Hitop 184 руководство для пользователя

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High Tone Power Therapy Device

®

HiToP

184

Instruction manual

 gbo Medizintechnik AG

Version 2.0

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Summary of Contents for gbo HiToP 184

  • Page 1
    High Tone Power Therapy Device ® HiToP Instruction manual  gbo Medizintechnik AG Version 2.0…
  • Page 2
    ® HiToP The gbo Medizintechnik AG has taken care in preparation of this manual, but makes no expressed or implied warranty of any kind and assumes no responsibility for errors or omissions. All rights reserved. No part of this manual may be reproduced in any form or by any means (electronic, mechanical, or otherwise) without the prior written permission of the gbo Medizintechnik AG.
  • Page 3
    Range between the upper and lower cut-off frequency. If the lower and upper cut- off frequency have got the same quarter tone, this range can be indicated in octaves. Softkey A softkey is a key with context-sensitive meaning.  gbo Medizintechnik AG Version 2.0…
  • Page 4: Table Of Contents

    2.5.2 Deactivate intensity monitoring DESCRIPTION OF FUNCTION Description of the contents of display 3.1.1 General view 3.1.2 Detail view Operating notes 3.2.1 Menu key 3.2.2 Softkey 3.2.3 Channel keys 3.2.4 Intensity regulator 3.2.5 Modification knob  gbo Medizintechnik AG Version 2.0…

  • Page 5
    Disposal of the device and the accessories Cleaning, disinfection and care 8.3.1 Cleaning the Device 8.3.2 Cleaning the Elastic Straps 8.3.3 Cleaning the Electrodes 8.3.4 Disinfecting the Electrodes WARNINGS AND SAFETY PRECAUTIONS Contraindications EXPLANATION OF THE SIGNS USED  gbo Medizintechnik AG Version 2.0…
  • Page 6
    ® HiToP TECHNICAL DATA ACCESSORIES INDEX  gbo Medizintechnik AG Version 2.0…
  • Page 7: Introduction

    A frequency travers of three octaves is realized. The frequency travers is realized with different speed (0.1 — 200 Hz). This therapy activates the metabolism in the body, thus having an effect of irritation.  gbo Medizintechnik AG Version 2.0…

  • Page 8: Operating Concept

     When turning the intensity regulator without activated channel.  At the end of the faultless automatic check at the start of Triad gong operation.  At the end of therapy. Table 2: Acoustical user support  gbo Medizintechnik AG Version 2.0…

  • Page 9: View Of Hitop

    Module SimulFAM regulator Figure 1: Device view Application part ungrounded safety degree BF Caution! Observe the instruction for use ! Patient cable connection I;II;III and IV Figure 2: Device view from the right  gbo Medizintechnik AG Version 2.0…

  • Page 10: Display

    [Detail Display] it is possible to Softkey move to the detail view of the allocated channel. 15. At the end of the therapy the triad gong will sound. The current to the patient will be automatically reduced.  gbo Medizintechnik AG Version 2.0…

  • Page 11
    Here the frequency and the voltage for the chosen channels are shown. 15. At the end of the therapy the triad gong will sound. The current to the patient will be automatically reduced.  gbo Medizintechnik AG Version 2.0…
  • Page 12: Short Instructions Simulfam ® I

    Note! The conductivity of the electrodes is optimized by the use of a certain amount of graphite. Consequently, when using and cleaning the electrodes, black color may come off. 2.1.3 Disinfecting the Electrodes  gbo Medizintechnik AG Version 2.0…

  • Page 13
    We recommend Bacillol-AF for the disinfection of the electrodes. Note! The conductivity of the electrodes is optimized by the use of a certain amount of graphite. Consequently, when using and disinfecting the electrodes, black color may come off.  gbo Medizintechnik AG Version 2.0…
  • Page 14: Connection And Switch-On

    Irrespective of the adjusted mains voltage, the device is appropriate for power frequencies of 48 to 62 Hz. Warning! To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth.  gbo Medizintechnik AG Version 2.0…

  • Page 15: Voltage Selection And Fuses

    After switching on the device, an automatic check of all functions will be carried out. 2.3 Placing out of operation In order to disconnect the device just disconnect it from the mains power supply. No other measures are to be taken.  gbo Medizintechnik AG Version 2.0…

  • Page 16: Settings

     During modification of the settings a return is always possible with the black [Return]. menu key  The main menu can be chosen with the black menu key only, if the intensity is „0.0“ in all channels, i.e. no therapy is active any more.  gbo Medizintechnik AG Version 2.0…

  • Page 17: Modification Of The Unit Settings

     During the modification of the settings it is possible at any time to return with the black Menu key [Return].  If you have chosen the Effects menu, you get different settings in the basic menu, see chapter 2.4.4. *n.a.: these languages are not active on delivery.  gbo Medizintechnik AG Version 2.0…

  • Page 18: Modification Of The Basic Settings

    9. Exit the device setting menu by pressing the black [Return]. Menu key 10. On the display the Main menu appears again. 11. Exit the Main menu by pressing the black [Return]. Menu key 12. On the display the Overview window appears again.  gbo Medizintechnik AG Version 2.0…

  • Page 19
    9. Exit the device setting menu by pressing the black [Return]. Menu key 10. On the display the Main menu appears again. 11. Exit the Main menu by pressing the black [Return]. Menu key 12. On the display the Overview window appears again.  gbo Medizintechnik AG Version 2.0…
  • Page 20: Cable Check

    If this message is displayed: Please check that the electrodes and cables of channel N have good contact, you should check the contact of the electrodes and the cables, resp., prior to setting the intensity anew.  gbo Medizintechnik AG Version 2.0…

  • Page 21: Intensity Monitoring Active

    4. Please observe by all means the notice on the electrode position. (see chapter 6 Electrodes). 2.5.1 Intensity monitoring active We at gbo Medizintechnik AG have expanded the device software by a special intensity monitoring routine in order to get these application problems under control. This safety switching avoids an unintended high modification of the intensity of current and switches off the respective channel in such a case.

  • Page 22: Deactivate Intensity Monitoring

    Menu Basic settings / Intensity monitoring or will automatically activated for all channels after each restart !  It is possible to call in the main menu with the black menu key only, if the intensity of all channels is „0.0“.  gbo Medizintechnik AG Version 2.0…

  • Page 23: Description Of Function

    100 Hz 12,5 V Display channel III not plugged  no indicator on the display 30:22 3 Hz 0,0 V Ind. Menu channel IV plugged, but not active  Dis. Ind. Menu Figure 5: Overview  gbo Medizintechnik AG Version 2.0…

  • Page 24: Detail View

    3.2.1 Menu key Menu Use the black to call up the main menu (see chapter 2.4.1 Menu key: Menu key The main menu) Figure 7: Black Menu key on the upper right of the display.  gbo Medizintechnik AG Version 2.0…

  • Page 25: Softkey

    „0.0“. Control the current indication on the display.  The main menu can only be called up with the black menu key, if the intensity of all channels has been set to „0.0“ .  gbo Medizintechnik AG Version 2.0…

  • Page 26: Modification Knob

    If one surge parameter is turned to „0“ seconds, also the remaining surge parameters are adjusted to „0“ automatically. If one surge parameter is increase once again, the remaining surge parameter are automatically set to „1“ second.  gbo Medizintechnik AG Version 2.0…

  • Page 27: Keep Therapy Frequency Constant

     At the end of the therapy time the stimulation current to the patient will automatically be reduced: The triad gong will sound (see also Table 2: Acoustical user support).  The automatically reverts to „0.0“-after switching off the stimulation Intensity regulator current to the patient.  gbo Medizintechnik AG Version 2.0…

  • Page 28: Cd Module

    CD out. Function key Stop Note! If despite the volume regulation on the headphones there is no reproduction, control the volume regulator on the CD drive assembly.  gbo Medizintechnik AG Version 2.0…

  • Page 29: Therapy

    10. Detail view is shown on the right side of the display. Activate it by pressing the respective Softkey 11. In this window the current, resistance, actual power, and released energy are shown additionally. 12. You return to the general window by pressing one of the Channel keys  gbo Medizintechnik AG Version 2.0…

  • Page 30: Therapy With Simulfam

    7. Within 20 seconds after having activated the intensity regulator, the program returns to the overview window. 8. Here the frequency and the voltage for the chosen channels are shown. 9. On the right side of the display [Detail view] is shown. Activate it by pressing the respective Softkey  gbo Medizintechnik AG Version 2.0…

  • Page 31: Indication Menu

    Continue. 4. Confirm by pressing the white Softkey 5. The list of indications for the selected group appears on the display. 6. Move the scroll bar/cursor with the to the desired indication. Modification knob  gbo Medizintechnik AG Version 2.0…

  • Page 32
    1st current type of 3 8192 Hz P 1/3 13:25 100 Hz 12,5 V Detail Anzeige 30:22 3 Hz 0,0 V Ind. Menü actual current type Figure 21: Therapy program in the indication menu  gbo Medizintechnik AG Version 2.0…
  • Page 33: Effects Menu

     In the detail window current, resistance, power and energy are shown additionally.  The therapy time cannot be changed during treatment.  If only one patient cable is plugged to the unit, you will get directly to the detail window.  gbo Medizintechnik AG Version 2.0…

  • Page 34: Programs Of The Effects Menu

    As this program will only free but not burn the freed fatty cells it is recommended to follow it up with physical exercise. The program length is pre-set to 30 minutes but can be changed by the user.  gbo Medizintechnik AG Version 2.0…

  • Page 35
    3 — 10 Hz. This will result in a vibration or shaking of the muscle and is therefor called Shaking- massage. The program length is pre-set to 30 minutes but can be changed by the user.  gbo Medizintechnik AG Version 2.0…
  • Page 36
    (contraction) and 20 s pause. A important innovation that gbo HighTone Therapy adds to the muscle training is that we can use a sub- threshold 32 kHz current (i.e. the user does not feel it) during the pauses to alleviate the metabolism and thereby greatly improve the muscles ability to be supplied with new nutrients and to get rid of waste products.
  • Page 37
    Thie program is used for pain relief at diabetic polyneuropathies. Caused by muscle activation, the metabolism is improved, thus improving the sensibility to insulin. The program length is pre-set to 60 minutes but can be changed by the user.  gbo Medizintechnik AG Version 2.0…
  • Page 38
    0,1 – 200 Hz 30 minutes pre-set adjustment 1s /Freq. Grundeinstellung 18 Diab. PNP 20 Hz 60 Minuten diabetic polyneuropathies 3s / 3s / 3s Adjustment phase 20 seconds Table 6: Programs of the Effects menu  gbo Medizintechnik AG Version 2.0…
  • Page 39: Programming Of Patient Unit

    5. You are in the Menu Program patient unit Therapy I SimulFAM Menü Return Patient unit Confirm Program Therapy I SimulFAM i Change Treatment time 60 min Number of treatments ® Figure 23: Programming of patient unit with SimulFAM  gbo Medizintechnik AG Version 2.0…

  • Page 40: Therapy Ii / Therapy

    Therapy II: Menü Return Patient unit Select Program Therapy II without Channel I Channel II Channel III Channel IV SimulFAM i SimulFAM X Nerve block Figure 24: Menu Programming of patient unit / Therapy II  gbo Medizintechnik AG Version 2.0…

  • Page 41: Selection «Without

    7. Upon correct transmission the following note will be shown on the display: Menü Patient unit Continue Program Therapy I SimulFAM i Successful data transmission Figure 26: Menu Programming of patient unit / Successful data transmission  gbo Medizintechnik AG Version 2.0…

  • Page 42: Selection Of Channel I, Channel Ii, Channel Iii , Channel

    4. You move to the display of the preset type of current of the respective channel. ® 5.2.3 Selection SimulFAM ® 1. Move with the Modification knob to SimulFAM 2. The selection is shown inversely. 3. Press the [Select]. Softkey  gbo Medizintechnik AG Version 2.0…

  • Page 43
    Therapy II and move to Softkey ] and you will exit d display Therapy III or exit display Therapy III and move to the transmission window (see Figure 25: Menu Programming of patient unit / start).  gbo Medizintechnik AG Version 2.0…
  • Page 44: Selection Nerve Block

    Therapy II to move to display Softkey and you exit the d Therapy III or exit display Therapy III to move to the transmission start window (see Figure 25: Menu Programming of patient unit / start).  gbo Medizintechnik AG Version 2.0…

  • Page 45: Electrodes

    As a possible consequence the adhesive electrodes get warm during the therapy and might even heat up to a temperature that causes burns with the patient. To avoid such situations gbo has removed the adhesive electrodes from the standard accessory set ®…

  • Page 46: Electrode Positioning

    Otherwise there can occur skin redness, and sometimes even burns.  It is recommended not to exceed the current density of 2 mA/cm for all electrodes.  During the therapy the patient must take off jewelry and glasses.  gbo Medizintechnik AG Version 2.0…

  • Page 47: Multiple Logitudinal (Whole-) Body Treatments In Parallel

    This note is only applicable for current circuits that overlap in a significantly large area. Of cause local therapies of small body regions, e.g. the knee, during a whole-body treatment are not concerned by this.  gbo Medizintechnik AG Version 2.0…

  • Page 48: Behavior In Case Of Failures

     Please check that the electrodes of channel N have good contact.  Short circuit in channel . . .! Suggestion:  This means that the patient circuit has been interrupted. Check the electrodes, cables and connections.  gbo Medizintechnik AG Version 2.0…

  • Page 49: Maintenance

    The device must be returned to the manufacturer for disposal. The manufacturer is committed to guarantee the disposal of all devices marketed. This is also indicated by the WEEE sign (crossed out waste container).  gbo Medizintechnik AG Version 2.0…

  • Page 50: Cleaning, Disinfection And Care

    We recommend Bacillol-AF for the disinfection of the electrodes. Note! The conductivity of the electrodes is optimized by the use of a certain amount of graphite. Consequently, when using and disinfecting the electrodes, black color may come off.  gbo Medizintechnik AG Version 2.0…

  • Page 51: Warnings And Safety Precautions

     Application of electrodes near the thorax may increase the risk of cardiac fibrillation.  In case of any visible failures please contact immediately gbo Medizintechnik AG or one of the service agencies authorized by gbo Medizintechnik AG.  gbo Medizintechnik AG…

  • Page 52: Contraindications

    The above list is not exhaustive. In individual cases the attending doctor should decide on contraindications and criteria for the treatment. Note! Patients with varicose veins, metallic implants and endoprothesis may be treated with ® HiToP Therapy.  gbo Medizintechnik AG Version 2.0…

  • Page 53: Explanation Of The Signs Used

    Caution ! Observe the instructions for use ! Application part ungrounded, protection degree Type BF This product complies with WEEE Directive 2002/96/EG (waste electrical and electronic equipment). Separate collection for electrical and electronic equipment.  gbo Medizintechnik AG Version 2.0…

  • Page 54: Technical Data

    Relative humidity < 90 %, none condensing Current types: Sinusoidal currents of 4096 — 32768 Hz Modulation frequency currents of 0.1 Hz — 200 Hz gbo Medizintechnik AG reserves the right to modify the design and specification without prior notice.  gbo Medizintechnik AG Version 2.0…

  • Page 55: Accessories

    Headphones for integrated CD player 017-0-0039 ® UNICAR 1000 device cart (basic rack) and 014-0-1000 and device porter (large) 014-0-1020 Note! Use gbo original accessories only to guarantee the safe function of the unit.  gbo Medizintechnik AG Version 2.0…

  • Page 56
    You find more EMC-comments in the chapter “Warnings and Safety Precautions” of this manual as well as in the Technical Information on the next two pages.  gbo Medizintechnik AG Version 2.0…
  • Page 57
    IEC 61000-4-8 location in a typical commercial or hospital environment. Note: U is the a.c. mains voltage prior to application of the test level.   gbo Medizintechnik AG Version 2.0…
  • Page 58
    Separation distance according to the tranmission frequency (m) transmitter (W) 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2,5 GHz d=1,2P d=1,2P d=2,3P 0,01 0,12 0,12 0,23 0,38 0,38 0,73  gbo Medizintechnik AG Version 2.0…
  • Page 59
    Transport of the device 12 Indication menu 29 Voltage selector 13 Keys and Regulator Menu key 22 Softkey 23 Channel keys 23 Warning 12, 44, 49 Modification knob 24 Warnings 12, 49 LED 8  gbo Medizintechnik AG Version 2.0…

(Ocr-Read Summary of Contents of some pages of the gbo HiToP 184 Document (Main Content), UPD: 26 May 2023)

  • 54, 54 HiToP ® 184  gbo Medizintechnik AG Version 2.0 11 Technical data Mains voltage and frequency: 115, 230 V, 48 — 62 Hz Current consumption: With 115 V: max. 2 A With 230 V: max. 1 A Mains fuses: 3.2 AT Output current (per channel): max. 250 mA Output voltage (per channel): max. 70 V eff. Admissible load impedance: 30  …1.5 k  MDD device class: IIa Safety class: I Protection degree: BF Protection against in…

  • 49, gbo HiToP 184 HiToP ® 184  gbo Medizintechnik AG Version 2.0 49 8 Maintenance Functionality, reliability and safety characteristics of High Tone Therapy devices are only guaranteed if properly used in accordance with the operating instructions. Safety control, maintenance, repair and modifications shall be carried out by the manufacturer or the service agents authorized by him. In case of a failure, parts which …

  • 37, HiToP ® 184  gbo Medizintechnik AG Version 2.0 37 Lymphdrainage This program uses muscle pump (0.3 Hz), vasoconstriction (10 Hz) and a slight muscle contraction (10 – 30 Hz) of 10 minutes each in sequence to achieve an efficient lymphatic drainage. The program length is fixed at 30 minutes. Edema The Edema reduction program consists simply of SimulFAM  X 10 Hz, being the optimum frequency for vasoconstr…

  • 26, 26 HiToP ® 184  gbo Medizintechnik AG Version 2.0 3.2.5 Modification knob The Modification knob controls the scroll bar/cursor or sets values within a menu. Herewith, time, frequency, and surge parameters can be set. 3.2.6 SimulFAM  X / Change slope 1. Press the Softkey [Detail view]. 2. In the detail view press the Softkey [Change slope]. 3. You can select the desired setting with the Modification knob. 4. The graphic bar …

  • 18, 18 HiToP ® 184  gbo Medizintechnik AG Version 2.0 2.4.4 Modification of the basic settings Indication Menu selected in Unit settings: 1. Press the black Menu key. 2. You are in the display window Main menu. 3. Move the scroll bar with the Modification knob to Basic settings. 4. Confirm by pressing the white Softkey [Continue]. You are in the menu Basic settings. The menu provides the following options: Basic settings Setting possibilities Delivery Scan – Starting frequency …

  • 5, HiToP ® 184  gbo Medizintechnik AG Version 2.0 5 3.2.6 SimulFAM  X / Change slope 24 3.2.7 Surge parameters 24 3.2.8 Setting of the surge parameters 24 3.2.9 Keep therapy frequency constant 25 3.2.10 Therapy time 25 3.3 CD module 26 3.4 Instructions for use of the CD module 26 4 THERAPY 27 4.1 Therapy with SimulFAM  i 27 4.2 Therapy with SimulFAM  X 28 4.3 Indication menu 29 4.3.1 Operating steps for the selection from the indication me…

  • 12, 12 HiToP ® 184  gbo Medizintechnik AG Version 2.0 2 Start of operation 2.1 Transport and installation The High Tone Power Therapy device is a portable unit. In the base plate there is a carrying handle in the form of a recessed grip. Each plane surface is appropriate to place the unit,. A wall distance of at least 20 cm has to be observed. The device must not be placed in front of radiators. The device for High Tone Therapy corresponds to the regulations…

  • 17, HiToP ® 184  gbo Medizintechnik AG Version 2.0 17 2.4.3 Modification of the unit settings To modify the unit settings proceed as follows: 1. Press the black Menu key. 2. You are in the Main menu (see Figure 3: Main menu). 3. Move the scroll bar with the Modification knob to Unit settings. 4. Confirm by pressing the white Softkey [Continue]. 5. You are in the Menu Unit settings. The Menu provides the following options: Unit settings Setting possibilities Delivery Contrast Di…

  • 57, HiToP ® 184  gbo Medizintechnik AG Version 2.0 57 In accordance with the EMC-regulations for medical products we are obliged by law to provide the following information. Guidance and manufacturer’s declaration — electromagnetic emissions The equipment is intended for use in the electromagnetic environment specified below. The customer or the user of the equipment should assure that it is used in such an environment. Emissions test Compliance …

  • 45, gbo HiToP 184 HiToP ® 184  gbo Medizintechnik AG Version 2.0 45 6 Electrodes Please chose the size of electrode according to the body region to be treated. When in doubt use the larger electrode. The electrodes must be plugged in to the unit through a patient cable which is connected to the distribution cable. The electrodes must be applied as described in chapter 2. The electrode size depends on the current to be applied. Under small electrodes the current is more c…

  • 35, HiToP ® 184  gbo Medizintechnik AG Version 2.0 35 Cellulite The cellulite treatment combines 10 minutes of lipolysis with 5 minutes of a frequency sweep from 10 – 20 Hz. This sweep will result in a vasoconstriction (10 Hz), pressing blood out of the area, and strong muscle stimulation (20 Hz), burning the freed fatty cells. The program is of a fixed length of 30 minutes and the above described sequence is ca…

  • 27, HiToP ® 184  gbo Medizintechnik AG Version 2.0 27 3.2.9 Keep therapy frequency constant Figure 11: FIX key In SimulFAM  X it is possible with that key to stop the modulation frequency travers during the treatment with frequency-modulated types of current and to release it by pressing the key again. After having stopped the modulation frequency travers it is possible to select a fixed stimulation frequency wi…

  • 44, 44 HiToP ® 184  gbo Medizintechnik AG Version 2.0 Selection Presetting Setting possibilities treatment time from basic setting 1 min. — max. 90 min. slope from basic setting 10 — 200 % pulse rise time 0 s 0 — 60 s pulse holding time 0 s 0 — 60 s pulse pause 0 s 0 — 60 s number of treatments 20 1 – 50, unlimited Table 8: Setting possibilities SimulFAM  X 5.2.4 Selection nerve block 1. Move with the Modification knob to nerve block. 2. Press the white Softkey [Select]. 3. Y…

  • 40, 40 HiToP ® 184  gbo Medizintechnik AG Version 2.0 6. You can keep the presettings with the Softkey [Confirm] and move to display Therapy II (see chapter 5.2 Therapy II / Therapy III), or 7. move the scroll bar with the Modification knob to the setting to be changed. It will be shown inversely. 8. Press the white Softkey [Change]. 9. This presetting will be flagged inversely. 10. Set the desired value with the Modification knob. 11. Confirm by pressing t…

  • 51, gbo HiToP 184 HiToP ® 184  gbo Medizintechnik AG Version 2.0 51 9 Warnings and safety precautions Warning! In case of patients with implanted electronic device please carry out high tone therapy only after having checked whether there is any risk. Pieces of jewellery and glasses have to be taken off during the treatment. Turn off cellular phones and radiophones or place them in a distance of 3 m from the device. Cardiac pacemakers can extremely be disturbed. In these ca…

  • 23, HiToP ® 184  gbo Medizintechnik AG Version 2.0 23 3 Description of function 3.1 Description of the contents of display Both a general view and a detail view can be shown on the display alternatively. The device recognizes the number of channels automatically due to the connected distribution cables and then only shows these ones. The display field of channels which are not connected remains blank. It is possible to get a detail view for each of the plugged …

Download or browse on-line these Instruction Manual for gbo HiToP 184 Medical Equipment.

Summary of Contents:

[Page 1] gbo HiToP 184

 gbo Medizintechnik AG Version 2.0 High Tone Power Therapy Device HiToP ® 184 Instruction manual

[Page 2] gbo HiToP 184

2 HiToP ® 184  gbo Medizintechnik AG Version 2.0 The gbo Medizintechnik AG has taken care in preparation of this manual, but makes no expressed or implied warranty of any kind and assumes no responsibility for errors or omissions. All rights rese…

[Page 3] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 3 Notations Times New Roman in type size 11 — descriptions and explanations; Arial in type size 10 — functions and control keys of the device; Lucida in type size 10 or 11 — text appears on the disp…

[Page 4] gbo HiToP 184

4 HiToP ® 184  gbo Medizintechnik AG Version 2.0 Contents 1 INTRODUCTION 7 1.1 Intended Use 7 1.2 Note concerning the operating personnel 7 1.3 Device description 7 1.4 Operating concept 8 1.4.1 Ergonomic control panel 8 1.4.2 Indication menu 8 1…

[Page 5] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 5 3.2.6 SimulFAM  X / Change slope 24 3.2.7 Surge parameters 24 3.2.8 Setting of the surge parameters 24 3.2.9 Keep therapy frequency constant 25 3.2.10 Therapy time 25 3.3 CD module 26 3.4 Instru…

[Page 6] gbo HiToP 184

6 HiToP ® 184  gbo Medizintechnik AG Version 2.0 11 TECHNICAL DATA 52 12 ACCESSORIES 53 INDEX 52

[Page 7] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 7 1 Introduction 1.1 Intended Use Electrotherapy with sinusoidal alternating currents. 1.2 Note concerning the operating personnel The device is to be operated by healthcare professionals only. 1.3 D…

[Page 8] gbo HiToP 184

8 HiToP ® 184  gbo Medizintechnik AG Version 2.0 1.4 Operating concept 1.4.1 Ergonomic control panel The control panel possesses softkeys as function and modification keys. Function keys activate a function of the device, and modification keys ar…

[Page 9] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 9 1.6 View of HiToP  184 Function keys: SimulFAM ® X — types of current Channel keys Graphic display Softkey: Menu Softkeys: Detail view/ Indication menu + Int Mod Menü FIX 3 Hz 0,1 — 1,5 Hz …

[Page 10] gbo HiToP 184

10 HiToP ® 184  gbo Medizintechnik AG Version 2.0 1.7 Short instructions SimulFAM ® i 1. Connect the device through the mains switch at the back of the device. After that the device carries out an automatic check of all functions. The faultless …

[Page 11] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 11 1.8 Short instructions SimulFAM ® X 1. Connect the device through the mains switch at the back of the device. After that the device carries out an automatic check of all functions. The faultless …

[Page 12] gbo HiToP 184

12 HiToP ® 184  gbo Medizintechnik AG Version 2.0 2 Start of operation 2.1 Transport and installation The High Tone Power Therapy device is a portable unit. In the base plate there is a carrying handle in the form of a recessed grip. Each plane s…

[Page 13] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 13 The rubber electrodes can be disinfected by spray/wipe disinfection. Spray onto the black side of the electrodes, leave to soak and wipe off with a lint free cloth. (Please follow the recommendati…

[Page 14] gbo HiToP 184

14 HiToP ® 184  gbo Medizintechnik AG Version 2.0 Warnings and safety precautions). Please check all components to be in external integrity before use. Warning! The unit is not designed to be used in non-explosion-proof areas. If it is used in da…

[Page 15] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 15 2.2.1 Voltage selection and fuses 1. Unplug the mains plug. 2. The device is protected by 2 fuses on the mains side that are located in a pluggable box at the back of the device. 3. The adjusted s…

[Page 16] gbo HiToP 184

16 HiToP ® 184  gbo Medizintechnik AG Version 2.0 2.4 Settings 2.4.1 The main menu You can open the main menu by pressing the black Menu key. It provides the following submenus:  Program patient unit (see chapter 5)  Basic settings (see cha…

[Page 17] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 17 2.4.3 Modification of the unit settings To modify the unit settings proceed as follows: 1. Press the black Menu key. 2. You are in the Main menu (see Figure 3: Main menu). 3. Move the scroll bar w…

[Page 18] gbo HiToP 184

18 HiToP ® 184  gbo Medizintechnik AG Version 2.0 2.4.4 Modification of the basic settings Indication Menu selected in Unit settings: 1. Press the black Menu key. 2. You are in the display window Main menu. 3. Move the scroll bar with the Modific…

[Page 19] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 19 Effects menu selected in Unit settings: 1. Press the black Menu key. 2. You are in the display window Main menu. 3. Move the scroll bar with the Modification knob to Basic settings. 4. Confirm by …

[Page 20] gbo HiToP 184

20 HiToP ® 184  gbo Medizintechnik AG Version 2.0 2.4.5 Cable Check 1. Press the black Menu key. 2. You are in the Main menu. 3. Move the scroll bar with the Modification knob to Cable Check. 4. Confirm by pressing the white Softkey [Continue]. 5…

[Page 21] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 21 Abrupt resistance modifications in the electrode application can cause problems: 1. Two electrodes touch each other and form a shunt when adjusted upward. If the patient moves during the therapy, …

[Page 22] gbo HiToP 184

22 HiToP ® 184  gbo Medizintechnik AG Version 2.0 2.5.2 Deactivate intensity monitoring !! Note!  The intensity monitoring is automatically activated for all channels after each restart of the unit! The function can be manually deactivated in …

[Page 23] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 23 3 Description of function 3.1 Description of the contents of display Both a general view and a detail view can be shown on the display alternatively. The device recognizes the number of channels a…

[Page 24] gbo HiToP 184

24 HiToP ® 184  gbo Medizintechnik AG Version 2.0 3.1.2 Detail view It is possible to get a detail view of each active channel. The selection of this view is done by the Softkeys [Detail view] allocated to the channels. In contrary to the general…

[Page 25] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 25 3.2.2 Softkey Softkey: Within the menu, the white softkey serves as confirmation key. Figure 8: Softkey A softkey is a key with context-sensitive meaning. The four softkeys on the right of the dis…

[Page 26] gbo HiToP 184

26 HiToP ® 184  gbo Medizintechnik AG Version 2.0 3.2.5 Modification knob The Modification knob controls the scroll bar/cursor or sets values within a menu. Herewith, time, frequency, and surge parameters can be set. 3.2.6 SimulFAM  X / Change…

[Page 27] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 27 3.2.9 Keep therapy frequency constant Figure 11: FIX key In SimulFAM  X it is possible with that key to stop the modulation frequency travers during the treatment with frequency-modulated types…

[Page 28] gbo HiToP 184

28 HiToP ® 184  gbo Medizintechnik AG Version 2.0 3.3 CD module The operational elements have been integrated on the keyboard membrane. The CD drive assembly is controlled by the CD keys. Figure 13: previous title Figure 14: next title Figure 15:…

[Page 29] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 29 4 Therapy 4.1 Therapy with SimulFAM  i Menü FIX 60:00 60:00 60:00 60:00 SimulFAM i SimulFAM i SimulFAM i SimulFAM i 0.0 V 0.0 V 0.0 V 0.0 V 0 mWh I II III IV Ind. Menu Ind. Menu Ind. Men…

[Page 30] gbo HiToP 184

30 HiToP ® 184  gbo Medizintechnik AG Version 2.0 Menü FIX 30:22 14,5 V 4096 Hz 122 mA 118 V/A 1769 mW 125,6 mWh 321,4 mWh 4096 Hz 32768 Hz SimulFAM i Int: f= I II III IV Figure 19: Detail view SimulFAM  i !! Note!  The amplitude values…

[Page 31] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 31 !! Note!  In the detail window the current, resistance, actual power, and released energy are shown additionally.  The therapy time can also be modified during the treatment (see chapter 3.2…

[Page 32] gbo HiToP 184

32 HiToP ® 184  gbo Medizintechnik AG Version 2.0 7. Confirm by pressing the white Softkey Continue. 8. The notes about the electrode application corresponding to the indication are shown on the display. 9. Apply the electrodes as indicated…

[Page 33] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 33 4.4 Effects menu In the version 2.0 of the Software for the HiToP  184 we integrated a special menu to help the user select the right frequency for the therapy. In the Effects menu you will get…

[Page 34] gbo HiToP 184

34 HiToP ® 184  gbo Medizintechnik AG Version 2.0 30:00 30:00 30:00 30:00 Vitalisation Lipolysis Lipolysis Pain 0.0 V 0.0 V 0.0 V 0.0 V Overview 125,6 mWh prog. menu prog. menu prog. menu prog. menu Figure 22: Overview window if Effects menu is s…

[Page 35] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 35 Cellulite The cellulite treatment combines 10 minutes of lipolysis with 5 minutes of a frequency sweep from 10 – 20 Hz. This sweep will result in a vasoconstriction (10 Hz), pressing blood out o…

[Page 36] gbo HiToP 184

36 HiToP ® 184  gbo Medizintechnik AG Version 2.0 Reha The Reha program is designed for patients in rehabilitation that need a slow re-introduction to joint movements. Therefor we stimulate the corresponding muscles with frequencies varying slowl…

[Page 37] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 37 Lymphdrainage This program uses muscle pump (0.3 Hz), vasoconstriction (10 Hz) and a slight muscle contraction (10 – 30 Hz) of 10 minutes each in sequence to achieve an efficient lymphatic drain…

[Page 38] gbo HiToP 184

38 HiToP ® 184  gbo Medizintechnik AG Version 2.0 No Program Step 1 Step 2 Step 3 1 Vitalization SimulFAM  i 30 minutes pre-set 2 Lipolysis 2,5 – 3,5 Hz 30 minutes pre-set 3 Cellulite 2,5 – 3,5 Hz 10 min 10 – 20 Hz 5 min 2 x 15 min = 30…

[Page 39] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 39 5 Programming of patient unit It is possible to load a maximum of three types of therapy current into the patient device. These can be SimulFAM ® i, a certain SimulFAM ® X frequency or the nerve…

[Page 40] gbo HiToP 184

40 HiToP ® 184  gbo Medizintechnik AG Version 2.0 6. You can keep the presettings with the Softkey [Confirm] and move to display Therapy II (see chapter 5.2 Therapy II / Therapy III), or 7. move the scroll bar with the Modification knob to the se…

[Page 41] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 41 5.2.1 Selection «without» With selection [without] you do not select any other therapy. The settings realized for Therapy I will be transmitted to the patient device. 1. Move with the Mo…

[Page 42] gbo HiToP 184

42 HiToP ® 184  gbo Medizintechnik AG Version 2.0 8. If the data cannot be transmitted, the following note will be shown: Menü FIX I II III IV Patient unit Program Repeat Cancel Please place the patient unit on the side at a distance of 30 — 50…

[Page 43] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 43 4. The SimulFAM ® X window opens on the display: Menü FIX 3 Hz 10 Hz 20 Hz 100 Hz 1,5 — 10 Hz 10 — 20 Hz 20 — 200 Hz SimulFAM X 0,1 — 1,5 Hz I II III IV Patient unit Program Select Return Fig…

[Page 44] gbo HiToP 184

44 HiToP ® 184  gbo Medizintechnik AG Version 2.0 Selection Presetting Setting possibilities treatment time from basic setting 1 min. — max. 90 min. slope from basic setting 10 — 200 % pulse rise time 0 s 0 — 60 s pulse holding time 0 s 0 — 60 s …

[Page 45] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 45 6 Electrodes Please chose the size of electrode according to the body region to be treated. When in doubt use the larger electrode. The electrodes must be plugged in to the unit through a patient …

[Page 46] gbo HiToP 184

46 HiToP ® 184  gbo Medizintechnik AG Version 2.0 6.2 Electrode positioning The positioning of the patient is very important. The therapy shall always be carried out in a comfortable and relaxed position. The joints shall be located in an angular…

[Page 47] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 47 6.3 Multiple logitudinal (whole-) body treatments in parallel As a rule, in whole-body treatment the longitudinal current flow is realized with two pairs of electrodes, applied on the hands and fe…

[Page 48] gbo HiToP 184

48 HiToP ® 184  gbo Medizintechnik AG Version 2.0 7 Behavior in case of failures The following failures will be indicated optically and acoustically by the High Tone Therapy device. Most of them can be overcome if you proceed as indicated on the …

[Page 49] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 49 8 Maintenance Functionality, reliability and safety characteristics of High Tone Therapy devices are only guaranteed if properly used in accordance with the operating instructions. Safety control,…

[Page 50] gbo HiToP 184

50 HiToP ® 184  gbo Medizintechnik AG Version 2.0 8.3 Cleaning, disinfection and care 8.3.1 Cleaning the Device For cleaning and disinfection of the current stimulation device and its accessories do not use any agents containing higher portions o…

[Page 51] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 51 9 Warnings and safety precautions Warning!  In case of patients with implanted electronic device please carry out high tone therapy only after having checked whether there is any risk.  Piec…

[Page 52] gbo HiToP 184

52 HiToP ® 184  gbo Medizintechnik AG Version 2.0 9.1 Contraindications Contraindications for the use of HiToP ® Therapy are:  feverish systemic infections  local bacterial infections  pregnancy  cardiac pacemakers !! Note! For patie…

[Page 53] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 53 10 Explanation of the signs used 0123 CE Conformity sign Caution ! Observe the instructions for use ! Application part ungrounded, protection degree Type BF This product complies with WEEE Directi…

[Page 54] gbo HiToP 184

54 HiToP ® 184  gbo Medizintechnik AG Version 2.0 11 Technical data Mains voltage and frequency: 115, 230 V, 48 — 62 Hz Current consumption: With 115 V: max. 2 A With 230 V: max. 1 A Mains fuses: 3.2 AT Output current (per channel): max. 250 mA O…

[Page 55] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 55 12 Accessories Article Article number HiToP ® 184 Extent of supply 4 4 8 6 14 4 4 1 1 1 1 Distribution cable with color coding, 150 cm Set of patient cables with color coding (6 cables of 100 c…

[Page 56] gbo HiToP 184

56 HiToP ® 184  gbo Medizintechnik AG Version 2.0 Notes in accordance with EC directive and Medical Devices Directive (MDD) The HiToP ® 184 is a line-powered device for High Tone Power Therapy of protection class I. The device is in accordance w…

[Page 57] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 57 In accordance with the EMC-regulations for medical products we are obliged by law to provide the following information. Guidance and manufacturer’s declaration — electromagnetic emissions The …

[Page 58] gbo HiToP 184

58 HiToP ® 184  gbo Medizintechnik AG Version 2.0 Guidance and manufacturer’s declaration — electromagnetic immunity The equipment is intended for use in the electromagnetic environment specified below. The customer or the user of the equipme…

[Page 59] gbo HiToP 184

HiToP ® 184  gbo Medizintechnik AG Version 2.0 59 Index A Abridged operating instructions 11 Acoustical user support Confirmation beep 8 Information sound 8 triad gong 8 Assembly of the device 12 C Contraindications 50 D Device Connection and swi…

16

2.4 Settings

2.4.1 The main menu

You can open the main menu by pressing the black Menu key. It provides the following submenus:

 Program patient unit (see chapter 5)

 Basic settings (see chapter 2.4.4)

 Unit settings (see chapter 2.4.3)

 Cable check (see chapter 2.4.5).

Figure 3: Main menu

2.4.2 Basic and unit settings

The basic and unit settings are unit-specific settings (see Table 3, Table 4 and Table 5). These settings

should be implemented during assembly by a medical product adviser or a service technician. Once the

device has been switched on and is ready, you can start immediately with the standard settings.

!!

Note!

 During modification of the settings a return is always possible with the black

 The main menu can be chosen with the black menu key only, if the intensity is „0.0″ in all

channels, i.e. no therapy is active any more.

 gbo Medizintechnik AG

®

HiToP

184

Black

Menu key

[Return].

menu key

Version 2.0

Documents: (1) gbo HiToP 184 Medical Equipment PDF User Manuals and Service Instructions

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