 61000 4 8 NOTE U IEC 60601 Test Level lt 5 U gt 95 voltage drops in U 0 5 by cycle 40 U voltage drops in 60 U by 5 cycles 70 U 30 voltage drops in U by 25 cycles lt 5 UM
12. acturer will not be liable for any damage during shipping nor allow for adjustments unless proper formal claim has been filed by the receiver against the carrier The carton in which your DERMOTONUS SLIM was received is specially designed to protect the unit during shipping Please keep all shipping materials in case you need to return your unit for servicing INSTALLATION INSTRUCTIONS 1 Connect the line cord to the back of the DERMOTONUS SLIM 2 Plug the line cord into a grounded wall outlet 100 240 V 50 60 Hz 3 Plug the accessories into the correct connections 4 Switch on your equipment 11 INSTALLATION CARE AND CLEANING EQUIPMENT CARE e Avoid areas subject to vibrations e Install the equipment on a firm and level surface in open air e Do not block ventilation e Position the power line cable in a way that it is free out of places where it might be tread on and do not place any piece of furniture over it e Avoid humid hot and dusty environments e Do not insert objects into device holes e he equipment does not need to be used in armored places INSTALLATION CARE AND CLEANING The correct installation operation and mainte nance of the equipment prevent safety risks CLEANING OF DERMOTONUS SLIM A limpeza do equipamento deve ser di ria ou em caso de necessidade imediatamente ap s o uso N o coloque o sistema em liquidos N o use subst ncias vol teis benzina lcool thinner e sol
13. as well as the indications contra indications warnings and precautions The specifications and instructions in this manual are in effect at the time of its publication These instructions may be updated at any time at the manufacturer s discretion Visit our website for updates Certified Company VIP Good Manufacturing Practice PRODUCT DESCRIPTION ESSENTIAL PERFORMANCE DERMOTONUS SLIM is a device which allows treatments in the Health Medical and Cosmetic areas and which does not present systemic side effects or causes dependency DERMOTONUS SLIM is a multifunctional equipment used in the techniques of mechanical massage and vacuum therapy and the mode of microdermabrasion diamond peeling SAFETY PRECAUTIONS PRECAUTIONARY DEFINITIONS The precautionary instructions found in this section and throughout this manual are indicated by specific symbols Understand these symbols and their definitions before operating this equipment prior to therapy session CAUTION Text with a CAUTION indicator refers to potential safety infractions that could cause minor to moderate injury or damage to equipment WARNING Text with a WARNING indicator refers to potential safety infractions that could cause serious injury and equipment damage Text with a DANGER indicator refers to potential safety infractions that represent immediately life threatening situations that would result in death or serious inj
14. cy of the transmitter Recommended separation distance d 1 2 4P 3 V d 0 354P 80 MHz to 800 MHz d 0 7 VP 800 MHz to 2 5 GHz Conducted RF 3 Vrms IEC 61000 4 6 150 kHz to 80 MHz 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 meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol 1 2 A Radiated RF 10 V m IEC 61000 4 3 80 MHz to 2 5 GHz 10 V m 18 ELETROMAGNECTIC COMPATIBILITY NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengths set by fixed transmitters such as radio base stations telephone cellular cordless telephones and land mobile radios amateur radio AM 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 should be considered If the measured field strength at the location in which the DERMOTONUS SLIM is used exceeds the applicable RF compliance level above th
15. d from the mains voltage e Maintenance and technical assistance of DERMOTONUS SLIM must always be performed at an authorized technical service only by qualified technicians A CAUTION Inside the equipment there are dangerous tensions Never open the equipment ELECTROMAGNETIC COMPATIBILITY GUIDANCE POTENTIAL ELECTROMAGNETIC INTERFERENCE e The use of this unit in places where there is risk of As for the limits of electromagnetic interference explosion such as anesthesia departments or in the DERMOTONUS SLIM is Group 1 Class A electromedical presence of anesthetic mixture inflammable when in equipment contact with air oxygen or nitrous oxide Equipment not an AP or APG category e The use of cables electrodes and other accessories from other manufacturers and or different from those The operation at a short distance 1 meter for example of short wave or microwave therapy equipment may produce instability in the equipment output In order to prevent specified in this manual as well as the replacement of electromagnetic interference we suggest that one group of internal components of DERMOTONUS SLIM may result the power line is used for DERMOTONUS SLIM and another in increase in emissions or decrease in the equipment separate one for the short wave or microwave equipment immunity We also suggest that the patient DERMOTONUS SLIM and e DERMOTONUS SLIM is designed for use only by the connection cables are installed
16. e DERMOTONUS SLIM should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorientation or relocating the DERMOTONUS SLIM Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m 19 ELETROMAGNECTIC COMPATIBILITY The DERMOTONUS SLIM is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the DERMOTONUS SLIM can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the DERMOTONUS SLIM as recommended below according to the maximum output power of the communications equipment Rated maximum power Separation distance gai to frequency of transmitter output of transmitter 150 KHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2 JP d 0 35 4P i For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters 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 NOTE 1 80 MHz to 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by abso
17. e equipment will automatically select either 127 Volts or 220 Volts The connecting cable is detachable and it has tripolar plug with a spe cial connection used as ground protection for the metallic parts of the equipment Thus the place for the equipment installation should have power plug with protective ground terminal The equipment uses the power plug as a resource to separate its circuits in relation to the power network in all the poles NOTES In the rear part of DERMOTONUS SLIM there is a protection fuse To replace it turn the equipment off of the mains voltage line and with a screwdriver remove the protection lid disconnect the fuse and perform the replacement then replace the protection lid Always use the fuses indicated by Ibramed Use the fuse for the nominal current of 5 0A operation tension 250V and snap action model 20AG rupture current of 50A DERMOTONUS SLIM does not need any type of current stabilizer Never use power stabilizers 13 Before turning on DERMOTONUS SLIM make sure The tension and frequency of the local mains voltage is equal to the one described on the label of power line and tension characteristics located in the rear part of the equipment e To prevent electrical shock do not use the plug in the equipment as an extension cable or other types of plugs except the terminals fit completely in the receptacle e Cleansing and disinfection must be performed with the power plug disconnecte
18. ech 2002 8 118 124 Rosenbaum M et al An exploratory investigation of the morphology and biochemistry of cellulite Cosmetic 1998 101 1934 1939 Rossi ABR Vergnanini AL Cellulite a review JEADV 2000 14 251 262 Ryan TJ Lymphatics and adipose tissue Clin Dermatol 1995 13 493 498 Sant Ana E Aplica o de recursos f sicos no p s operat rio de lipoaspira o Congresso Cient fico Latino Americano de Est tica Sa de e Bem Estar p 102 110 Venereol Savardekar P Microdermabrasion J Dermatol Leprol 2007 73 4 277 279 Segers AM Abulafia J Kriner J Cortondo O Celulitis Estudio histopatol gico e histoqu mico de 100 casos Med Cut ILA 1984 12 167 172 Smalls LK Lee CY Whitestone J Kitzmiller WJ Wickett RR Quantitative model of cellulite three dimensional skin surface topography biophysical characterization and relationship to 36 human perception J Cosmet Sci 2005 56 2 105 20 Song JY Kang HA Kim Mi Yeon Young MP Hyung OK Damage and Recovery of Skin Barrier Function after Glycolic Acid Chemical Peeling and Crystal Microdermabrasion Dermatol Surg 2004 30 390 394 Spencer JM Kurtz ES Approaches to Document the Efficacy and Safety of Microdermabrasion Procedure Dermatol Surg 2006 32 1353 13 Tanaka ED Atua o da fisioterapia intensiva no grande queimado Acesso em 06 04 2011 http www sobrati com br trabalho26 htm ACESSORIES ACCOMPANYING DERMOTONUS SL
19. fibromyalgia e Burns lymphedema among others Indications for microdermabrasation e Photorejuvenation prevention and treatment e Reduction of expression lines thin and medium wrinkles e Treatment of hyperkeratosis e Treatment of striae stretch marks e Pigmentary disorders melasma blemishes and hipercromies e Scars e Enlarged pores and microcomedones CONTRAINDICATIONS It is not recommended to perform the mechanical massage e On skin tumor regions e Inflammatory rheumatism with fever e Dermatosis e Excessive capillary fragility e Avoid the use in cardiac patients or patients with pacemaker e Avoid the application during pregnancy especially in the lumbar and abdominal regions Contraindications Not recommended to perform microdermabrasion e Acne lesions and pustules e Cold sores vesicular bullous lesions caused by viruses Herpes virus hominis HVH e Rosacea chronic inflammatory vascular disease characterized by erythema telangiectasia fine reddish blood vessels edema and papules that may be accompanied by pustules and nodules e Capillary fragility blood vessels called capillaries that break easily causing red spots on the skin e Psoriasis skin disease autoimmune considered chronic hyperproliferative of skin of unknown etiology It has A INDICATIONS CONTRAINDICATIONS AND PRECAUTIONS PRECAUTIONS variety in severity and distribution of skin lesions e After the procedure it is commo
20. iform and effective RECOMMENDATIONS e Always use the screen filter during the vacuum treatments The protective air filter unit placed with in the equipment associated with the air filter provides a better functioning and durability of the vacuum pump of the equipment The screen filter and the protective air filter unit should be cleaned at regular intervals e Avoid using creams gels or oil This may cause damage to equipment e When itis necessary or at regular intervals the filter element of the protective air filter unit of the negative pressure pump should be cleaned 13 To do that remove the plastic cup spinning it in the counter clockwise remove the filter and clean it with soap and water Once dried replace the filter element and the plastic cup in the correct place by turning them clock wise 25 NOMENCLATURE 99990090 00000 00000000 000 9990090000 00 00000000 000 9990090000 00 00000000 000 9990090000 00 00000060 000 9999090000 00 00000000 000 9999090 00000 00000000 000 9990090000 00 00000000 000 9990090 00000 0000000660 00 CONTROLS INDICATORS AND CONNECTIONS Figure 1 Upper view Figure 2 Lateral view NOMENCLATURE Figure 3 Rear view 2 NOMENCLATURE 1 Power switch ON OFF 12 Protective unit air filter of the pump of negative pressure 2 Indicator light of the condition on 13 Spiral shaped hose connection of negative pressu
21. llers which use positive pressure destined to massotherapy by palper roller palpate and roll It promotes circulatory increments venous as well as lymphatic and conjunctive mobilization tissue by making a deep massage on the skin superficial fascia and subcutaneous tissue Many maneuvers and techniques are possible with this equipment such as mechanical massage with rollers mechanical drainage with roller mechanical massage with spheres intermittent massage discontractive conjunctive tissue mobilization reflex massage esthetic massage among others The negative pressure vacuum of Dermotonus Esthetic is adjustable and indicated through a vacuum gauge from O to 550 mmHg with a choice of either continuous mode operation or pulsed mode pulse repetition from 10 to 50 pulses per minute with off pulse duration of 1 second The negative pressure intensity applied varies according to the patient s tolerance generally around 250 to 350 mmHg and the choice of the mode either continuous or pulsed and if pulsed it is related to the applied technique 23 Suggested mode of application Vaccum Mode e Mechanical massage with rollers continuous mode e Mechanical drainage with rollers continuous mode e Mechanical massage with spheres continuous mode e ntermittent Massage discontractive pulsed mode pulse interval according to the purpose e Conjunctive tissue mobilization with glass cupping continuous mode or pulsed
22. ltage IPXO penetration Ventosa aplicadora de v cuo j Alternating Current iU A Vaccum cupping applicator line Electric network in Alternating Current T SYMBOL DEFINITIONS CARTON FRAGILE The content in this package is fragile and must be transported carefully This side up Limits of temperature for storage and packaging in C Celsius Degrees Keep away from the rain Do not stack up Do not use if the packaging is damaged Check the operating instructions Indication of the maufacturer s name and address ABREVIATIONS GLOSSARY cm mmHg Volts min Kg C Volt Ampere Ampere Millimeter Volts in Alternating Current Centimeter Millimeters of Mercury Hertz Voltage Minute Second kilogram Degrees Celsius FIGURES GLOSSARY Figure 1 dd 26 pen Diamond iara aur 34 Figure 2 Lateral 26 Figure 13 A and B body application technique with cupping Figure 3 Rear nnn nnns 27 SONETOS quatro a Eu ater REDE NUM UNE RU 34 Figure 4 adapter with screen protector pads with connection to the applicator body suction cup and glass applicators 30 Figure 5 A Cupping applicator 60 mm diameter for discontractive maneu
23. mode e Reflex massage continuous mode Physiological effects e ncrease of local blood flow e Increase of the oxygen supply e Lymphatic and tissue drainage e Defibrosing and improvement on the tissue softness e Tissue toning and decongestion e Muscle relaxation Guidelines e Mechanical massage must be vigorous with wide movements keeping the rollers stick to the skin in order to avoid loss of contact e As soon as the skin under the roller is hyperemic reddish change the direction of the roller massage T parallel SPECIFICATIONS to the treatment Massage all the region until you reach a uniform hyperemia e Mechanical massage must start with pressures according to the patient s level of sensibility to pain Microdermabrasion Peeling is a word of English origin which means flaking scarification Microdermabrasion is a non chemical method of skin peeling rejuvenation that involves a series of separate treatment at intervals ranging from one to two weeks and that can be used in combination with other treatments Essential advantages of microdermabrasion in relation to other modes of peeling e t can be performed at any time of the year e After treatment it is possible to return immediately to normal activities e ow operating cost e Low risk e It potentiates dermocosmetics treatment e Painless Microdermabrasion can use a probe which carries out the microcrystals blasting micro particles
24. n for the patient to e Diabetes Mellitus systemic metabolic disease which can develop redness hyperemia sometimes slightly swollen cause microvascular complications affecting regeneration and hypersensitivity and tissue renewal e Eventually scabs may be formed they should not be e Eczema disease of the skin that looks red dry flaking taken out in order to avoid staining and or scarring and itching also known as atopic dermatitis e Avoid using creams or lotions containing acid for one e Lupus erythematosus a chronic multisystemic month before the procedure inflammatory e Avoid direct sun exposure after treatment disease of unknown cause and of autoimmune nature that e Use of moisturizer and sunscreen affects the microcirculation and makes regeneration and tissue renewal difficult e Recent use of isotretinoin up to 6 months after treatment a medication used to treat severe acne Its use makes the skin sensitive which can induce the formation of cracks and injuries during microdermabrasion e Immediately after sun exposure 10 GENERAL EQUIPMENT CARE SHIPPING DAMAGE Your DERMOTONUS SLIM is shipped complete in one carton Upon receipt inspect carton and unit for visible and hidden damage In case of damage keep all shipping materials including carton and contact the shipping agent responsible for the delivery of the unit All claims relating to damage during transport should be filed directly with them The manuf
25. ng transferred to a third party The warranty covers the replacement of component parts and labor required to repair defects whenever the presence of such manufacturing defects can be determined 3 Customer Service during the warranty period will be provided exclusively at IBRAMED sale points by IBRAMED itself or another agent designated by the manufacturer 4 The warranty does not cover damage caused to the product resulting from a Failure to follow the specifications and recommendations detailed in these instructions for use during installation or use of the product b Accidents or acts of God connections to electrical system with inappropriate voltage and or subjected to excessive fluctuation or overcharge c Misuse lack of reasonable care product alterations modifications or repairs undertaken by individuals or entities not authorized by IBRAMED d Removal or adulteration of the equipment serial number e Damage during Transport 5 The legal warranty does not cover expenses incurred during product installation or transport to the plant or sale point labor materials parts and adjustments necessary to the readiness of the premises in view of the installation of the device such as but not limited to electric net masonry hydraulic network grounding system as well as their requirements 6 The warranty does not cover parts subjected to natural wear such as but not limited to control buttons control keys handle
26. nique Fibromyalgia A Preliminary Study Arch Phys Med Rehabil 2006 87 145 147 35 Hexsel MD Mazzuco R Subcision a treatment for cellulite Inter J of Dermatol 2000 39 539 544 Karimipour DJ Kang S Johnson TM Orringer JS Hamilton T Hammerberg C Voorhees JJ Fisher G Microdermabrasion A molecular analysis following a single treatment J Am Acad Dermatol 2005 52 215 23 Karimipour DJ Kang S Johnson TM Orringer JS Hamilton T Hammerberg C Voorhees JJ Fisher G Microdermabrasion with and without aluminum oxide crystal abrasion A comparative molecular analysis of dermal remodeling J Am Acad Dermatol 2006 54 405 410 Koblenzer CS Psychosocial Aspects of Beauty How and Why to Look Good Clin Dermatol 2003 21 473 475 Merlen JF Curri SB Sarteel AM Cellulitis a conjunctive microvascular disease Phlebologie 1979 32 3 279 282 Mirrashed F Sharp JC Krause V Morgan J Tomanek B Pilot study of dermal and subcutaneous fat strutures by MRI in individuals who differ in gender BMI and cellulite grading Skin Res Tecn 2004 10 161 168 Pavicic T Borelli C Korting CH Cellulite the greatest skin problem in healthy people An approach JDDG 2006 4 861 870 T REFERENCES Querlex B Cornillon C Jolivet O Bittoun J Anatomy and physiology of subcutaneus adipose tissue by in vivo magnetic resonance imaging and spectroscopy Relationship with sex and presence of cellulite Skin Res T
27. or a pen with a diamond respectively to remove part of the superficial layer of the skin epidermis stimulate the synthesis of growth 24 factors and encourage the tissue renewal The depth of the peeling is related to the negative pressure used in the equipment the number of passages on the skin and the speed of the probe or pen on the skin Both the techniques the crystal peeling and the diamond peeling are ideal to prepare the skin for the skin cleansing and for the application of dermocosmetics The crystal peeling as well as the diamond peeling can be performed anywhere on the body and the most treated areas face neck and hands Orienta es gerais e After the procedure it is common for the patient to present hypermia in some cases slight swell ing and hypersensitivity e Eventually crusts may be formed which should not be taken in order to avoid spots and or scarring e Avoid using creams and lotions containing acid for one month before the procedure e Avoid direct sun exposure after the treatment e Use sunscreen and moisturizer SPECIFICATIONS DIAMOND PEELING The diamond peeling carries out an exfoliation a sanding of the skin resulting in a clearer fresher and more youthful skin The diamond peeling is performed with a probe pen in which a sandpaper is at tached The probe is connected to a vacuum device that sucks the skin and presses it against the diamond sandpaper making the exfoliation more un
28. pment of all its partners and customers With r Hold My Hand concept we invite both students and professionals in the fields of Physical Rehabilitation Esthetics Physiotherapy Dermatology and Esthetic Medicine to take part in free courses workshops and the best Postgraduate Lato Sensu courses in the areas of physical rehabilitation and esthetics Special attention is also given to those interested in visiting our structure Whatever your professional development needs we ll be right by your side to provide you with unconditional support We are happy to assist you www conexaocefai com br Contact cefai conexaocefai com br 55 19 3808 2348 Thanks IBRAMED Quest o de respeito CEFAI rormacao avan ava IBRAMED 40 Po IBRAMED QUEST O DE RESPEITO IBRAMED Ind stria Brasileira de Equipamentos M dicos EIRELI Av Dr Carlos Burgos 2800 Jd It lia 13901 080 Amparo SP Brasil 55 19 3817 9633 www ibramed com br ibramed ibramed com br
29. re 3 Control keys SET These keys are used to choose the which is connected to either the vaccum cupping or to the values of the parameters necessary to the application pen for diamond peeling These connections operate like a quick coupling Just press the metal ring and pull so that 4 Control keys BACK and NEXT These keys are used to and the piece is released To couple it again just press the select the parameter field necessary to the appli cation hose against the piece 5 Alphanumeric liquid crystal display 14 Rating plate of voltage and fuses 6 Control keys START STOP To start the treatment 15 General characteristic board STOP for to cease the treatment 7 Control of intensity adjustment of vacuum 8 Protective air and impurities filter unit for the vacuum operating mode Vacuum 9 Indicator of the vacuum quantity vacuum gauge 10 Protection fuses 11 Power cable to be connected in the electrical network 26 DEFINITION OF SYMBOLS Read and understand these symbols and their definitions before operating the equipment START Vacuum mode operation either j VACUUM MODE continuous or pulsed DS Switch used to start or stop treatment Always STOP press the center of the switch Selection of parameters min Timer programmable treatment time from 1 to 60 min Vacuum intensity control from O to 550 mmHg negative pressure 29 ACESSORIES USED MECHANICAL MASSAGE Figure
30. rption and reflection from structures objects and people ELETROMAGNECTIC COMPATIBILITY Equipment Serial number AN VISA Registration M S Manufacturing date Expiration date 5 years Senior engineeer Maicon Stringhetta CREA 5062850975 21 SPECIFICATIONS SYSTEM SPECIFICATIONS VACUUM SPECIFICATIONS Dimensions Mode Continuous Width 31cm 12 2 in 5 Pulse Depth 23cm 9 06 in 5 Pulse Repetition Frequency 10 a 50 pulses per Height 28cm 11 02 in x 5 minute Standard Weight with transducer 3 9 kg 5 Vacuum Pressure O a bb mmHg negative pressure Pulse Repetition 10 50 pulses per Power minute Input 100 240 V 50 60 Hz OFF Pulse Duration 1s Input power 200 VA Treatment Time 1 a 60 minutes Fuses 2 0 A 250V 20AG Fast Action Rupture capacity 50 A Electrical Class CLASS I Electrical Protection TIPE BF Range of temperature during transportation and storage 5 50 C 41 122 F Range of operational environment temperature 5 45 C 41 113 F Conformity Regulations IEC 60601 1 IEC 60601 1 2 IEC 60601 1 4 2 2 SPECIFICATIONS Mechanical massage Several terms are used to describe the technique such as endermology vacuum therapy endermotherapy dermotonia and mechanical massage This terminology is exclusive to this field Mechanical massage is a technique created from experiments using simultaneously the pressure therapy by negative pressure associated to ro
31. s and moving parts cables connectors device cabinets 7 The selling points are neither authorized to alter the conditions mentioned in this document nor to take any commitment on behalf of IBRAMED TECHNICAL ASSISTANCE Ifyou have any doubts or problems related to the operation of your equipment please contact our technical department Call 55 19 3817 9633 DANGER Do not alter this equipment Any unauthorized modification can affect the safety of this equipment Never make unauthorized repairs CEFAI IBRAMED Center for Education and Advanced Training IBRAMED Equipment goes beyond technology It also provides knowledge Science constitutes our differential value and we effectively take advantage of its benefits in order to ensure patient safety and thereby maximize results Access to the knowledge database is guaranteed by CEFAI IBRAMED Center for Education and Advanced Training whose goal is to provide technical and scientific support as well as current literature on therapies and their applicability while our treatment choices are always thoroughly selected according to the best and latest clinical criteria IBRAMED Scientific Committee designs scientific support in view of developing new products and services and so all our equipment and actions are based on the results of the most recent medical studies published in major scientific journals CEFAI takes into account the personal and professional develo
32. urces to obtain additional information on electrotherapy applications e To avoid electrical shock turn the device off the power supply line before any maintenance procedure e DERMOTONUS SLIM treatment must not be applied on or next to cancerous lesions RESPONSIBILITY FOR USE ELECTROMEDICAL EQUIPMENT The professional properly certified will be responsible for the use and operation of the equipment IBRAMED does not make any representations referring to federal state or local laws which may apply to the use and operation of any electromedical equipment The doctor or person under his orders and also the physiotherapist or other licensed professional in the field takes all responsibility and full commitment in hiring the credentials required by law for the clinical use and operation of this equipment The use of electromedical equipment must follow the federal state and local norms of each country INDICATIONS CONTRAINDICATIONS AND PRECAUTIONS INDICATIONS FOR USE Indications of mechanical massage e Treatment of cellulites and localized fat e Treatment of adherences and scarring e Pre and post operative plastic surgery e It promotes body remodeling and liquid mobilization of body liquids e It favors the lymphatic drainage and the elimination of toxins e t enables the extraction of blackheads during the skin cleansing e Lifting and facial toning e Treatment of stretch marks e Treatment of myofascial pain and
33. ury e Read comprehend and practice the precaution and operation instructions Know the limitations and dangers associated with the use of any electrical stimulation Observe the precaution and operation labels placed on this unit e Do not operate this unit in an environment where other devices intentionally radiate electromagnetic energy in an unprotected manner e he equipment must not be stacked and or placed next to other equipment e Check the cables and connectors before each use e Do not use sharp pointed objects such as pencils or pens to operate the keys on the interface with the operator it can damage the equipment e Hold the applicator carefully The inadequate use of the applicator may adversely affect its characteristics e The DERMOTONUS SLIM stimulator is not designed to prevent the penetration of water and other liquids Penetration of water and other liquids may cause malfunction of the internal components of the system and consequently promote risk of injure to the patient e Disconnect the plug from the power outlet when the device is not used for long periods of time T SAFETY PRECAUTIONS e In order to be protected from the risk of fire use only spare fuses of the same type and class e Before treating the patient it is necessary to know the operational procedures for each treatment mode available as well as the indications contra indications warnings and precautions Refer to other so
34. ventes em geral para limpar o gabinete pois elas podem danificar o acabamento Desligue o equipamento da fonte de alimenta o limpe com um pano limpo umedecido com gua e sab o antibacteriano suave Applicator cleansing After using the applicators cleansing can be carried out in ultrasonic sink and then wash them in running water For their disinfection use cotton humidified with aqueous chlorhexidine at 0 5 Do not use volatile substances benzene alcohol or solvents in general to clean the acrylic parts The metallic parts may be autoclaved 12 ENVIRONMENTAL PROTECTION A CAUTION DERMOTONUS SLIM is an electronic device and has heavy metal parts such as lead So there are risks of contamination to the environment associated with the discharge of this device and its accessories at the end of their service life DERMOTONUS SLIM its parts and the accessories must not be disposed of as urban residues Contact the local distributor to obtain information about norms and laws relative to the elimination of electrical residues electronic equipment and their accessories A CAUTION The device and its consumable parts must be eliminated at the end of their service life according to the federal state or local norms of each country ELECTRICAL FEED DERMOTONUS SLIM is monophasic equipment The 127 220 volt switching is automatic There is no need to be worried with the local voltage Just plug in the device and th
35. vers pulsed mode B cupping adapter with spheres CONTINOUS 6 30 Figure 6 A medium roller applicator 60 mm diameter and B small roller applicator BO mm diameter 30 Figure 7 A glass sucker bird B Glass suction cup applicator facial straight birdie C Facial cupping glass applicator 12mm D Applicator facial glass sucker duck s bill E Facial cupping glass applicator 18mm 30 Figure 8 A Sandpaper for microdermabrasion smal diamond tip of 150 microns small diamond tip of 100 microns large diamond tip of 75 microns respectively B Stylus with diamond LIDisssssesnss assa nonae cadeia dada 31 Figure 9 Liquid Crystal Display equipment default 32 Figure 10 Liquid crystal display example 1 parameter adjustment application time 20 minutes 32 Figure 11 A B and C Liquid crystal display with the messages of PreSENtAtiON ccccceceveccccuvencueveecucueusucueens 33 Figure 12 Facial application technique with diamond tip FOREWORD This user manual allows the user to efficiently use the DERMOTONUS SLIM Refer to academic literature for further information on the uses of mechanical massage and vacuum therapy and the mode of microdermabrasion diamond peeling before any treatment on a patient Users must read understand and follow the information in this manual for each mode of treatment available
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