Diatermed II

4022

User Manual

English

Revision : 09

Carci Indústria e Comércio de Aparelhos Cirúrgicos e Ortopédicos Ltda.
Made in Brazil

Diatermed II 4022
T able of Content s


























Presentation
Accessories
General Information
Symbols
Installation
Warnings and Recommendations
Physic Principles of Shortwave
Continuous and Pulsed mode shortwave
Description of Diatermed II
Controls
Control Functions
Equipment Operation
Use of Intensity and Tunning Controls
Protection Devices
Therapeutic Effects
Indications
Contraindications
Preservation and Preventive Maintenance
Corrective Maintenance
Schiliephake´s Electrode
Adjusting the Electrode Skin distance
Technical Features
Optinal Accessories
Declarations
Final Considerations
Bibliographic References
European Representative

MU_4022_ENG_Rev09_082010

Diatermed II 4022
PRESENTATION

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Carci is proud to congratulate you for the acquisition of a high technology
and security equipment. Where we are sure this equipment will satisfy the
highest quality standards.
DIATERMED II - 4022 device was designed according to NBR IEC
60601.1:1994 + amend 1:1997, IEC 60601-1-2:2006 and IEC 60601-23:1997 safety rules, which makes them a safe and reliable product.

Accessories supplied with the device
DIATERMED II – 4022







01 User manual
01 Three-pole power cable
03 Fuses 20 AG - 3 A (for use at 220 V ~ )
03 Fuses 20 AG - 5 A (for use at 127 V ~ )
02 Electrode boards in silicone (12 x 17 Cm)
02 Silicone cables for connection with electrode boards
04 Woo Separation (12 x 17 Cm)
02 Cotton packs for electrode boards

To buy optional accessories, please verify the codes at page 26, ‘Additional
Accessories ’.
If you have any doubt, please contact:
Technical Assistance Department
Rua Álvares Fagundes, 359 – São Paulo – SP – Brasil -CEP 04338-000
Tel.: (0XX11) 5621 7024 / 5622 8205
e-mail : sat@carci.com.br

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Diatermed II 4022
G EN E R A L I NF O R M A T I O N

Diatermed II 4022
Equipment symbols

The references to the clinic use of high frequency electric currents were
tested for the first time in 1890. dÁrsonval caused a high frequency current
of 1A to pass through his assistant’s and his own body. Although he knew
that similar electrical intensities at low frequencies were potentially fatal,
dÁrsonval described only a sensation of heat (Guy, 1984). Following works
led to the development of inductive and capacitive methods for the
application of high frequency currents in the body, generating a nonsuperficial heat (Guy, 1984). These methods became known as
“diathermy”, from the Greek word that means “heating by means of”.

Equipment off

Equipment on
This equipment has physiological effects.
Consult instructions manual.

Diatermed II 4022 is a high frequency equipment (27,12 MHz) for
Diathermy through Short Waves, operating in Continuous and Pulsed
modes.
This equipment may be used with plate electrodes or Schliephake’s
electrodes (optional). Plate electrodes and the connection cables are made
or vulcanized silicon rubber (unique in the national market). The quality of
the raw material employed in our electrodes and cables provide a safe and
comfortable application.

Applied part is type BF

IPX0

Schliephake’s electrodes (optional) may be adjusted in the distance
electrode-skin, which allows the movement of the concentration of heat
generated.

Not protected from harmful water penetration

Manufacturing date

It is a modern equipment, built with high quality electronic components. The
project was based on the security requirements provided by NBR IEC
60.601.1

Serial number
Manufacturer identification

Finally, we congratulate you for purchasing this equipment. Quality,
Technology and Reliability assure that Diatermed II 4022 with Continuous
and Pulsed Short Waves is a safe and highly reliable equipment.
Non-Ionizing Radiation Emission

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Diatermed II 4022

Diatermed II 4022
Electrical Installation / Connection

Cord switch

WARNINGS
CE Mark and certifying body identification
1. This device can only be operated by qualified personnel;
2. The electrode application close to the thorax may increase the risk of heart
fibrillation;

European Representative

3. Simultaneous connections of a PATIENT to a ELECTRICAL STIMULATOR
THERAPY DEVICE may result in burns where the STIMULATOR electrodes were
applied and possible damages to the stimulator;

Symbols on the pack

4. C o m b i n a t i o n t h e r a p y
Since the DIATERMED radiates an electromagnetic field that can affect
electronic circuits inside equipment in the direct vicinity, you are strongly advised
against any sort of combination in treatment whereby.

Caution fragile. Handle with care

5. Short-distance operation (for instance: 1 m) from a ELECTRICAL TIMULATOR
THERAPY DEVICE may produce instability at the STIMULATOR output;

Keep in a dry place

6. Do note place the device on a soft surface that may block the bottom
ventilation openings.

This side up. This symbol indicates the
right transport position

For a perfect device operation, we suggest electrical installations according to the
following rules:

Maximum piling. Indicates the
maximum number of boxes that can be
piled. The quantity is marked in the
intermediary square.

 Brazil:

NBR 5410/1990 – Low-voltage electrical installations;

NBR13534/1995 – Electrical installations at medical locations - Safety
requirements.

Minimum and maximum temperature
limits for transport and storage.

MU_4022_ENG_Rev09_082010

 Other Countries:
 IEC 60364-7-7 (10/2002) – Electrical Installations – medical locations;
 Or another related norm applicable in the utilization country.

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Diatermed II 4022

Diatermed II 4022

Select the operational voltage according to the local electric
network through the key “A”

Connect the three-pole power cable to connector “C”

Your equipment is ready to work.

Electric power connection
The 115/230V switch key, the fuses and the power cord connector are
located on the back of the package shell.
A: 115/230Vac Switch Key
B1 and B2: Fuse Port
C: Power cable connector

Notes:

This device is equipped with a special electronic line filter, which is intended to
avoid that part of the noise signals generated by this equipment interferes in
other equipment. The connection of the ground cable is critical for the correct
operation of the circuit.

ALTHOUGH THIS EQUIPMENT MAY OPERATE IN BOTH 115Vac AND
230Vac.

Take out the lid of the fuse Holder with the help of a Screw driver.
Take the fuse out and replace it by other of the same specification.

Install the fuses in the fuse ports “B1” and “B2”, in accordance with
the local electric network.

WE SUGGEST THAT IT BE CONNECTED TO THE 230V NETWORK

For 115Vac - use fuses type 5A - 250V size: 20 AG

For 230Vac - use fuses type 3A - 250V size: 20 AG

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This equipment generates high frequency magnetic fields that cross walls,
ceilings, floors, etc. Such magnetic fields may cause interferences in electronic
devices installed in the surroundings. In order to mitigate such interference, you
must:

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Diatermed II 4022

Install other electronic equipment at least 5 meters away.

Use a good quality grounding

Use the 230V electric network

The interference may be mitigated to acceptable levels by means of a metallic
and grounded screen placed inside the treatment box.

In cases where the interference is more severe, install a Faraday cage
(electromagnetic shielding).

Warnings and Recommendations

Diatermed II 4022

The short-wave therapy should not be applied to patients through clothing.
Conductive material should be eliminated from the treatment area;

Body of patients who have metal implants (medullary pins, for example) should
normally be excluded from the treatment area, unless special techniques are
used;

Hearing aids should be removed from the patient for treatment;

The patient must not come into contact with conductive parts that are
connected to land or have an appreciable capacitance to ground and that can
lead to unwanted paths represent current and radiofrequency. In particular,
should not be used beds or chairs with metal frame;

The connection cables associated with the applicator should be positioned so
that a patient contact or conductive objects or absorbing power is avoided.

This equipment should be operated only by qualified personnel in accordance
with the laws of the country of use;

It is recommended that the equipment operator to inspect the insulation of your
cords and applicators to check for possible damage;

Never use other output cables than those supplied with the equipment and
approved by CARCI
because there may be performance degradation and security equipment.

Do not dispose of such equipment or fittings in the trash at the end of its useful
life. There are substances in the equipment that may be harmful to nature, if not
treated properly. In need of disposal of the equipment or its accessories, refer
to the material CARCI, which will follow up accordingly.

Do not wrap the cord in order to shorten it, it may damage the appliance
through induced currents;

Keep the electrode cables parallel. Do not cross or approach them, because
there will be loss of power, damaging the unit.

Important observations:

The function of certain implanted electrical devices such as pacemakers, can
be negatively affected during treatment with short-wave therapy. If in doubt,
should be heard the recommendations of the physician responsible for patient;
The function of other equipment connected to a patient can be negatively
affected by the operation of short-wave equipment;
Patients usually should not be treated with short-wave therapy when they have
reduced their sensitivity to heat the treatment area, unless the physician
responsible for patient to be informed;

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This equipment is not adequate for use in the presence of an anesthetic
mixture capable of inflammation in contact with the air or nitrous oxide.
Furniture and Clothing
Metal parts in furniture can cause concentrations in the intensity of the
electromagnetic Field.
Therefore, use only wood furniture free of metal.
For all treatments with shortwave is advisable to strip the site to be treated in
the patient and apply a towel between the skin and the electrode.

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Diatermed II 4022

Diatermed II 4022
P H YS I C P R I NC I PL E S o f SH O R T WA V E S

Electromagnetic Interference.
The Diatermed II 4022 produces an electromagnetic field which is intended to
generate thermal and biological effects in tissues and joints of the human body.
In the open air, the strength of the electromagnetic field generated from
electrodes, cables and treated patient is reduced in quadratic form with
distance. This electromagnetic field can affect the electronics equipments
placed in the neighborhood.
For medium and low frequency physiotherapy equipments, this modulation can
become perceptible to the patient as well.
The susceptibility to electromagnetic interference of equipments from different
manufacturers can be very different. This is due to the fact that some
manufacturers are still insufficiently shielding their equipment against external
electromagnetic fields. In the event of interference, we recommend contacting
the manufacturer.

It is recommended attention to the following items in order to minimize
possibility of electromagnetic interference

High Frequency Electrotherapy
The high frequency electrotherapy is defined as the therapeutic use of
electromagnetic oscillations with frequencies superior to 300 KHz. Such
high electromagnetic frequency oscillations do not cause the depolarization
of the nerve fibers, but the electromagnetic energy may turn into thermal
energy inside the body tissue. Therapy by Short Waves is a form of high
frequency electrotherapy.
Electromagnetic radiations with frequencies between 10 MHz and 100 MHz
are known as short waves. The frequency employed in the Short Waves
diathermy is 27.12 MHz.
The relation between frequency and wavelength comes from the following
equation:
V=.f

 The greater the distance between the short-wave equipment and other
equipment, lower electromagnetic interference.
Place your shortwave unit and the patient in treatment, at least 8 meter from
other electronic equipment.

Where: V is the propagation speed of light in vacuum (300,000 Km/s)
f is the frequency (in this case, 27.12 MHz)
 is the wavelength

 Make sure there are no metal oblong conductors objects in the vicinity,
because they act as antennas (specially objects with a length of about 5,5
meters).

The heat produced by the Short Waves therapy is based on the principle
that dipolar molecules found in living tissues are made basically of water
and some proteins. These molecules are also affected by the electric fields.
The positive pole of the molecule lines up towards the negative pole of the
electric field and, this way, the alternate field of Short Waves Diathermy
cause the rotation of such molecules, since the electric field between the
electrodes is rapidly altered (about 27 million times per second). The heat
resulting from the frictional drag between adjacent molecules describes this
process as a reasonably efficient method of heating.

 Use a separate group of electric power (phase) for the shortwave
equipment. Keep power cords away.
 The high frequency will be considerably reduced when the shortwave
equipment is installed in a Faraday Gage.

The heat is generated according to the following equation:
Q = I 2. R t
Where: Q heat in Joule
I current amplitude
R ohmic resistance
t time in seconds
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Diatermed II 4022

Diatermed II 4022
Figure 4

C O N T I N UO US a n d P UL S ED M o d e SHO R T
W A VE S

Brief discharge of
Short Waves

Continuous Mode Short Waves

Resting period
between Short Wave
discharges

When Short Waves are continuously applied for a certain period of time, the
dipolar molecules of the tissue initiate a continuous oscillating movement,
which generates energy by the frictional drag between adjacent molecules,
which is then transformed into heat.

Beginning of the treatment

Continuous Short Waves

End of the treatment

The intensity of this energy is directly proportional to the modulation
frequency in the pulsed mode, that is, the lower the modulation frequency,
the lesser is the total energy amount, and vice versa.

27.12 Mhz

As in:

20 minutes period

T=1/f
Pulsed Mode Short Waves
The pulsed Short Waves consist of the application of a series of pulse trains
with a specific frequency and duration.
Figure 4 exemplifies the emission of Short Waves in pulsed mode. High
frequency (27.12 MHz) is modulated by a low frequency (selected
according to the type of treatment). The duration of the pulse trains is
always constant in 400 ms.

Where: T is the time in milliseconds (ms)
F is the frequency in Hertz (Hz)

The Pulse Duration is steady (400 ms). The conclusion is that, for the same
intensity, if the modulation frequency is increased the energy applied is also
increased, which causes the median power to increase in the same
proportion.
The median power is obtained through the following equation:

Pm = (Pp x Tp x Fp) Where: Pm is the median power
Pp is the peak power
Fp is the modulation frequency

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Diatermed II 4022
The chart below illustrates the parameters required to calculate the median
power:

Diatermed II 4022
D E SC R I PT I O N O F D I AT E R M ED I I
Diatermed II 4022 Short Waves may be used with plate electrodes (17x12
cm) or round electrodes of Schliephake type.

Pulse Recurrence Frequency

The plate electrodes come with two 0.8 cm thick distancing felt pads and a
cloth cover to involve them, which is intended to increase the electrode-skin
distance.

Pulse time
400 mts

Schliephake type electrodes (optional) are available in two sizes with
emission area measuring 85 cm2 and 130 cm2. These electrodes may
have the electrode-skin distance adjusted from 0 to 2.5 cm.

Maximum peak power

Next to the electrode outputs there is a place to install the support for
Schliephake’s electrodes, as indicated in figure 6 – A.

median power

For a more efficient use of Diatermed II 4022, the electrode cables (plates
and Schliephake) are of connection type, which allows the combination of
electrodes to be used according to the application. These electrodes
combination may be: two plates, two Schliephake, one plate and one
Schliephake; always associating the electrode-skin distance in order to
better distribute the heat and the deep heat production.

Pulse frequency

In Diatermed II, the pulsed mode frequencies (Fp) are:
45, 70, 85, 115, 145, 175, 200, 230, 300 and 400 Hz
The maximum peak power (Pp) in pulsed mode is 250 Watts (obtained with
intensity at the maximum position and tuning at 100%)
The pulse duration (Tp) is 400 ms (400 x 10

–6

There is a security device (figure 6–B) located on the top of the right side, in
which the patient may activate a protection system pulling a cord and
interrupting immediately the equipment operation.
A: Place to install the support for Schliephake’s electrodes
B: Cord switch

seconds).

Therefore, the median power for the lowest frequency, which is 45 Hz, will be:
Pm (45 Hz) = 250 x 400x10
Pm (45 Hz) = 4,5 Watts

–6

x 45

And for the highest frequency, which is 400 Hz, it will be:
Pm (400 Hz) = 250 x 400 x 10
Pm (400 Hz) = 40 Watts
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–6

x 400

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Diatermed II 4022
Controls

Diatermed II 4022
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

On/Off Key
Operation Indicator Led
“INTENSITY” and “RESET LOCK” Intensity Control
Timer Reset Key
Treatment Time Selection Key
Continuous/Pulsed Modes Selection Key
Active Pulse Mode Indicator Led
Active Continuous Mode Indicator Led
Pulse Mode Frequency Selection Key
Tuning Indicator
Tuning Controller

Control Functions
1. On/Off Key – Starts the equipment;

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2.

Operation Indicator Led - Indicates that the equipment is operating;

3.

Reset Lock and Intensity Control;
 Enables the controlling of the equipment output intensity
 “RESET LOCK” – it is a system used to protect the patient every
time the equipment is turned of or restarted.
 In order to avoid any injury to the patient, every time the equipment
is turned on or at the end of a treatment section, or after the
patient security key is activated, the intensity control must be set
back to the minimum intensity position (Reset Lock), and then the
timer must be reset by pushing the control button (4).
 This equipment will not allow the output circuit to be energized if
the intensity control is set to the minimum intensity position (Reset
Lock) and the Reset button (control 4) is pressed.

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Diatermed II 4022

Diatermed II 4022
E q u ip m e n t O p e ra t i on

4.

Timer Reset Key – Resets the timer to start a new time counting. Every
time the timer gets to the end of the selected time, a buzzer produces
a repeated signal to indicate the end of the time. To restart it and
perform a new time counting, the intensity control must be set back to
the Reset Lock position and then the Reset button must be pressed.

5.

Treatment Time Selection Key – Selects the treatment time from 10 to
30 minutes, with 5-minute intervals.

6.

Continuous/Pulsed Modes Selection Key – enables the selection of
continuous or pulsed modes.

7.

Active Pulse Mode Indicator Led.

8.

Active Continuous Mode Indicator Led.

9.

Pulse Mode Frequency Selection Key: the modulation frequencies for
the pulsed mode are: 45 Hz, 70 Hz, 85 Hz, 115 HZ, 145 Hz, 175 Hz,
200 Hz, 230 Hz, 300 Hz and 400 Hz.

1.
2.
3.
4.
5.

Place the plate or Schliephake electrodes on the patient.
Set the “INTENSITY” control (3) to the Reset Lock position.
Select the treatment time through control (5).
Select pulsed or continuous mode through control (6).
If pulsed mode is chosen, select the desired frequency through control
(9).
6. Turn the equipment on through control (1).
7. Press the Reset button (4).
8. Turn the “INTENSITY” control (3) to the desired position.
9. Through “TUNING” (control 11), tune the equipment for the maximum
energy transference to the patient. The maximum tuning will be
indicated by “%TUNING” (control 10).
10. At the end of the treatment time, a repeated sound will be heard and
the output circuit will be turned off.
11. Return the intensity control (3) to the Reset Lock position.
12. Turn the equipment off through the “ON/OFF” control (1).

U s e o f I n t e n s i t y a n d T un i n g C o n t ro l s
10. Tuning Control – enables the equipment output circuit to be tuned to
the maximum transference to the patient.
To use this control, place the electrodes on the patient, select the
desired intensity and turn this control to the right or to the left, until the
point at which the leds indicating “%TUNING” (control 11) display the
maximum indication (higher number of leds on). At this point the
equipment will be tuned.
11. Tuning Indicator – This equipment allows you to view the maximum
energy transference to the patient circuit obtained through the tuning
control (control 10).
The percentage values indicated in this function are related to the
equipment output power.

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1.

If the operation mode selected is continuous, the intensity to be used
through the “INTENSITY” control (3) will be obtained by the sensation
of light and pleasant heat, not causing discomfort to the patient.
Through the “TUNING” control (11), the maximum energy transference
to the patient is adjusted and can be seen through the “%TUNING”
control (10).

2.

If the operation mode selected is pulsed, the intensity to be used
through the “INTENSITY” control (3) and “TUNING” control (11) must
be obtained by having the “%TUNING” control (10) indicating over
80%.

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Diatermed II 4022

Diatermed II 4022

P r o t e c t io n D e v i c e s

Indications

Diatermed II 4022 has protection systems to deactivate the patient circuit
that are activated when:

The indications presented by the literature are based on biophysics
researches, which mostly coincide with those originated by the empiricism
developed by the clinical practices. These indications are fundamentally
based on the capacity of Short Waves to heat deep tissues.

a)
b)
c)

Control (6) is modified from the programmed function;
The B Patient Protection Key (figure 6 - cord) is activated by the
patient or therapist at any moment;
Momentary power failure.

Upon occurrence of any of the items above, check for the reason for which
the device was activated. To retake the application:
a)
b)
c)
d)
e)

Check if the patient has the electrodes placed
Return the “INTENSITY” control (3) to the Reset Lock position
Press the Reset control button (4)
Turn the “INTENSITY” control (3) until the desired position
Tune the equipment by the “TUNING” control (11) to the maximum
energy transference to the patient (indicated by the “%TUNING”
control (10)).

Short Waves have been used successfully as an adjuvant therapy in the
following general cases (non-exhaustive list):

Indications for Pulsed Short Wave Therapy
A- Post-Traumatic Diseases:
Contusion
Contracture
Rupture
Fracture
Hematoma
Lacerations
It is very important that the treatment of these disease and wounds starts
as soon as possible.

T H ER AP E UT I C E F F E CT S




Increase of blood flow
Reinforces the healing of inflammations
Increases the extensibility of deep collagenous tissues
Decreases the articular rigidity
Relief for muscular pains and spasms

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B-

Postoperative diseases:
Post-operation of the mandible
Post-operation of foot and thigh.

C-

Inflammations :
Chronic osteitis
Bursitis
Sinusitis

D-

Peripheral Circulatory Diseases

E-

Internal Organ Diseases

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Diatermed II 4022

Do not apply locally (with exception of “submitis” dose) since it is difficult for the
tissue in question to adapt to the
supplied heat.

Indications for Continuous Short Wave therapy:
Inflammatory processes,
Distensions,
Sprains,
Luxations,
Fractures,
Trauma of soft tissues in general, boils,
Cellulite,
Neuralgia,
Neuritides,
Hemiplegia,
Otitis,
Mastitis,
Sinusitis.

ACUTE INFECTIOUS DISEASES , ACUTE INFLAMMATIONS Unproven Contraindications
(but Particularly traditional)
OSTEOPOROSIS –
TISSUES THAT DIVIDE RAPIDLY HEMOPHILIA –
USE OF ANTICOAGULANT DRUGS –
General note:Short wave diathermy must be used with precaution on areas of sensorial
affectation. Special care is also needed for debilitated patients, since the
dosimeter depends largely on the sensation of heat felt on the part of the
patient. Pain is an indicator that excessive heat is being produced.

CONTRAINDICATIONS TO THE USE OF DIATHERMY
In all these years a large number of contraindications for short wave
therapy were identified. Some are clearly documented, others are based on
suppositions. Others depend on dose or on location. For these reasons, the
contraindications are divided into:

Absolute Contraindications

The Short Waves therapy is contraindicated in the following cases (nonexhaustive list):

P r e s e r v a t io n a n d P re v e n t i v e M a i n t e n a n c e

MALIGNANT TUMORS –
IMPLANTED ELECTRONIC DEVICE –
PACEMAKERS AND HEARING AIDS –
PREGNANCY –
TUBERCULOSIS –
FEVER –
RHEUMATOID ARHTRITIS -



Relative Contraindications
IMPLANTED METALS –
HEAT SENSITIVITY PROBLEMS –
SEVERE ARTERIAL AND VENOUS CIRCULATORY PROBLEMS such as
ARTERIOSCLEROSIS,THROMBOSIS, ETC. –

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Diatermed II 4022

23

We recommend that your Diatermed II be inspected and calibrated
once a year.
Be sure that the device is unplugged from the main energy source
before cleaning the equipment.
Use only a cloth dampened in water and soap to clean the equipment
cover. Do not clean by pulverization or immersion.
Control regularly the energy source and the power cable connection to
the electric network. Do not coil the power cable to make it shorter, for it
may harm the equipment by causing induced currents.
Always keep the electrode cables parallel. Do not cross them or put
them too close, otherwise there will be loss of power, which reduces the
life of the valves.
Control regularly the electrode cable connections to the equipment and
the plates (or Schliephake).

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Diatermed II 4022

Diatermed II 4022

C o rr e c ti v e M a i n t e n a n c e
Problems


Equipment does
not turn on


Power On
Indicator lights up

but the timer do
not start
Equipment turns
on, but the
Tuning % control
does not work



Tuning %
Indicator does not

exceed 60 %

Patient reports
heating in only
one electrode

MU_4022_ENG_Rev09_082010

• A – Fuse Protecion Holder for Valves
(tubes).

Solutions



Check if the power cable is connected to
the electric network
Check for the integrity of the power
cable
Check if the fuses are burned out

• Localized at Equipment base
1,0A 250V~ ( 20 AG )

Contact the technical assistance

Picture 7

Check the fuse A (figure 7) of 1,0 A,
located under the equipment (red cover)
and replace it.
If the failure remains, contact the
technical assistance.
Check the integrity of the electrode
cables (cable continuity).
Check the cable connection to the
electrodes (plates or Schliephack)
Check the electrode-skin distance,
increasing or decreasing it.
If it does not resolve the problem,
contact the technical assistance.

S c h l ie p h a k e ’ s El e c t ro d e
The Schliephake’s electrode is an optional accessory.
After the installation of the Schliephake’s electrodes (installation guide goes
with the Schliephake’s electrode) follow the details of the electrode support
fixation below:

Check the electrodes and cables.
Check the electrode-skin distance.
Check the cable connection to the
equipment.
25

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Diatermed II 4022

Diatermed II 4022

To connect Diatermed II with the Schliephake’s electrodes, use the plate
electrode cables as indicated in the figures below:

The following illustrations demonstrate the distribution of the heat
concentration by varying the electrode-skin distance:
A) Big electrode-skin distance,
with electrodes of the same
size, the field lines are deep.

B) Small electrode-skin distance
with electrodes of the same
size, the field lines are
superficial.

C) Big electrode-skin distance,
with electrodes of different
sizes, the field lines concentrate
in the smaller electrode.

D) Different electrode-skin
distance, with electrodes of the
same size, the field lines
concentrate in the electrode
closer to the skin.

A d j u s t i n g t h e E l e c t ro d e - Sk i n D i s t a n c e
The Schliephake’s electrodes of Diatermed II 4022 have a graduation for
the electrode-skin distance from 0.0 cm to 2.5 cm. To achieve the desired
distance, hold the electrode as indicated in the figure and spin it counter
clockwise, until the distance indication appears, as indicated in figure 12.
Each indication is equivalent to a distance of 0.5 cm.
Figure 12

MU_4022_ENG_Rev09_082010

27

MU_4022_ENG_Rev09_082010

28

Diatermed II 4022

Diatermed II 4022
Environmental temperature
Relative humidity
Atmospheric pressure

Technical F eatures

Operation Frequency

: 27.12 MHz  1%


Type of therapy mode
: Continuous and Pulsed
Maximum Power in the Patient Circuit (Phantom Load)
o Continuous Mode
: 240 Watts  10 %
o Pulsed Mode
: 300 Watts  10 %



Pulsed Mode Parameters:
Pulse Width
Pulse Frequency

Timer

: 10 to 30 minutes (10%)
With 5-minute intervals

Mains Supply

: 115 / 230 Volts  10 %
50/60 Hz

O p tio n a l Ac c es s o r ie s

: 0.4 ms. ( 5 %)
: 45, 75, 85, 115, 145, 175,
200, 230, 300, 400Hz (5%)

---------------------------------------------------------------------------------------------------
Classification according to NBR IEC 60601.1 and NBR IEC 60601.2.3 rules:
- Type of protection against electrical shocks:.....................
class I
- Protection level against electrical shocks of the applied part: BF type
- Protection level against harmful water penetration:
IPX0
- Disinfection methods:
see preventive maintenance
- Safety degree of application in the presence of anesthetic mixture inflammable
with air, oxygen or nitrous oxide:
not applicable
- Operation mode:
continuous
----------------------------------------------------------------------------------------------------

Fuses

: 5A 20AG for 115 Volts
3A 20AG for 230 Volts

Maximum Consumption

: 370 VA




Dimensions
Gross Weight
TM
UMDNS Classification
Equipment Working Conditions:
Environmental temperature
Relative humidity
Atmospheric pressure

: 49 x 74 x 30 (W x H x L) Cm
: 33 Kg
: 11-248

o

: 5ºC to 50 C
: 20% to 80%
: 500 to 1060hPa














User manual
Schliepack Electrode
Complete Set of Articulate arms (Schliephake elec.)
Circular Electrode for Schliephake (17 cm Ø)
Circular Electrode for Schliephake (13 cm Ø)
Circular Electrode for Schliephake (8,5 cm Ø)
Fuse 1,0A 250V
20AG
Three-pole power cable
Fuses 20 AG - 3 A (for use at 220 V )
Fuses 20 AG - 5 A (for use at 110 V)
Electrode boards in silicone (12 x 17 Cm)
Silicone cables for connection with electrode boards
Woo Separation (12 x 17 Cm)
Cotton packs for electrode boards

Code 13921G
Code 4024S
Code 05548
Code 13918G
Code 13919G
Code 13920G
Code 10308G
Code 14747G
Code 13735G
Code 13736G
Code 10266G
Code 14641G
Code 10275G
Code 10349G

Note: In case of accessory replacement, only those recommended by
CARCI should be used. The use of accessories not specified by CARCI
may affect the equipment safety. CARCI shall not be responsible if that
occurs.
Electric Schemes, circuits and lists of parts are not provided to final
consumers. Should it be required, contact Carci’s Authorized Technical
Assistance.

: 5ºC to 40ºC
: 20% to 80%
: 700 to 1060hPa

Environmental conditions for transportation and storage:

MU_4022_ENG_Rev09_082010

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30

Diatermed II 4022
MANUFACTURER’S DECLARATION AND INSTRUCTION –
ELECTROMAGNETIC EMISSIONS
DIATERMED II 4022 should be used in the electromagnetic environment described
as follows. DIATERMED II 4022 purchaser or operator should be aware that the
device operation is being done in such environment.
Electromagnetic environment
Emission tests
Compliance
- instructions
DIATERMED II 4022 uses RF
energy only for its internal
functioning. This way, its RF
RF Emission
Group 1
emission is very low and it is not
CISPR 11
probable that it causes any
interference in another electronic
device nearby.
RF Emission
DIATERMED II 4022 is intended
Class B
CISPR 11
for
utilization
in
all
establishments,
including
Harmonic Emission
Class A
household applications and
IEC 61000-3-2
those directly connected to the
Voltage Floating / Flicker
utility power supply that provides
Emission
According to
for constructions of household
IEC 61000-3-3
purposes.

MANUFACTURER’S DECLARATION AND INSTRUCTION –
ELECTROMAGNETIC IMMUNITY
DIATERMED II 4022 should be used in the electromagnetic environment described
as follows. DIATERMED II 4022 purchaser or operator should be aware that is
operating the device in such environment.
Electromagnetic
Test level of
Compliance
Immunity tests
environment IEC 60601
level
instructions
The floor should be made
of wood, concrete or
Electrostatic
± 6 kV contact
± 6 kV contact ceramic. If covered with
discharge
± 8 kV air
± 8 kV air
synthetic
material,
the
IEC 61000-4-2
relative air humidity should
be min. 30%.

MU_4022_ENG_Rev09_082010

31

Diatermed II 4022
Fast transients /
Blasts
IEC 61000-4-4

± 2 kV power
supply line
± 1 kV signal
input and output
line

Surge
IEC 61000-4-5

±
1
kV
differential mode
± 2 kV common
mode

±
1
kV
differential
mode
±
2
kV
common
mode

<5% Ut
(>95%
Ut
reduction)
For 0.5 cycle

<5% Ut
(>95%
Ut
reduction)
For 0.5 cycle

40% Ut
(60%
reduction)
For 5 cycles

40% Ut
(60%
Ut
reduction)
For 5 cycles

Voltage failures,
short
interruptions
and voltage
variations in
power supply.
IEC 61000-4-11

Magnetic fields
of utility
frequencies
(50/60 Hz)
IEC 61000-4-8

Ut

± 2 kV power
supply
Not applicable

70% Ut
(30%
Ut
reduction)
For 25 cycles

70% Ut
(30%
Ut
reduction)
For 25 cycles

<5% Ut
(>95%
reduction)
For 5 s

<5% Ut
(>95%
reduction)
For 5 s

Ut

3 A/m

3 A/m

The
electrical
system
quality should be that of a
typical
hospital
or
commercial environment.

Ut

The magnetic fields of utility
frequencies
should
be
levels of typical hospital or
commercial environment.

Note: Ut is the utility voltage C.A before the test level application.
Conducted
RF
IEC 61000-4-

3 Vrms
150 kHz to
80 MHz

MU_4022_ENG_Rev09_082010

3V

Portable and mobile devices of RF
communications should not be
used closer to any DIATERMED II

32

6
3 V/m

Irradiated RF
IEC 61000-43

3 V/m
80 MHz to
2.5 GHz

Diatermed II 4022

Diatermed II 4022

4022 part - including cables - than
the distance recommended as
calculated through the equation
applicable to the transmitter
frequency.
Recommended distance:

base (mobile/wireless) and land mobile radio stations, amateur radio stations
and AM, FM and TV radiobroadcast stations cannot be theoretically identified
with precision. In order to evaluate the electromagnetic environment caused by
fixed RF transmitters, a study on the site electromagnetic field should be taken
into account. If the field intensity measured at the site where DIATERMED II
4022 is used exceeds the compliance level above, DIATERMED II 4022 should
be checked for normal operation. If abnormal performance is observed,
additional measures should be taken, such as DIATERMED II 4022
reorientation or reallocation;
For any value above the frequency scale of 150 kHz to 80 MHz, the field
intensity should be less than 3 V/m.

d  1,17. P
d  1,17. P

80 MHz to 800

MHz

d  2,3. P

800 MHz to 2.5

GHz
Where P is the max. output power
of the transmitter in watts (W),
according to the transmitter
manufacturer, and d is the
recommended distance in meters
(m).
The field generated by fixed RF
transmitters,
as
determined
through an on-site electromagnetic
a
field study , should be lower than
the compliance level in each
frequency rangeb.
Interferences may occur in the
neighboring area of the equipment
with the following symbol:

NOTE 1: within the of 80 MHz and 800 MHz, the highest range frequency should be
applied.
NOTE 2: This procedure may not be applicable to all situations. The electromagnet
propagation is affected by absorption and reflection of structures, objects and
people.
a. The intensity of fields generated by fixed transmitters, such as telephone radio-

MU_4022_ENG_Rev09_082010

33

b.

Distances recommended between portable and mobile RF communications
devices and DIATERMED II 4022
DIATERMED II 4022 should be used in electromagnetic environment where RF
disturbances are controlled. DIATERMED II 4022 purchaser or operator can help
prevent electromagnetic interferences by keeping the minimum distance between
portable and mobile (transmitter) RF communications devices and DIATERMED II
4022, as recommended below, according to the maximum output power of the
communications equipment.
Distance according to the transmitter frequency
Declared value of
max. output power of
the transmitter (W)

150 kHz to 80
MHz

80 MHz to 800
MHz

800 MHz to 2.5
GHz

d  1,17 P

d  1,17 P

d  2,3 P

0.01
11.70 cm
11.70 cm
23.00 cm
0.1
37.00 cm
37.00 cm
72.70 cm
1
1.17 m
1.17 m
2.30 m
10
3.70 m
3.70 m
7.27 m
100
11.70 m
11.70 m
23.00 m
For transmitters with declared value of max. output power not listed above, the
recommended distance (d in meters) may be determined through the equation
applicable to the transmitter frequency, where P is the max. output power of the
transmitter in watts (W), according to the transmitter manufacturer.
NOTE 1: between 80 MHz and 800 MHz: the highest frequency distance should be
applied.
NOTE 2: this procedure may be applied to all situations. The electromagnet
propagation is affected by absorption and reflection of structures, objects and
people.

MU_4022_ENG_Rev09_082010

34

Diatermed II 4022
F i n a l C o n s i d e ra t i o n s
Carci has striven its best efforts regarding the quality of its products. Carci
reserves itself the rights to perform any changes in design and
specifications, as well as add items and improve its products without any
obligation to install such additions or improvements in products previously
manufactured.
The texts, illustrations and specifications included in this guide are based
on information available by the time of printing.
All rights reserved.
This manual cannot be totally or partially reproduced without previous
written consent by Carci.

Diatermed II 4022
Technician in Charge:
Orlando Orlandi Melo de Carvalho
Registered in CREA/SP³ under number 5061377287/D
³ The Regional Council of Engineering, Architecture and Agronomy

B i b l i o g ra p h i c R e f e re n c e s
Eletroterapia de Clayton -Sheila Kitchen and Sarah Bazin, Editora
Manole, 10 edição.
Thermal Agents in Rehabilitation - Susan L.
Contemporary Perspectives in Rehabilitation, 3 Edition.

Manufacturer Data

Michlovitz,

Principles and Practice of Electrotherapy - Joseph Kahn, PhD, PT.
CARCI Indústria and Comércio de Aparelhos Cirúrgicos and Ortopédicos Ltda.
Corporate Taxpayer Registration (CNPJ) no.: 61.461.034/0001-78
State Registration (I.E.) no.: 110.182.450.113
Address: Rua Álvares Fagundes, 359 – São Paulo-SP - Brazil - CEP 04338-000
Telephone: (55 11) 3346-2100
Fax: (55 11) 3270-8027
e-mail : carci@carci.com.br
web site : www.carci.com.br

European Representative
OBELIS SA
34, Av. de Tervuren, bte 44
B – 1040 Brussels , BELGIUM
Tel: (32) 2.732.59.54
Fax: (32) 2.732.60.03

Registration of Carci with the Ministry of Health: MS-1.03.142-9
For Technical Assistance:
Departamento de Assistência Técnica [Technical Assistance Department]
[Address] Rua Álvares Fagundes, 359 – São Paulo [City] – SP [State of
São Paulo] – Brazil – CEP [Zip Code] 04338-000
Telephone: (55 11) 3272 0724
e-mail: sat@carci.com.br

MU_4022_ENG_Rev09_082010

35

E-mail: mail@obelis.net
W AR R ANT Y C ERT IF IC AT E AT T ACH ED

MU_4022_ENG_Rev09_082010

36