OPERATING INSTRUCTIONS

PHYSIOTHERM-M

00897 GB
The technical data in this manual is as at the time of printing and subject to alteration.

Copyright © 2000 - 2011 by PHYSIOMED ELEKTROMEDIZIN AG ®

All rights, including rights of translation, reproduction by printing, copying or similar methods,
even of parts are reserved.
Offenders will be liable for damages.

Operating Instructions last updated on May 25, 2011.

Instrument Overview
Operating Panel

5 4 3 2 1
Legend
1 Power Switch 3 Programme Selector 5 Dose Range
2 Therapy Timer 4 Dose Selector
Contents
1 Introduction ........................................................................................................................ 1
1.1 Instrument Description ........................................................................................................... 1
1.2 Application .............................................................................................................................. 1
1.3 Contraindications and Safety Prerequisites ........................................................................... 2
1.4 Safety Notes ............................................................................................................................ 3

2 Controls and Indicators ..................................................................................................... 4

2.1 Function of Controls and Indicators ....................................................................................... 4
2.1.1 Power switch <1> .......................................................................................................................4
2.1.2 Therapy timer <2> .......................................................................................................................4
2.1.3 Programme selector <3> .............................................................................................................5
2.1.4 Dose selector <4> .......................................................................................................................5
2.1.5 Dose range <5> ..........................................................................................................................5

3 Notes on Operation ........................................................................................................... 6

3.1 Preparations ............................................................................................................................ 6
3.2 Start-up ................................................................................................................................... 6
3.3 Function Check ........................................................................................................................ 7
3.4 Instrument Errors .................................................................................................................... 8

4 Therapy using Microwaves ............................................................................................... 9

4.1 General Information ............................................................................................................... 9
4.2 Therapy with Free Parameters ............................................................................................... 9
4.3 Therapy with Fixed Programmes............................................................................................ 9
4.4 Dosage .................................................................................................................................. 10
4.5 Emitters ................................................................................................................................. 11
4.6 Principles of therapeutic effectiveness................................................................................. 11
4.7 List of Indications .................................................................................................................. 12
4.7.1 Rheumatic diseases, Orthopaedics, Surgery, Neurology .............................................................12
4.7.2 Gynaecology .............................................................................................................................13
4.7.3 Internal Diseases ........................................................................................................................13
4.7.4 Dermatology .............................................................................................................................13
4.7.5 Urology, Nephrology .................................................................................................................13
4.7.6 ENT (diseases of the ear, nose, throat area) ...............................................................................14
4.7.7 Ophthalmology .........................................................................................................................14

5 General Notes ................................................................................................................... 15

6 Service, Repairs, Maintenance ........................................................................................ 15

7 Cleaning and Disinfection ............................................................................................... 16

8 Technical Data .................................................................................................................. 17

9 Accessories........................................................................................................................ 18
9.1 Standard Accessories ............................................................................................................ 18
9.2 Additional Accessories .......................................................................................................... 18

10 Manufacturer’s Recommendations ................................................................................ 19

11 Recommended Literature ................................................................................................ 20

12 Index .................................................................................................................................. 20
 Introduction

1 Introduction
With your PHYSIOTHERM-M, you have acquired an extremely versatile microwave
therapy unit.
The instrument will only show its true potential, however, if you are well informed
about its functions. For this reason, carefully read the Operating Instructions and
familiarise yourself with the use of the instrument.

1.1 Instrument Description

PHYSIOTHERM-M is a microwave therapy unit for high-frequency thermo therapy.

The instrument embodies a high-performance magnetron for generation of high-
frequency energy with a frequency of 2.45 GHz, which corresponds to a wavelength
of approximately 12 cm. In pulsed mode the maximum output of the pulses or pulse
groups amounts to 1,200 W.
PHYSIOTHERM-M is controlled in its functions by a microprocessor. Essential com-
ponents are permanently controlled by the processor and thus faulty operation is
prevented. After switching on, all instrument functions are checked during an
automatic self-test routine. The instrument complies with all current safety stan-
dards.
The instrument meets the requirements of the EC directive concerning medical de-
vices (93/42/EEC) and is therefore CE-labelled.

1.2 Application

PHYSIOTHERM-M was designed for thermal and athermal microwave therapy.

Power delivery is possible in continuous (-C-) and pulsed (-P-) mode. The peak out-
put ensures better effect on deeper layers of tissue, which, despite the higher dissi-
pation of heat due to the blood flow, results in deeper penetration of the muscular
tissue, which is usually well supplied with blood.
Moreover, by the pulsed mode the so-called athermal dosage is enabled, i.e. despite
the high peak output of the single pulses, with the lower output stages 5 Watt and
10 Watt, heat is not yet perceived, since the thermo receptors of the skin respond to
medium output values only. 12 output stages from 5 to 200 W can be selected. Fur-
thermore, 6 fixed programmes with often-required settings can be directly selected.
Edel /1/2/ recommends not to spend too much in systemizing the applications of
high-frequency thermo therapy. Individual proceeding is required. The schematic
listing in this manual (refer to List of Indications on page 12) ought to be considered
exemplarily.

PHYSIOTHERM-M 1
Introduction

It can be said that the application of microwave offers advantages when treating in-
dications for which, from a therapeutic point of view, an increase of circulation is
useful. One can see that, for the treatment of numerous indications, microwave
therapy can be considered as an efficient therapeutic means, which is often em-
ployed in addition to other ways of treatment. Provided that sufficient attention is
paid to the contraindications to microwave therapy, negative side effects do gener-
ally not occur.

Caution Only qualified personnel who have undergone special training may
operate the instrument!

1.3 Contraindications and Safety Prerequisites

Due to possible concentrations of the HF field by metal parts, hyperthermia might

be caused by field intensifications or peak effects. Possible danger because of con-
ductible parts or materials in the proximity of the patient has to be considered!
Watches, glasses, jewellery and other metal objects are to be removed from the area
undergoing treatment.
Hearing aids, wet or moist clothing, clothing made of metals (e.g. buttons, fasteners
or threads of metal) and moist bandages must be removed from the area of treat-
ment. If this is not possible, treatment with microwaves is not to be considered!
Because of unpredictable thermal distribution, treatment has to be avoided in the
presence of implanted metals (e.g. nails).
Patients with cardiac pacemakers and other electronic implants have to be excluded
from therapy and have to be kept away from areas where the instrument is oper-
ated.
Other contraindications to microwave therapy are:
• Malignant tumours
• Active tuberculosis and other acute states such as acute arthritides, acute at-
tacks of gout, prolapse of an intervertebral disk, fresh haematoma
• Severe arterial circulatory disorders
• Thrombophlebitis and thrombotic vascular processes
Be careful when treating patients suffering from thermohyperaesthesia, thermohy-
poaesthesia, increased tendency to bleeding (especially if anticoagulants are taken).
The emitter must not aim at eyes or testes!
Since the vascularisation of the eye is very low, use the eye protection supplied with
the instrument when treating the face area!
Consider the higher sensitivity to warmth of testes, when treating in the testes area.
High dosages are only to be applied when the indication has been verified. The per-
sonnel have to consider that changes to the emitters are only allowed when there is
no emission of energy. Operating personnel and all other persons should keep a dis-
tance of at least 1.5 m from emitters from which power is being released.

2 PHYSIOTHERM-M
 Introduction

Especially when treating small parts of the body (e.g. wrist), make sure the emitter
aims at the area undergoing therapy only and that sensitive areas in the background
(that are not covered by the wrist, e.g. the testes) do not undergo treatment acci-
dentally!

1.4 Safety Notes

For reasons of safety, reliability and performance of the system, the following safety
notes must be adhered to:
• Do not use the microwave therapy unit but with the manufacturer’s original ac-
cessories.
• Thoroughly read the Operating Instructions and familiarize yourself with the in-
strument before using it on patients.
• Protect the instrument from the penetration of liquids.
• The system must not be used in detonation hazard zones.
• Do not continue to use the instrument if symptoms of malfunction are obvious.
Contact an authorized service company or the manufacturer.
• Do not activate the output before patient and emitters have been positioned as
required. Energy output must not be activated but with a patient connected. Do
not release high-frequency energy into the open!
• Do not use metal chairs or metal beds. Position patients in comfortable position
and avoid hyperthermia.
• Ophthalmologic diseases must not be treated but by specialists. Due to the dan-
ger of damaging the lens, dosage in ophthalmologic indications must not ex-
ceed 5-10 Watt.
• For treatments in the face area (ENT) eye protectors must be used.
• Emitters must be positioned in a way that they do not point at operating per-
sonnel or at sensitive electronic devices (e.g. telephone, computers etc.).
• Due to concentration of the high-frequency field by metal parts there is a dan-
ger of hyperthermia (because of field compression, i.e. point effects). For this
reason metal parts (watches, necklaces, bracelets, glasses etc.) must be removed
prior to treatment.
• Remove hearing aids prior to treatment.
• When treating narrow parts of the body (e.g. a wrist), make sure that no sensi-
tive areas behind (e.g. eyes, testicles) are penetrated by the radiation.
• During treatment, a minimum distance of at least 1.5 m must be kept by all per-
sons not undergoing therapy.

PHYSIOTHERM-M 3
Controls and Indicators

2 Controls and Indicators

The PHYSIOTHERM-M unit consists of the actual instrument including the operat-
ing panel, a supporting arm carrying the emitter, a connection lead and an emitter.
As standard accessory a universal synclinal emitter is supplied. In addition to this, an
omni-directional emitter (diameter 160 mm) and a small emitter (diameter 65 mm)
are available.

2.1 Function of Controls and Indicators

In the following section, we will introduce the individual controls of PHYSIOTHERM-

M. The numbers in angle brackets refer to the Instrument Overview at the beginning
of this manual.

2.1.1 Power switch <1>

The power switch <1> turns on the power supply for the instru-
ment. Following switch-on, a self-test routine is automatically per-
formed by the instrument.

Caution For mains supply do only use the mains cable provided by the manu-
facturer.

2.1.2 Therapy timer <2>

Therapy time can be set by the keys positioned below the therapy
timer display.
With programme –P- (dosage can be selected), power is only re-
leased by the instrument if therapy time is greater than 0. Therapy
is started when the display of the programme selector <3>
flashes. Therapy time can be shortened and extended even during
therapy.

With programmes 1-6 (fixed programmes) therapy can be started by simultaneously

pressing both time keys. Therapy time cannot be changed anymore after therapy
has been started.
At the end of therapy time an acoustic signal is issued, the instrument switches off
automatically and the display of the programme selector <3> stops flashing.

4 PHYSIOTHERM-M
 Controls and Indicators

2.1.3 Programme selector <3>

The programme selector <3> keys serve for selecting fixed pro-
grammes (1-6) or free parameter selection -P- and –C-. Therapy
may be interrupted by pressing the programme selector <3> keys
again.
To switch from -P- to -C-, keep the programme selector <3> keys
pressed for 2 seconds.

Caution The flashing programme selector <3> displays indicate that the in-
strument emits radiation!

2.1.4 Dose selector <4>

With the dose selector keys, power can be adjusted in 12 stages
from 5-200 W. With the small emitter connected, the dose is
automatically limited to 25 W. The instrument starts emitting radia-
tion as soon as therapy time is > 0.
With programmes 1-6 (fixed programmes), therapy can be started
by simultaneously pressing both therapy timer <2> keys.

2.1.5 Dose range <5>

The dose range <5> indicators show the maximum dose selectable
with the emitter connected. Maximum dose through both the uni-
versal synclinal emitter and the omni-directional emitter is 200 W.
With the small emitter connected, the maximum power is limited to
25 W.

PHYSIOTHERM-M 5
Notes on Operation

3 Notes on Operation

3.1 Preparations

Make the following preparations before you start working with the instrument:
(1) Choose a suitable place to operate the instrument. This place must not be
within a detonation hazard area or a hydrotherapy room.
(2) Position the unit and fix it by arresting the blocking gear at the front caster
wheels.
(3) Fix the intended emitter to the supporting arm.
Hold the emitter tightly when adjusting the supporting arm!
(4) Connect the emitter to the instrument by tightly screwing the high frequency
connection lead (ref.no. 00074). Improper screwing of the bolt may cause mal-
functions or even lead to instrument defects. The quick coupling at the other
end of the lead helps you to easily fix it to the emitter.
(5) Make sure that the quick coupling of the high frequency connection lead is
smoothly engaged to the emitter. After that, any disconnection of the lead is
only possible by pulling back the ring at the plug. To double-check; slightly pull
at the rear end of the coupling or the lead itself.
(6) To disconnect the high frequency connection lead pull back the ring at the
quick coupling and disconnect the lead from the emitter.
(7) Choose a suitable chair or bed where the patient can rest during treatment.
Do not use metal chairs or metal beds!
Please observe the safety notes on page 3.

Caution During treatment, make sure that the high frequency connection lead
is hanging loosely without major flections and is by no means fixed to
the supporting arm.

Caution The high frequency connection lead may grow warm during treat-
ment. Working with high powers (200 W) may provoke maximum
temperatures of 55°C at the surface of the lead. When further exces-
sive heating is detected, contact the Customer Service.

3.2 Start-up

To start up PHYSIOTHERM-M:
(1) Make sure the operating voltage of the instrument (see name plate) and the
power line voltage are the same.

6 PHYSIOTHERM-M
 Notes on Operation

(2) Connect the power lead to the rear face of the instrument and plug the other
end into a power line outlet.
(3) Fix the intended emitter to the supporting arm and connect it to the instru-
ment.
Hold the emitter tightly when adjusting the supporting arm!
The instrument is ready now.

3.3 Function Check

To execute a function check of the instrument:

(1) Switch on the instrument with the power switch <1>.
All displays show "8" and the dose range <5> LEDs are on.
The instrument will be ready after a short time. The display shows 0 -P- 0.

PHYSIOTHERM-M 7
Notes on Operation

3.4 Instrument Errors

When errors are detected during the self-test routine or operation, specific error
codes appear in the displays of the operating panel. Operation of the instrument is
immediately stopped.

Problem/Error Cause/Remedy
The instrument cannot be switched No mains voltage
on
In -P- or -C- mode, the dose cannot Set the therapy time first (before the dose)
be set
The display shows ERR 02 Mains voltage too high (> 260 V)
The display shows ERR 03 Mains voltage too low (< 170 V)
The display shows ERR 04...06 Power supply error
The display shows ERR 07 No emitter is connected or
• the Cable is broken
• the HF cable is not properly connected
• the emitter does not work
The display shows ERR 08...10 Power supply error
The display shows ERR 04...10 Switch on and off several times. If the error
persists, contact the Service and report the
error message.

Note Random instrument errors may conceivably occur as the result of harm-
less spikes in the power line.

8 PHYSIOTHERM-M
 Therapy using Microwaves

4 Therapy using Microwaves

4.1 General Information

PHYSIOTHERM-M allows for therapy with pulsed or continuous emission of power.

You can either select one of the fixed programmes or set the parameters as re-
quired.
Please observe the safety notes on page 3 before treatment.
Make sure the patient is comfortable while being treated and avoid hyperthermia.
Undress the area undergoing treatment, though dry clothes are safe. Watches,
glasses, jewellery and other metal objects are to be removed from the area undergo-
ing treatment. Moist bandages that cannot be taken off are a contraindication to
microwave therapy.

Caution Parts of the body with metallic implants must not be treated!

4.2 Therapy with Free Parameters

Proceed in the following way for a therapy with free selection of parameters:
(1) Switch on the instrument with the power switch <1>.
(2) Select the required therapy mode with the programme selector <3> keys (-C-
for continuous emission, -P- for pulsed mode).
(3) Set the therapy time with the therapy timer <2> keys.
(4) Select the required dose with the dose selector <4>. Twelve stages are avail-
able (5, 10, 15, 25, 35, 50, 70, 100, 120, 150, 170, 200 Watt).
Therapy is started with the selected parameters. The programme selector <3> dis-
play flashes as soon as HF radiation is emitted.

Note The selected dose and the therapy time can be lowered or raised during
therapy.

4.3 Therapy with Fixed Programmes

Proceed in the following way for a therapy with a fixed therapy programme:
(1) Switch on the instrument with the power switch <1>.
(2) Choose one of the six fixed programmes P/C-1 to P/C-6 (refer to the table be-
low).

PHYSIOTHERM-M 9
Therapy using Microwaves

(3) Press both therapy timer <2> keys simultaneously to start treatment.
When therapy time has elapsed, the instrument switches off automatically and gives
an audible signal.
Therapy can be interrupted any time by pressing the programme selector <3> key
once again.

Note During treatment, you can reduce the dose but not raise it when using a
fixed therapy programme.
You cannot change the therapy time during treatment.

The individual fixed programs have the following therapy parameters:

Programme Power (W) Therapy time (min)
P/C-1 10 5
P/C-2 25 5
P/C-3 50 7
P/C-4 70 10
P/C-5 100 10
P/C-6 150 15

4.4 Dosage

Dose, duration of treatment and number of sessions are important factors influenc-
ing the success of treatment /2/.
• Acute states require low doses, short duration of treatment (3-7 min) and more
frequent sessions (daily).
• Chronic states require higher dose, longer duration of treatment (10-15 min)
and less frequent sessions (2-3 times per week).
As a rule of thumb: The more acute the disease is, the lower the dose and the
shorter the duration of treatment; the more chronic the disease, the higher the dose
and the longer the duration of treatment.
Definition of dose stages according to Schliephake:
Dose I No feeling of warmth, below the threshold of perception (select Dose
II and turn down one stage)
Dose II Slightly perceptible feeling of warmth
Dose III Pleasant feeling of warmth
Dose IV Strong feeling of warmth, just tolerable

Overdosage is defined as a burning sensation of pain.

10 PHYSIOTHERM-M
 Therapy using Microwaves

4.5 Emitters

The universal synclinal emitter (M) is employed for treatment of larger body areas,
such as pelvis, thorax, shoulder girdle, and both knees. Due to its slightly bent
shape, the emitter is suited for treating the extremities or the spine, too.
The omni-directional emitter (R), diameter 160 mm, is used for concentrated trans-
mission of energy, e.g. when treating one shoulder, one knee etc.
The small emitter (K), diameter 65 mm, is employed for transmission of lower ener-
gies up to 25 W, preferably in ENT. The instrument automatically performs switch-
over to the lower power output.

4.6 Principles of therapeutic effectiveness

Since high-frequency energy penetrates almost without dissipation through the layer
ensuring thermal protection of the body, the subcutaneous fatty tissue, heat gen-
eration occurs in deeper tissue layers. Skin, on the other hand, warms up considera-
bly, which results in an indirect increase of circulation (reflex hyperaemia). This fact
is of importance when rating the dosage from the patient’s feeling of warmth.
When applied in appropriate doses, high frequency energy leads to an enduring
dilatation of blood vessels with improved blood flow and hyperaemia and thus en-
hanced metabolism. Resorption and bactericide effects of the blood, the carrier of
antibodies, are increased. In all, there is an activation of natural exchange and de-
fensive reactions, vitalising effects on endocrine glands, and, furthermore, spasmoly-
sant and analgesic effects.
The enhancement of physiological functions has direct influence on cell structures.
There is an increase of exchange processes inside cells, of leucopedesis, of the
phagocytic effects of leucocytes etc.
Of special importance is the selective thermogenesis. Due to their diverse electric
constants, various tissue and cell structures, in macroscopic as in microscopic ex-
tents, imply local differences in temperature by which exchange processes are accel-
erated /2/.
In this sense, nothing but thermal processes can be held responsible for the thera-
peutic effectiveness. Lately, therapeutic effects, which do not involve perceptible
warmth, have been described as specific athermal effects.
This so-called athermal dosage is promoted by the high peak power of the pulses,
whereas the energy dosage is limited. Athermal dosage can be recommended espe-
cially for treatment of the hormonal and reticulo-endothelial systems (RES) for pro-
motion of endogenous defences.

PHYSIOTHERM-M 11
Therapy using Microwaves

4.7 List of Indications

The following table offers a number of indications, which are frequently treated by
microwave therapy (also refer to section Principles of therapeutic effectiveness on
page 11).
Operation mode -P- is recommended for the above applications. For ENT applica-
tions in the head area continuous power output is often used. It is the physician’s
decision to choose between continuous and pulsed power output.
The list below does not include specific applications using pulsed power output at
small intensities, i.e. intensities that do not provide a heat effect. Please see litera-
ture on the subject for more detailed information.
On the table, emitters are referred to in the following way:
K = small emitter
R = omni-directional emitter
M = universal synclinal emitter
The figures with the type of emitter indicate the distance (cm) that ought to be kept
between the emitter and the area undergoing treatment, e.g. R5 = omni-directional
emitter, distance 5 cm.

4.7.1 Rheumatic diseases, Orthopaedics, Surgery, Neurology

Indication Programme Power Duration # of Ses- Treatment Emitter

(W) (min) sions interval
Arthritis chron. P4 70 10 10 and 2-3 per week R5/M5
more
Arthrosis
- Joints, small - 50 15 10-20 2-3 per week R5
- Joints, me- - 100 15 10-20 2-3 per week R5/M5
dium
- Joints, large P6 150 15 10-20 2-3 per week M5/R5
Lumbago, P3 50 7 2-10 1-2 per week M5
acute
Lumbago, P6 100 15 10-20 3 per week M5
chron.
Ischialgia, - 35 5 3-5 daily M5
acute
Ischialgia, P5 100 10 10-20 3 per week M5
chron.
Discopathy P5 100 10 5-10 1-2 per week M5
Phantom limb P4 70 10 10-30 2-3 per week R5
pain

12 PHYSIOTHERM-M
 Therapy using Microwaves

Haematoma P4 70 10 5-10 daily R5

(after 1-2 days)
Muscle spasms P5 100 10 When needed M5

4.7.2 Gynaecology

Indication Pro- Power Dura- Number Treatment Emitter

gramme (W) tion of Ses- interval
(min) sions
Adnexitis, acute P3 50 7 5-10 daily M5; if unilat-
eral R5
Adnexitis, P5 100 10 10-20 2-3 per M5; if unilat-
chron. week eral R5
Menstrual dis- P4 70 10 4-6 daily R5
orders

4.7.3 Internal Diseases

Indication Programme Power Duration Number Treatment Emitter

(W) (min) of Ses- interval
sions
Circulatory P4 70 10 10-20 2-3 per week R5/M5
disturbances of
the acra
Cholecystitis P4 70 10 10-15 2 per week R5

4.7.4 Dermatology

Indication Programme Power Duration Number Treatment Emitter

(W) (min) of Ses- interval
sions
Furuncles P1 10 5 3-4 daily K2
through a
dry cellu-
lose layer
Mastitis P3 50 7 3-6 1-2 per week R5
Frostbites P3 50 7 5-10 daily R5

4.7.5 Urology, Nephrology

PHYSIOTHERM-M 13
Therapy using Microwaves

Indication Programme Power Duration Number Treatment Emitter

(W) (min) of Ses- interval
sions
Renal colic P3 50 7 2-5 daily M5/R5
Cystitis, acute - 50 5 4-6 daily M5/R5
Cystitis, chron. P5 100 10 10-15 2-3 per week M5/R5

4.7.6 ENT (diseases of the ear, nose, throat area)

Indication Pro- Power Dura- Number Treatment Emitter

gramme (W) tion of Ses- interval
(min) sions
Sinusitis, acute - 5 5 5 2-3 per week K2-3
Wear eye
protector!
Sinusitis, chron P1/C1 10 5 5-10 3 per week K2-3
Wear eye
protector!
Otitis media like sinusitis

Caution For treatments in the facial area, the patient must wear the eye protec-
tor!

4.7.7 Ophthalmology
Ophthalmic diseases require special caution and should therefore be treated by spe-
cialists only! Due to the danger of cataracts, dosage must not exceed 5-10 W.

14 PHYSIOTHERM-M
 General Notes

5 General Notes
The instrument may only be operated in dry rooms designed for medical purposes,
in accordance with VDE 0107, User Class 1. These include rooms with patient beds,
physical therapy rooms and practice rooms.
Only qualified personnel who have undergone special training may operate the in-
strument!
It complies with the technical specifications of IEC 601, VDE 0750 and is assigned to
class IIb according to the Council Directive concerning Medical Devices.
It is not intended for operation in explosion hazard zones or hydrotherapy rooms.
Drastic temperature changes should be avoided, since condensation could be
caused within the instrument. Do not start up the instrument until it is in tempera-
ture equilibrium with its environment!
The instrument is to be operated properly, i.e. in accordance with the Operating In-
structions.
Never connect the patient simultaneously to a stimulation current instrument (mini-
mum distance of operation: 3 m). Otherwise, danger to the patient and damages to
the instrument cannot be excluded.
Operation close to (i.e. < 1 m) stimulation current instruments might cause fluctua-
tions in the output values of the stimulation current device.

6 Service, Repairs, Maintenance

The manufacturer is only obliged to guarantee the safety features of the instrument
in its original state.
The instrument must be operated in accordance with the Operating Instructions.
Repairs to the instrument may only be performed by parties duly authorised by
PHYSIOMED ELEKTROMEDIZIN AG. Any repairs performed by an authorised agent
must be accompanied by written certification, describing the nature and extent of
the repairs undertaken, as applicable with details regarding changes to nominal op-
erating values or the operational range. The certification must also contain the date
performed, the name of the repair company and the signature of the repairman.
When defective, components affecting the safe operation of the instrument must be
replaced by manufacturer’s original parts.
Upon request, wiring diagrams, parts lists and service instructions can be made
available to qualified technical personnel employed by the customer.
We recommend having the instrument, including all accessories, serviced at regular
intervals. Please refer to the Manufacturer Recommendations (page 19) for the
safety regulations control.
Handle the emitters with care since damage can change their output characteristics.

PHYSIOTHERM-M 15
Cleaning and Disinfection

7 Cleaning and Disinfection

Clean the device and the accessories regularly with an aldehyde-based desinfectant.
Prior to cleaning, switch off the instrument and disconnect the power lead.
The resistible plastic covers of the emitters can be cleaned or sterilized using a mois-
tened cloth. For this purpose, use alcohol (70%) or other disinfectants based on al-
dehyde.
Use a soft sponge cloth for cleaning. Be careful that no liquid substances invade the
instrument.

16 PHYSIOTHERM-M
 Technical Data

8 Technical Data
Protection class I acc. to VDE 0750 / IEC 601
Type: B

CE characterization according to Medical Devices Directive (93/42 EEC)

Class acc. to EC 93/42 IIb

Mains supply 230 VAC ± 10%

Do run the instrument only with the indicated op-
erating voltage!

Mains frequency 50 Hz

Power consumption 700 VA (max.)

Metal ceramic magnetron

Rated frequency 2,450 MHz ± 50 Hz

HF rated power 200 / 25 W

(automatic switch-over to different range when emitter is
changed)

Pulse power (maximum) 1,250 Watt

Average power 5 ... 200 Watt, 12 stages adjustable

Pulse frequency 1 ... 50 s-1

Therapy time 1 ... 30 min

Ambient temperature + 10°C ... + 40°C

Dimensions 79,0 x 40,0 x 30,0 cm

(H x W x D)

Weight 42 kg

PHYSIOTHERM-M 17
Accessories

9 Accessories

9.1 Standard Accessories

Ref.-No. Description Number

00776 * Power lead 1
00074 * Connection lead 1
00073 * Universal synclinal emitter 1
00069 Eye protector 1
00897 Operating Instructions (English) 1

*For safety reasons, PHYSIOTHERM-M is to be used exclusively with original accessories.

The use of other manufacturers' accessories is at the user's risk.

9.2 Additional Accessories

Ref.-No. Description
00071 * Omni directional emitter, 160 mm diameter
00072 * Small emitter, 65 mm diameter

18 PHYSIOTHERM-M
 Manufacturer’s Recommendations

10 Manufacturer’s Recommendations

MANUFACTURER’S RECOMMENDATIONS
SAFETY REGULATIONS CONTROL
according to Medical Devices Directive

UNIT: PHYSIOTHERM-M

MANUFACTURER: PHYSIOMED ELEKTROMEDIZIN AG

Instrument has to undergo a safety regulation control every 18 months.

EXTENT:

1. Visual inspection of the instrument, extras and accompanying papers

2. Functional testing of instrument and accessories

3. Electrical safety according to VDE 0751

Limiting value according Value first measured

to VDE 0751 (new apparatus)

3.1 Earth-conductor resistance

(including lead 3 m) 0,3 Ohm 0,10 Ohm

3.2 Substitute device leakage current

1 mA 0,60 mA

3.3 Substitute patient leakage current

5 mA (not measured)

PHYSIOTHERM-M 19
Recommended Literature

11 Recommended Literature
The following literature is recommended if you want to know more about micro-
wave therapy. Please note that all of the literature is in German. Please ask us for
suggested reading in English, if required.

/1/ H. Edel Fibel der Elektrodiagnostik und Elektrotherapie

Verlag Volk und Gesundheit Berlin 1991

/2/ W. Rentsch unter Mitarbeit von H. Edel

Kurzwellen- und Mikrowellentherapie
Gustav Fischer Verlag Jena 1985

/3/ Drexel,Becker-Casademont,Seichert
Elektro- und Lichttherapie
Hippokrates Verlag Stuttgart

/4/ Otto Gillert Elektro-Therapie

Pflaum Verlag München

12 Index
accessories, 17 metallic implants, 8
cleaning, 15 microwave therapy, 1
contraindications, 2 microwaves, 8
controls, 4 nephrology, 12
dermatology, 12 neurology, 11
dosage, 9 new apparatus, 18
dose range, 5 ophthalmology, 13
dose selector, 5 orthopaedics, 11
emitters, 10 power switch, 4
ENT, 13 programme selector, 5
function check, 6 safety notes, 3
general notes, 14 service, 14
gynaecology, 12 start-up, 6
hearing aids, 3 surgery, 11
indications, 11 technical data, 16
indicators, 4 test certificate, 19
instrument errors, 7 therapy timer, 4
internal diseases, 12 urology, 12
metal parts, 3

20 PHYSIOTHERM-M