Physiomed Physioson Expert Operating Instructions Manual 34

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OPERATING INSTRUCTIONS
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PHYSIOSON-Expert
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00851 GB
All manuals and user guides at all-guides.com
The technical data in this manual is as at the time of printing and subject to alteration.
Copyright © 2000 - 2010 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.
Last updated August 30, 2010.

Instrument Overview
Front Panel 7
4 10 3 5 11 6
Rear Plate
12
Legend
1 Mains Module 5 Data Selector 9 Indications Menu

2 Upper Status Bar 6 Dose Control 10 Setup Menu
3 Display 7 Dose Indicator 11 Transducer Connectors
4 Lower Status Bar 8 Individual Programs 12 SIM Socket
Symbols
CAUTION!
Please refer to the operating instructions and consider the physiological effects!
Type BF component, not connected to protective ground wire.

Contents
1 Introduction...................................................................................................................... 1
1.1 Description....................................................................................................................................1
1.2 Application ...................................................................................................................................1
1.3 Contraindications .........................................................................................................................2
2 Controls and Indicators.................................................................................................... 3

2.1 Function of Controls and Indicators ...........................................................................................3
2.1.1 Mains Module <1>......................................................................................................................3
2.1.2 Upper Status Bar <2> ..................................................................................................................4
2.1.3 Display <3> .................................................................................................................................4
2.1.4 Lower Status Bar <4> ..................................................................................................................4
2.1.5 Data Selector <5> .......................................................................................................................4
2.1.6 Dose Control <6>........................................................................................................................5
2.1.7 Dose Indicator <7>......................................................................................................................5
2.1.8 Individual Programs <8>..............................................................................................................5
2.1.9 Indications Menu <9> .................................................................................................................6
2.1.10 Setup Menu <10> .......................................................................................................................6
2.1.11 Transducer Connectors <11> ......................................................................................................6
2.1.12 SIM Socket <12>.........................................................................................................................6
2.2 Overview of Parameters..............................................................................................................7
3 Notes on Operation ......................................................................................................... 9

3.1 Connection and Start-up .............................................................................................................9
3.2 Device start-up .............................................................................................................................9
3.3 Function check..............................................................................................................................9
3.4 Instrument Errors ...................................................................................................................... 10
4 Ultrasound Therapy ....................................................................................................... 11

4.1 General Information ................................................................................................................. 11
4.2 Therapy ...................................................................................................................................... 11
4.3 TPS .............................................................................................................................................. 12
5 Simultaneous Therapy ................................................................................................... 14
6 Indications Menu............................................................................................................ 16
7 Individual Programs ....................................................................................................... 18

7.1 Save and Edit Program ............................................................................................................. 18
7.2 Start Program ............................................................................................................................ 18
8 Basic Settings.................................................................................................................. 20
8.1 Setup Menu ............................................................................................................................... 21
9 General Notes................................................................................................................. 22
10 Service, Repairs, Maintenance ...................................................................................... 22
11 Cleaning and Disinfection ............................................................................................. 23
12 Connecting a Stimulation Current Unit ........................................................................ 23
13 Technical Data ................................................................................................................ 24

14 Accessories...................................................................................................................... 25
14.1 Standard Accessories ............................................................................................................ 25
14.2 Other Accessories .................................................................................................................. 25
15 Manufacturer’s Recommendations ............................................................................... 27
16 Index ............................................................................................................................... 28
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Introduction
1 Introduction
With your PHYSIOSON-Expert, you have acquired a high-tech ultrasound 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
familiarize yourself with the use of the instrument.
1.1 Description
PHYSIOSON-Expert is a modern, easy-to-handle ultrasound therapy unit with LCD.

Both transducers (2.5 cm2/ 5 cm2) work with the frequencies 1 and 3 MHz.
Therapy with the PHYSIOSON-Expert may be accessed directly or, by a proposed
treatment, through the indications menu. Moreover the unit enables you to memo-
rize 20 individually adjustable and quickly called treatment programs.
The ultrasound may be applied in continuous as well as in pulsed mode. The unit
can be combined with stimulation current units (simultaneous therapy). The
transducers are watertight and may be used for underwater treatment.
All functions of the PHYSIOSON-Expert are controlled by a microprocessor, which
also continuously monitors all important components and suppresses erroneously
initiated operating steps. After switch-on, all instrument functions are checked dur-
ing an automatic self-test routine.
The instrument meets the requirements of the EC Directive concerning medical de-
vices (93/42/EEC) and is therefore CE-labelled.
1.2 Application
PHYSIOSON-Expert was designed for the following applications:

• Punctual heat therapy in the reach of joints, nerves, tendons and muscles
• Pain treatment in case of arthrosis and non-articular rheumatism
• Trophism improvement in case of posttraumatic conditions and Ulcus cruris
• Supporting passive and active exercises
Simultaneous Therapy
• The instrument can be used for simultaneous application of stimulation current
and ultrasound (together with an external stimulation current therapy instru-
ment).
Warning The instrument should only be used by qualified personnel who have
undergone special training!
PHYSIOSON-Expert 1
Introduction
1.3 Contraindications
Contraindications to ultrasound therapy and simultaneous therapy:

• Fever-prone disorders and acute inflammatory processes
• Pregnancy
• Tuberculosis, gastric ulcer
• Vascular disorders of the extremities (thrombophlebitis, thrombosis, varicosis)
• Tumors
• Circulatory insufficiency, coronary diseases, bradyarrhythmia
• Acute articular rheumatism
• Diabetes mellitus
• Septic inflammations
• Conditions following radiothorium treatments, X-ray therapy
• Laminectomy
• Skin lesions (infections, inflammatory processes, naevi)
• Tumescence
• Blood coagulation diseases
Do not apply ultrasound close to the brain, spinal cord and eyes.
2 PHYSIOSON-Expert
Controls and Indicators
2 Controls and Indicators

Due to the subdivision of its comfort LCD, PHYSIOSON-Expert allows for easy opera-
tion despite of its vast range of functions.
The plastic housing and the front panel protect the electronic components and sim-
plify cleaning.
Safety-related components are continuously monitored by the microprocessor, erro-
neously initiated operating steps are suppressed, a self-test routine is performed af-
ter switch-on and, in case of a malfunction, the transducers are automatically cut
off.
2.1 Function of Controls and Indicators
In the following section we will introduce the individual controls and indicators of
PHYSIOSON-Expert. The numbers in angle brackets refer to the Instrument Overview
at the beginning of this manual.
2.1.1 Mains Module <1>
The mains module <1> with mains supply, fuses and mains switch
is situated at the rear side of the apparatus.
For mains supply do only use the mains cable provided by the
manufacturer.
PHYSIOSON-Expert is switched on and off by using the integrated
mains switch. After switching on, a self-test and the calibration of
the transducers are automatically carried out by the instrument (cf.
Notes on Operation on page 8).
Setting the line voltage

After replacing the fuses you can run the apparatus with 230 V as well as 115 V
simply by using the rotatable fuse carrier at the mains module <1>. Fuses are situ-
ated under the cover of the mains module <1> in a fuse carrier. (Refer to section
Technical Data on page 24 for safety data.)
Replace 500 mA fuses with 1 A fuses, turn the fuse carrier by 180° and insert it
again, so that the “red window” of the mains module <1> reads “115 V”, after
the cover has been closed again.
Warning Set the line voltage at the mains module to match the incoming line
voltage.
PHYSIOSON-Expert 3
2.1.2 Upper Status Bar <2>

The upper status bar <2> shows the corresponding parameters selected:
• Ultrasound therapy / simultaneous therapy
• Mode (duty cycle / continuous mode)
• Frequency (1 MHz / 3 MHz)
• Transducer activated (5 cm2 / 2.5 cm2)
• Optic coupling confirmation (with dose turned high)
• Acoustic coupling confirmation (optional, with dose turned high)
More information on the individual symbols can be found in section Overview of Pa-
rameters on page 7.
2.1.3 Display <3>

In the display <3>, you can select all
of the instrument’s parameters except
for the dose. Selection is carried out
using the data selector <5>.
An overview of the individual options
can be found in section Overview of
Parameters on page 7.
2.1.4 Lower Status Bar <4>

In the lower status bar <4>, messages and prompts are issued, e.g.:
Plug in head. When selecting an indication (cf. page 16), the name of the indication
is issued. When selecting an individual program (cf. page 18), the currently selected
parameters are displayed.
2.1.5 Data Selector <5>

Use the data selector <5> to select the therapy pa-
rameters and to operate the instrument using the
cursor. After switching on the instrument, the cursor
is located at the therapy timer of the display <3>.
To select a parameter move the cursor to the relevant
field by turning the selector. After pressing the selec-
tor, the cursor will begin flashing. You will then be
able to select the parameters by turning the selector
and confirm the selected value by pressing the selec-
tor again (cursor stops flashing).
The modified values are displayed in the upper status bar <2> or at the relevant
position of the display <3>.
4 PHYSIOSON-Expert
2.1.6 Dose Control <6>

The dose control <6> serves for setting the therapy dose in
steps of 0,1 W/cm2. When turning up the dose, the therapy
timer is started in the display <3>.
Whenever you have to set the dose control <6> to “0”, the
following turn-down signal is displayed on the lower status
bar <4>:
For safety reasons, the dose control <6> is linked with the data selector <5>.
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With the dose turned high, safety-related parameters cannot be varied. At the at-
tempt to alter a parameter, the turn-down signal ( ) appears in the lower
status bar <4> and an acoustic signal is issued.
As safety-related components are considered:
, , ,
after turning the dose down to 0.

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and (when turning high).
The indications menu <9> and the setup menu <10>, too, can only be accessed
The instrument has a dose memory, i.e. the dose value selected is set upon the first
coupling and cannot be increased any more afterwards. The set value is indicated by
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a marker showing the corresponding dose value.
Note In order to prevent an overdose, PHYSIOSON-Expert automatically

switches to pulsed mode 2:5 as soon as the set dose limit is exceeded
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in continuous mode. This limit is set to 2 W/cm2 by default but may be

adjusted in the basic settings (cf. Basic Settings on page 20).
2.1.7 Dose Indicator <7>

The dose indicator <7> indicates the therapy dose se-
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lected. The dose can be displayed in W/cm2 or W (op-

tional, setup menu <7> or basic settings).
For the procedure and features of selecting the parameters see dose control <6>.
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Note For reasons of safety, the following option may be selected in the
setup menu: Increasing the ultrasound dose after the ultrasound has
coupled (marker appears in the upper status bar <2>) is only possible
after prior turning down the dose with dose control <6>.
2.1.8 Individual Programs <8>

In the individual programs <8>, individual treatment programs
and frequent standard applications can be memorized on a
short-term or long-term basis. More information can be found
on page 18.
PHYSIOSON-Expert 5
2.1.9 Indications Menu <9>

The indications menu <9> enables you to access therapy via an
alphabetically sorted indications menu, with automatic call of a
treatment program featuring a suggested dose. More informa-
tion can be found on page 16.
2.1.10 Setup Menu <10>

In the setup menu <10>, the basic settings may be selected.
More information can be found on page 20.
2.1.11 Transducer Connectors <11>

Through the transducer connectors <11> the
ultrasonic transducers are connected to the
instrument. The microprocessor recognizes
which transducer has been connected to which
of the two connectors. The transducers are
automatically calibrated after connecting the
transducer(s) and/or switching on the instru-
ment.
Ultrasonic Transducers
The ultrasonic transducers (2.5 cm2 and 5
cm2) work with the frequencies 1 MHz and 3
MHz. The transducers are automatically cali-
brated after connecting and/ or switching on
the instrument.
The transducers offer the highest possible safety
for ultrasound output. They are watertight and
can be used for underwater treatment.
Automatic Coupling Confirmation

There is an optical coupling confirmation at the transducers which goes out as soon
as there is efficient coupling. A further optical coupling confirmation is located in
the upper status bar <2>. It enables you to counter-check with the optical cou-
pling confirmation at the transducer. Just as the acoustic coupling confirmation, it
may be activated in the basic settings.
Warning The transducers contain fragile ceramic piezo-resonators. Avoid shocks

to the surface and take special care that they are not dropped. Han-
dling malpractices can change the characteristics of the resonator.
2.1.12 SIM Socket <12>

The SIM socket <12> serves for connecting the unit with a
stimulation current unit PHYSIOMED-Expert for simultaneous
therapy (cf. Simultaneous Therapy on page 11).
6 PHYSIOSON-Expert
2.2 Overview of Parameters
On the display <3> you can set values for all therapy parameters. The current set-
tings are displayed on the upper status bar <2>.
upper status bar <2>
selected dose
ultrasound
parameters
therapy time
lower
status bar <4>
setup menu <10>

indications menu <9> TPS menu
The symbols on the display <3> have the following significance. The corresponding
symbols which are displayed on the upper status bar <2> when active, are shown
in the right column:
Type of ultrasound treatment

ultrasound only
simultaneous treatment
(ultrasound + stimulation current)
Acoustic coupling confirmation

ACTIVE
(-) INACTIVE
Individual programs (user-defined)
Therapy mode (ultrasound output)

cont. continuous ultrasound output
1:10 pulsed ultrasound output with the indicated duty cy-
cle
(possible values 2:5, 1:3, 1:5, 1:10)
PHYSIOSON-Expert 7
Treatment frequency of ultrasound

(1 MHz or 3 MHz)
Size of the transducer / coupling

large transducer (5 cm2) active
coupling sufficient (with dose turned high)
small transducer (2,5 cm2) active
coupling sufficient (with dose turned high)
Selected intensity; the marker (arrow) shows the fixed dose

which cannot be exceeded during treatment (automatic
memory)
Selected therapy time
Example: Symbols on the upper status bar:
pulsed ultrasound output, large transducer

ultrasound duty cycle 1:10 active
ultrasound treatment (only) ultrasonic frequency acoustic coupling

1 MHz confirmation active
8 PHYSIOSON-Expert
Notes on Operation
3 Notes on Operation
3.1 Connection and Start-up

Connecting the unit
(1) Check whether the operating voltage of the device (see red window in the
mains module) <1> ) and the line voltage correspond.
(2) Plug the supplied mains lead firmly into the rear panel of the device (mains
module <1>) and connect it to the socket. A safe connection is established via
a grounding socket outlet with ground wire.
3.2 Device start-up
Note Prior to switching on the device, please make sure that the activated
ultrasonic transducer is outside the water in a clean condition.
(3) Make sure that the instrument is switched off.

(4) Turn the dose control <6> to 0.
(5) Plug the transducers into the transducer connector <11>.
(6) Switch on the device with the mains switch (mains module <1>).
The instrument will carry out an automatic function check during which all
functions and output values are checked and the transducer is calibrated.
An audible signal is issued.
The instrument is ready now. The parameters of the last treatment are preset.
3.3 Function check
(1) Turn the dose control <6> to 0.

(2) Switch the device off and on with the mains switch (mains module <1>).
The instrument will carry out an automatic function check during which all
functions and output values are checked and the transducer is calibrated.
An audible signal is issued.
The instrument is ready now. The parameters of the last treatment are preset.
PHYSIOSON-Expert 9
Notes on Operation
3.4 Instrument Errors
If a functional error is detected during the automatic self-test routine or during op-
eration, the instrument will be switched off, the transducers will be cut off and a
special error code will be displayed. These error codes (e.g. “ERROR 10“) simplify
the localization and elimination of errors.
The LCD shows:
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Switch off the instrument and switch it on again. If the error code is still displayed
after several runs through the self-test routine, contact your service partner.
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Note Random instrument errors may conceivably occur as the result of harm-
less spikes in the power line.
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Ultrasound Therapy
4 Ultrasound Therapy
4.1 General Information
The PHYSIOSON-Expert offers you three possibilities to start the ultrasound therapy:
• direct start,
• start via the indications menu with its proposals for treatment for a multitude
of applications (page 16),
• start via individual programs (created by yourself) (page 18).
See the supplied ultrasound therapy booklet for additional information.
4.2 Therapy
Therapy Procedure
Make sure that the instrument is ready.
(3) Choose the appropriate transducer and plug it into the transducer connector
<11>.
(4) Apply ultrasound gel to the area of treatment.
(5) Set the therapy time.
(6) Select the therapy mode using the function MODE .
Note In order to prevent an overdose, PHYSIOSON-Expert automatically

switches to pulsed mode 2:5 as soon as the set dose limit is exceeded
in continuous mode.
This limit is set to 2W/cm2 by default but may be adjusted in the basic
settings (cf. Basic Settings on page 20).
(7) Select the ultrasonic frequency.

(8) Activate the acoustic coupling confirmation, if required.
(9) Turn up the dose with the dose control <6>.
PHYSIOSON-Expert 11
Ultrasound Therapy
Note For reasons of safety, the following option may be selected in the
setup menu: Increasing the ultrasound dose after the ultrasound has
coupled (marker appears in the upper status bar <2>) is only possible
after prior turning down the dose with dose control <6>.
(10) Check the coupling confirmation by lifting the transducer shortly from the pa-
tients’ tissue.
The therapy timer switches off as soon as the treatment is finished.
Automatic Coupling Confirmation

The automatic coupling confirmation of the unit ensures efficient therapy at any
time. In the case of insufficient ultrasound transfer to the tissue, the LED at the
transducer as well as the coupling confirmation at the instrument (upper status
bar <2>) will light up. Apply more ultrasound gel until the coupling confirmation
goes out. With insufficient coupling (lamp lit) the therapy timer either automatically
stops running (see setting in the setup menu <10>), i.e. only efficient therapy time
is counted, or it continues running, i.e. the entire therapy time is counted independ-
ently of the coupling.
We recommend checking the function of the coupling confirmation by shortly re-
moving the transducer from the patient's tissue prior to treatment.
Warning Move the ultrasonic transducer constantly on the patient's skin (dy-
namic treatment)! Make sure that the transducer never remains at the
same spot for a longer period (static treatment), otherwise tissue dam-
age of thermal and mechanical nature cannot be excluded!
Regularly check transducers and resonators for overheating!
4.3 TPS
The acronym TPS is based on the Spanish words Tiempo (time), Potencia (power) and Su-
perficie (area). It represents a more precise dosage strategy in ultrasound therapy accord-
ing to the Spanish expert for electrotherapy Dr. J. M. Rodríguez Martín.
Besides the emitted dose in W/cm2, the area of treatment and the therapy time are taken
into account to apply a precisely specified amount of energy in J/cm2 to the tissue.
Therapy Recommendations
Acute indications 15...25 J/cm2
Chronic indications 30...40 J/cm2
Chronic and fibrotic scars 40...50 J/cm2
12 PHYSIOSON-Expert
Ultrasound Therapy
Treatment Procedure
(1) Make sure that the instrument is ready.
(2) Choose the appropriate transducer and plug it into the transducer connector
<11>.
(3) Apply ultrasound gel to the area of treatment.
(4) Click the TPS symbol. The TPS menu opens:
(5) Select the desired values of the variable parameters by rotating and pressing
the data selector <5>.
(6) Click Therapy to begin the treatment.
The selected and calculated parameters become active. The therapy time
elapses as soon as the transducer is being coupled to the tissue (refer to
Ultrasound Therapy on page 11).
The individual parameters one after the other have the following significance:
selected dose Refer to the Treatment Recommenda-
tions above
size of the area of treatment
selected output dose
size of the transducer is detected automatically; cannot be

selected
pulse ratio possible values: 1 (continuous), 1:10,
1:5, 1:3, 2:5 (refer to Overview of Pa-
rameters on page 7)
tolerance between nominal and From experience, the tolerance value
real output power between the nominal (desired) and the
real ultrasound emission might differ
between 10-20%, due to different rea-
sons. We recommend to keep a value of
10 to compensate this effect as good as
possible.
PHYSIOSON-Expert 13
5 Simultaneous Therapy
Simultaneous therapy means the treatment with ultrasound and stimulation current
at the same time. That means that the effects of both forms of therapy can be util-
ized. The ultrasonic transducer forms one pole of the stimulation current circuit, a
plate electrode the second one.
The PHYSIOSON-Expert can be combined with the stimulation current therapy de-
vice PHYSIOMED-Expert for a simultaneous therapy. The PHYSIOSON-Expert and the
stimulation current device may only be connected with a specially coded connector.
Warning The safety precautions for the individual therapies also apply for the
simultaneous therapy!
Note During simultaneous therapy, the PHYSIOSON-Expert controls the tim-

ers of both therapy devices.
In order to guarantee optimal contact for the stimulation current as well as the ul-
trasonic treatment, it is essential to use an electrically conductive ultrasound gel. The
standard polarity of the ultrasonic transducer is negative (cathode). The positive pole
(standard polarity positive: anode) is formed by the so-called neutral electrode. Plate
or vacuum electrodes can be used as neutral electrodes. Minimum size for the plate
electrode is EF50, for vacuum electrodes size 2. Additional peculiarities are described
in the list of accessories of your stimulation current device.
Warning Move the ultrasonic transducer constantly on the patient's skin (dy-
namic treatment)! Make sure that the transducer never remains at the
same spot for a longer period (static treatment), otherwise tissue dam-
age of thermal and mechanical nature cannot be excluded!
Regularly check transducers and resonators for overheating!
Note If the ultrasonic transducer is removed from the patient's skin during
treatment, the stimulation current is automatically reduced to 0 to
make sure the two treatments ultrasound and stimulation current are
always applied simultaneously. As soon as the ultrasonic transducer
touches the skin again, the stimulation current is built up again.
14 PHYSIOSON-Expert
Proceed as follows to perform a simultaneous therapy:

(1) Plug one connector of the connecting cable into the SIM socket <12> on the
rear side of the PHYSIOSON-Expert and the other one into the SIM socket of
the stimulation current device. Please make sure that the plugs are tightly
fixed in the socket.
(2) Check whether both devices are ready for operation.
(3) Fix the neutral electrode to the area to be treated.
(4) Apply ultrasound gel in the area of treatment.
(5) Set the therapy parameters on the display <3>.
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(6) Rotate the Data Selector <5> until you reach the SIM symbol. Now press the
Data Selector <5>, rotate it one position further and press it once again to
confirm. A small rectangle is shown in the upper left corner of the SIM symbol
to indicate that simultaneous therapy is now activated. In the upper status
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bar <2>, the symbol is displayed.
(7) Select the current type at the stimulation current device.
(8) Apply the activated transducer in the area of treatment and set the desired in-
tensity at the stimulation current device (slightly perceivable to strongly per-
ceivable).
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(9) Set the dose with the dose control <6>.
(10) Perform the treatment.
Make sure there is sufficient distance between plate electrode and ultrasonic trans-
ducer. If the distance is too small, an error message might be issued.
At the end of the treatment, the therapy timer of the PHYSIOSON-Expert switches
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off the ultrasonic transducer as well as the stimulation current emission automati-
cally.
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PHYSIOSON-Expert 15
Indications Menu
6 Indications Menu
Apart from direct access to the individual ultrasound parameters, the indications
menu offers you another possibility how to start. With the indications menu, you
may utilize proven methods of treatment within ultrasonic therapy.
Proceed as follows to start the treatment with indications menu:
(1) Select the function IND. on the display <3>.
(2) Select the desired indication in the indications menu,
e.g. Lumbalgia .
The proposed parameters for the selected indication are displayed. In addition, a
corresponding image illustrates the area of treatment or you receive further general
information on the therapy.
(3) Confirm the therapy parameters by selecting the function THERAPY. Choose the
icon to return to the indications menu.

(4) Select the desired transducer and plug it into the transducer connector <11>.
(5) Apply the ultrasound gel on the area of treatment.
16 PHYSIOSON-Expert
Indications Menu

(8) Check the function of the coupling confirmation by lifting the ultrasonic trans-
ducer shortly.
At the end of the treatment, the timer will automatically switch off.
PHYSIOSON-Expert 17
Individual Programs
7 Individual Programs
You do not have to set frequently applied forms of therapy every time you want to
use them – you can simply save them as individual programs. So, such a program is
a certain form of therapy with all parameters including treatment time. You may
save individual programs and start them as well as delete and overwrite them. You
may set 20 individual programs altogether.
7.1 Save and Edit Program
Proceed as follows to save an individual program or overwrite an existing one:

(1) Set the desired parameters.
(2) Adjust the dose to the desired value with the dose control <6> while coupled.
(3) Choose the button individual programs . The menu for saving your
individual programs is displayed.
(4) Select one of the programs F1 to F20 where you want to save your parameters
and press the data selector.
(5) Select the function Save program . The set parameters are displayed
in the menu.
(6) Press the data selector <5> in order to save the program at the desired posi-
tion.
The selected settings are now saved under the respective program and can be
started from there.
7.2 Start Program
Proceed as follows to start a saved program:
(1) Select the function Individual programs to open the menu where
you have saved your individual programs.
(2) Select one of the programs F1 to F20. The parameters saved for the selected
program are displayed in the menu.
(3) Press the data selector <5> to select the desired program.
(4) Select the function Start program and press the data selector again.
The program is started. The respective parameters are displayed on the display
<3>.
18 PHYSIOSON-Expert
Individual Programs
The number of the selected program is displayed on the lower status bar <4>.
(5) Select the desired transducer and plug it into the transducer connector <11>.
(6) Apply the ultrasound gel on the area of treatment.
(9) Check the function of the coupling confirmation by lifting the ultrasonic trans-
ducer shortly.
At the end of the treatment, the timer will automatically switch off.
PHYSIOSON-Expert 19
Basic Settings
8 Basic Settings
The basic settings serve to define different parameters that are rarely modified. You
can get to the basic settings by pressing the data selector <5> when switching on
the device with the mains switch.
The basic settings also contain parameters of the setup menu <10>.
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You can select the following values in the basic settings:
Intensity control, acoustic signal every 0,1 W/cm2
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Dose limit after coupling of ultrasound waves:

YES dose cannot be increased after coupling
NO dose increment is possible after coupling
Unit of the ultrasonic dose displayed on the

dose indicator <7>: W or W/cm2
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Link coupling confirmation with timer

YES Timer runs only with sufficient coupling
NO Timer runs independently of coupling
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Dose threshold, i.e. where instrument switches from continu-

ous to pulsed mode
Volume and pitch of the timer signal
Volume and pitch of the coupling confirmation
Screen contrast
Exit basic settings.
20 PHYSIOSON-Expert
Basic Settings
Proceed as follows to change a parameter:

(1) Press the data selector <5> while switching on the device.
(2) Select the desired value with the data selector <5> and confirm.
(3) Set the desired value of the parameter. Modifications can be recognized im-
mediately by means of acoustic or visual signals.
(4) Exit the basic settings.
The selected settings are immediately valid.
8.1 Setup Menu
The setup menu <10> serves to change some parameters without having to switch
the device off and on.
However, only the following parameters can be modified:

• Volume of the therapy timer
• Pitch of the therapy timer
• Volume of the sound marker
• Pitch of the sound marker
• Contrast of the LCD
To modify a parameter:
(1) Press the button SET in the display <3>.
(2) Select the desired parameter with the data selector <5> and confirm.
(3) Set the desired value of the parameter. Modifications can be recognized im-
mediately by means of acoustic or visual signals.
(4) Exit the setup menu.
The selected settings are immediately valid.
PHYSIOSON-Expert 21
General Notes
9 General Notes
The instrument may only be operated in dry rooms designed for medical purposes,
in accordance with VDE 0107, User Class 1 (rooms with patient beds, physical ther-
apy rooms and practice rooms).
It complies with the technical specifications of IEC 601, VDE 0750 and is assigned to
class IIa according to the Council Directive concerning Medical Devices (MPG).
The device should only be used by qualified personnel after sufficient instruction.
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.
During operation ultrasound waves are emitted by the instrument. Please consider
this exposure in its environment.
10 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 be only performed by parties duly authorized by
PHYSIOMED ELEKTROMEDIZIN AG. Any repairs performed by an authorized 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’s Recommendations (page 27) for the
safety regulations control. We especially recommend checking the following com-
ponents at regular intervals:
• the ultrasonic transducer for cracks, through which water might penetrate into
the instrument
• the leads of the ultrasonic transducers and the corresponding connectors.
22 PHYSIOSON-Expert
Cleaning and Disinfection
11 Cleaning and Disinfection

Clean the device and its accessories on a regular basis with a disinfecting agent
based on aldehyde. By any means, switch off the device prior to this and pull the
mains plug.
Use a soft sponge cloth for cleaning. Be careful that no liquid substances invade the
instrument.
After treatment always remove remaining ultrasound gel from the transducers. Prior
to cleaning, switch off the instrument and disconnect the power lead.
Notes The transducers contain fragile ceramic piezo-resonators! Avoid shocks

to the surface and take special care that they are not dropped. Han-
dling malpractices can change the characteristics of the resonator!
12 Connecting a Stimulation Current Unit

PHYSIOSON-Expert can be used for simultaneous therapy together with an appro-
priate stimulation current unit.
More information can be found in section Simultaneous Therapy on page 14.
PHYSIOSON-Expert 23
Technical Data
13 Technical Data
Protection class I acc. to VDE 0750 / IEC 601
BF type
CE characterization acc. to Council Directive concerning medical devices

93/42 EEC
Class acc. to EC 93/42 IIa
Mains connection 230 VAC ± 10% or 115 VAC ± 10%

Observe the voltage selected at the mains module
<1>
Power line frequency 50-60 Hz
Power line input 66 VA
Ambient temperature + 10°C ... + 40°C
Line fuses at 230 V: T 500 mA

at 115 V: T1A
Output data small transducer large transducer
Efficient surface 2.5 cm² 5 cm²

US frequency 1 MHz 3 MHz 1 MHz 3 MHz
Maximum output 7.5 W 2.5 W 15 W 5W
Effective output 5W 2.5 W 10 W 5W
Average power density 3 W/cm² 1 W/cm² 3 W/cm² 1 W/cm²
Modulation cont. (continuous)

0 ...(0.5...2.0) W/cm² =
cont. 100 Hz
(0.5....2.0)...3.0 W/cm² =
2/5
- 1 / 10 100 Hz
-1/5 100 Hz
-1/3 100 Hz
-2/5 100 Hz
Ambient temperature + 10°C ... + 40°C
Dimensions 34.5 x 13.3 x 26.7 cm

(W x H x D)
Weight 3.9 kg
24 PHYSIOSON-Expert
Accessories
14 Accessories
14.1 Standard Accessories
m
Ref.-No. Description Number
00178 Accessory tray 1
00380 Fixing rings (set of 4) 1
.co
00776 Mains cable 1
00180 Ultrasound gel 1
00038 Ultrasound transducer 2.5 cm2, 7-pole
1 (out of two)
00039 Ultrasound transducer 5 cm2, 7-pole
00851 Operating Instructions (English) 1
es
00626 Introduction to ultrasound therapy (English) 1
For safety reasons, PHYSIOSON-Expert is to be used exclusively with original accessories.

Usage of other manufacturers' accessories is at the user's risk.
uid
14.2 Other Accessories
Ref.-No. Description
00162 Connection cable (electrotherapy/ultrasound)
-g
00184 Filling pump

00777 Mains cable
00775 Mains cable
all
00571 Transportation bag

00095 Trolley Expert
01001 Trolley Universal
01003 Trolley Universal II
01005 Trolley Universal III
00183 Ultrasound gel
00182 Ultrasound gel
00038 Ultrasound transducer 1/3 MHz 2,5 cm2
00177 Ultrasound transducer holder
PHYSIOSON-Expert 25
Accessories
26 PHYSIOSON-Expert
Manufacturer’s Recommendations
15 Manufacturer’s Recommendations
MANUFACTURER’S RECOMMENDATIONS
SAFETY REGULATIONS CONTROL
according to Medical Devices Directive
UNIT: PHYSIOSON-Expert
MANUFACTURER: PHYSIOMED ELEKTROMEDIZIN AG
The apparatus has to undergo a safety regulation control every 18 months.
EXTENT:
(1) Visual inspection of the apparatus, extras and accompanying papers
(2) Functional testing of instrument and accessories
(3) Check of output parameters
(4) Visual inspection of the ultrasonic transducers for cracks
(5) Visual inspection of the ultrasonic transducer leads and connectors
(6) Electrical safety according to VDE 0751
Limiting value according Value first measured

VDE 0751 (new apparatus)
6.1 Earth-conductor resistance

(including lead 3 m) 0.3 Ohm 0.150 Ohm
6.2 Substitute device leakage current

1 mA 0.700 mA
6.3 Substitute patient leakage current

5 mA 0.100 mA
PHYSIOSON-Expert 27
Index
16 Index
accessories, 22, 25 maintenance, 22
accompanying papers, 27 manufacturer, 3, 22
acoustic coupling confirmation, 11, 16, 19 new apparatus, 27
automatic coupling confirmation, 6, 12 operation, 9
basic settings, 6, 20, 21 original parts, 22
CE characterization, 24 panel frontal, 3
cleaning, 23 parameters, 7
contraindications, 2 pitch, 21
contrast, 21 repairs, 22
controls, 3 service, 22
data selector, 4, 18, 20, 21 setup menu, 21
disinfecting agent, 23 SIM socket, 6
disinfection, 23 simultaneous therapy, 1, 2, 14
display, 4, 5, 16 sponge, 23
dose control, 5, 9, 11, 17, 19 start-up, 9
function check, 9 stimulation current, 1, 14
fuse, 3 stimulation current unit, 23
general notes, 22 technical data, 24
ground wire, 9 therapy time, 11
indications menu, 11, 16 timer, 5, 12
indicators, 3 TPS, 12
individual programs, 18 transducer, 11, 13
instrument errors, 10 transducer connectors, 6
LCD, 10, 21 treatment time, 18
line voltage, 3, 9 ultrasonic transducers, 6
lower status bar, 5 ultrasound, 1
mains lead, 9 ultrasound therapy, 11, 25
mains module, 3, 9, 24 ultrasound therapy unit, 1
mains plug, 23 upper status bar, 4
mains supply, 3 volume, 21
mains switch, 3
28 PHYSIOSON-Expert

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Copyright © 2000 - 2010 by PHYSIOMED ELEKTROMEDIZIN AG

Last updated August 30, 2010.

1 Mains Module 5 Data Selector 9 Indications Menu

Type BF component, not connected to protective ground wire.

2 Controls and Indicators.................................................................................................... 3

3 Notes on Operation ......................................................................................................... 9

4 Ultrasound Therapy ....................................................................................................... 11

5 Simultaneous Therapy ................................................................................................... 14

7 Individual Programs ....................................................................................................... 18

10 Service, Repairs, Maintenance ...................................................................................... 22

11 Cleaning and Disinfection ............................................................................................. 23

12 Connecting a Stimulation Current Unit ........................................................................ 23

13 Technical Data ................................................................................................................ 24

15 Manufacturer’s Recommendations ............................................................................... 27

PHYSIOSON-Expert is a modern, easy-to-handle ultrasound therapy unit with LCD.

PHYSIOSON-Expert was designed for the following applications:

Contraindications to ultrasound therapy and simultaneous therapy:

Controls and Indicators

2 Controls and Indicators

2.1 Function of Controls and Indicators

2.1.1 Mains Module <1>

Setting the line voltage

Controls and Indicators

2.1.2 Upper Status Bar <2>

2.1.3 Display <3>

2.1.4 Lower Status Bar <4>

2.1.5 Data Selector <5>

Controls and Indicators

2.1.6 Dose Control <6>

after turning the dose down to 0.

Note In order to prevent an overdose, PHYSIOSON-Expert automatically

in continuous mode. This limit is set to 2 W/cm2 by default but may be

2.1.7 Dose Indicator <7>

lected. The dose can be displayed in W/cm2 or W (op-

2.1.8 Individual Programs <8>

Controls and Indicators

2.1.9 Indications Menu <9>

2.1.10 Setup Menu <10>

2.1.11 Transducer Connectors <11>

Automatic Coupling Confirmation

Warning The transducers contain fragile ceramic piezo-resonators. Avoid shocks

2.1.12 SIM Socket <12>

Controls and Indicators

2.2 Overview of Parameters

upper status bar <2>

setup menu <10>

Type of ultrasound treatment

Acoustic coupling confirmation

Individual programs (user-defined)

Therapy mode (ultrasound output)

Controls and Indicators

Treatment frequency of ultrasound

Size of the transducer / coupling

Selected intensity; the marker (arrow) shows the fixed dose

Selected therapy time

Example: Symbols on the upper status bar:

pulsed ultrasound output, large transducer

ultrasound treatment (only) ultrasonic frequency acoustic coupling

3.1 Connection and Start-up

3.2 Device start-up

(3) Make sure that the instrument is switched off.

3.3 Function check

(1) Turn the dose control <6> to 0.