JINCHENG No.

200909
Shanghai Jingcheng Medical Instrument Co.,Ltd.

Operating & Technical

Instruction
Extracorporeal Shock Wave Lithotripter with
Ultrasound Localization

JC-ESWL-B-Ⅰ
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I I

Foreword

JC-ESWL-B-Ⅰ Extracorporeal Shock Wave Lithotripter is one of the

newest products with ultrasound localization system developed by our company. It is
mainly composed of mainframe and patient treatment table. Operator can control the
system conveniently and agility by pressing the keystrokes. In the patient treatment
table, there is a set of novel transmission device and range sensor which make the
ultrasound localization work more easily and correctly.
JC-ESWL-B-Ⅰ Extracorporeal Shock Wave Lithotripter produced by our company
has passed ISO9001-2000 and ISO13485-2003 verification.

Shanghai Jingcheng Medical Instrument Co., Ltd.

！Caution
Never start the instrument without any preparation, or the patient would suffer
a lot along with the machine.
This handbook covers the guidance of operating, checking and maintaining
of the instrument.
Please make sure that the operator has read and understood this instruction
book before using the device.
This instrument will have electromagnetic interference with other devices.
Please move the device which has electromagnetic interference or easily be
interfered far from this instrument. People who wear cardiac pacemaker
cannot use this instrument for therapy.
Signs

This device is Ⅰ- B type medical wiring.

①
！ This device practice continuous working system.

Be careful when open the board or the wicket to adjust or

examine. Avoid high voltage shock. Refer to the contents in this
②
！ instruction book – (p5,6) Safety Earthing System and (p25)
Maintenance of Discharge Tube - Cautions.

Signal import part in this device: R synchronization import signal.

③ Please refer to (p17) ECG. SYN. Trigger Mode (H), (p18) ECG.
！ R Wave SYN (H) and (p19) Caution ④ ―When use ECG.
System…‖

Dangerous Voltage sign

Safety Earthing sign

Emergency Stop Button (Red Mushroom- shaped Button)

Press down - lock, CW rotate – reset

II
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I III

Important Issues
☆ This device is Ⅰ type device supplied by exterior power.

☆ This device is B type electric shock absorber device.

☆ According to the defending ability against deleterious incursive liquid,

this device can be defined as ordinary device (a kind of close device
which however cannot guard against incursive liquid).

☆ Method of disinfection and sterilization – (p12) Disinfection.

☆ The temperature of the interface between patient and water pocket is

required at a certain range. The requirement and adjusting method –
(p13) Temperature of water pocket.

☆ This device cannot work in the air mixed with flammable anesthetic gas
or nitrous oxide.

☆ The device must be operated by certificated doctors.

☆ Be sure to read this instruction book carefully before operating this

device. If the operator fails to operate correctly or maintain in time
according to this instruction book and causes accident, he himself is
responsible for it.

！Safety
1 According to the industry safety standard, there is only one system can work
at one time among the treatment bed, the cantilever, the measurement
device, and the water draining system after the high voltage is started up.

2 To prevent the doctor from leaving while the patient is being treated, there is
one button which must be pressed down all the time by the doctor to keep the
instrument working normally.

3 Ifsafely
the customer can make sure that the instrument is always being operated
and put up the requirement of unlocking, we factory will be happy to
help.
 Contents
FOREWORD ━━━━━━━━━━━━━━━━━━ Ⅰ
Signs ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ Ⅱ

Important Issues ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ Ⅲ

1 STRUCTURE PRINCIPLE ━━━━━━━━━━━━━

Shock Wave Genereation ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 1
Shock Wave Spread ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 2
Localization ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 2

2 JC-ESWL-B-Ⅰ━━━━━━━━━━━━━━━━━━
Main Technical Standard ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 3
Lithotripter Appearance ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 4
Fix Requirement ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 5

3 OPERATING INSTRUCTION ━━━━━━━━━━━━

General Situation of JC-ESWL-B-Ⅰ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 7
Mainframe ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 7
Patient Treatment Table ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 8
Control Box Operating Instruction ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 9
Localization &Launch system Operating Instruction ∙∙∙∙∙∙∙∙∙∙∙ 11
Therapy Operating Instruction ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 12
Preparations ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 12
To Start and Adjust Zero Position ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 13
To localize and Aim Calculus ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 14
To set Therapy Parameters ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 16
Shock Wave Lithotripsy Therapy ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 18
End of Therapy ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 19
To turn off ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 20
Other Related Operations ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 21
Water Cycling Operation ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 21
4 INSTRUMENT MAINTENANCE ━━━━━━━━━━━
Daily Maintenance ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 22
Electromagnetic Shockwave Generator Assembly ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 23
Water Supply System for Generator ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 22
Discharge Tube ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 24
Localization Adjusting ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 25
Working Parameters ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 26
Experiment of the Focal Zone’s Position and Size ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 26
Experiment of Recognizing the Dangerous Warp ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 26
General Method to examine the Overdue Work ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 26
Wearing Parts Disposal and Instrument Life ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 27

5 ELECTRO CIRCUIT CONTROL PRINCIPLE ━━━━━━

Introduction to Control Principle ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 28
Main Electrical Components ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 31

6 FAULT AND DISPOSAL ━━━━━━━━━━━━━━

Fault Types ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 33
Basic Disposal ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 35
T1- Power Supply Fault ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 35
T2- H.V. system Fault ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 36
T3- Motion System Fault ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 38
T4- Water Intake/Drain Fault ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 39
T5- Poor Lithotripsy performance ∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙ 40

POSTSCRIPT ━━━━━━━━━━━━━━━━━━ 41
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 1

1 Structure Principle
 Several technical problems need to be solved to realize the extracorporeal shock
wave lithotripsy (kidney or gall stone):
① To generate collective shockwave of a certain intensity
② To transmit shockwave into body through a certain medium
③ To focus the shockwave onto the calculus
 Having solved these problems, stones can be smashed and expelled from the
body by several impacts of shockwave.

Shock Wave Generation

There are quite a few methods to generate shock wave. JC-ESWL-B-Ⅰ chooses
electromagnetic shock wave generator which has compact structure and better
performance in lithotripsy.

Electromagnetic
Disc

H.V.
高压电源
Power

Lens

焦点
Focal Point

Fig.1-1 Electromagnetic Shock Wave Generation Principle

As it is showed in Fig.1-1, this type of generator is composed of electromagnetic disc,
lens, and H.V. power supply.

When H.V. power begins discharging, the current passes through the
electromagnetic disc connector, reaches the electromagnetic loop and generates
powerful pulse electromagnetic field. Meanwhile, the sheet metal on the disc
generates electromagnetic power which later focused by lens and becomes shock
wave of certain intensity to crash the calculus.
JC-ESWL B-Ⅰ shock wave generator having been optimized to reduce the noise,
the consumption. At the same time, the focus profundity becomes deeper and the
focal zone smaller, thus minimizing the tissue trauma.

Shock Wave Spread

Shock wave spreads through incompressible medium. Concerning human’s
acoustics characteristics, water is the most facile medium having the common in
acoustics characteristics with mankind.

In that case, JC-ESWL L-B-Ⅰ adopts water pocket. The water pocket which is filled
with water is placed on the reflector to qualify generation and spread of the shock
wave. Patients lie on the water pocket, with some couplant between his skin and the
water pocket, and then the shock wave can spread through into his body and smash
the stones.

Only if the patient touches with the water pocket properly, that is, add some couplant
to avoid any cockles of the water pocket, there will be no untoward reaction on the
patients’ skin and no need for acesodyne or sedative treatment.

Localization
To smash the stones, the focal point of the shock wave must join up with the stones
besides generating shock waves. JC-ESWL-B- Ⅰ Extracorporeal Shock Wave
Lithotripter adopts a set of novel localization system that uses ultrasound probe to
find the position of the stone, measure the distance from the stone to the probe and
moves the focus to the stone with the help of a transmission system which has
distance measurement function itself.

The novel localization transmission system can control the ultrasound probe and
generation system conveniently. It can localize the stones from different visual angles,
thus realizing the space position localization with ichnography detected by only a
single probe which can be taken down to diagnose illness itself.

The localization operation is easy and simple. Moreover, the exactness can be
adjusted conveniently, thus releasing the doctor from high intensity of work and
insure the patient of safety and efficiency as well.

2
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 3

2 JC-ESWL-B-Ⅰ

Main Technical Standard

∷Master Power Supply

 Voltage: 220V±10%

 Frequency: 50Hz±1Hz

 Imported Power: 2kvA (electric current required ≥ 10A)

∷Shock Wave Generator

 H.V. Working Voltage: 0~18kv

 Performance
-- Focus Depth (above the reflector rim): ≥130 ㎜
-- Focal Zone: Radial ≤7 ㎜
Axial ≤ 80 ㎜
-- Wave Amplitude: 20~50 MPa
-- Pulse Width: ≤ 1μs
-- Rise Time: ≤ 0.5μs
-- Localization Warp: ≤ 3 ㎜
-- Total Energy of H.V. Capacitance: 98~162 J

 Shock Wave Control

-- Trigger Mode: manual, auto or ECG. R wave synchronization
-- Count Mode: LED digital display, addition method
-- Count Limit: 9,999
-- Trigger Frequency: 1~99 times / min
-- Double Impulse

∷Travel Range of Patient Treatment Table

 Launch and Localization System
-- Back and Forth: 240±5 ㎜
-- Up and Down: 240±5 ㎜
 Treatment Bed
-- Left and right: 240±5 ㎜
Lithotripter Appearance

Fig. 2-1 Front Elevation

Fig. 2-2 Side Elevation

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 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 5

Fix Requirement
To fix JC-ESWL-B-Ⅰ extracorporeal shockwave lithotripter, the following working
condition requirement must be satisfied. Stand-alone power distribution box and
earthing wire are also needed.

∷ Working Condition of the Lithotripter

-- Temperature: 15~30 ℃
-- Relative humidity: 45%~75%
-- Air pressure: 86~106KPa
-- No flammable, explosive or caustic gas.

∷ Power Distribution Box

The lithotripter need specialized power distribution box to supply single-pulse
alternating current of 220V 50Hz.
Air switch is also integrated inside the power distribution box to disjunction the power
supply. Its protect current is 10A.

∷ Safety Earthing System

To ensure the safety of patients and operators, extraordinary attention is paid to the
setting of earthing wires. (Fig.2-3) All the metal crust together with the moving parts
are safely connected to the ground by earthing wires, and can link with each other to
form a web.

∷ Technical Standard of Earthing System

-- Earth resistance < 2Ω
-- Forbid any links with lightning protection system.
-- Keep other earthing system away at the distance of at least 3m.
-- Distance to the earthing point < 10m
-- Jointing firm
-- Unit in the blueprints: ㎜
 2nd
二楼安装
Floor
至设备

st
1一楼安装
Floor
至设备 地平面
Ground Level
Section 4×40
截面4x40镀锌扁铁

Galvanized Flat Iron

6- 50x2500镀锌管
6-Ø50×2500 Galvanized Pipe

Earthing地极
Point

Direction
向 A

Fig.2-3 Safety Earthing System

∷ Transmission Requirement
-- Package: The Lithotripter must be packed in the firm package box before
transmission.
-- Sign: Mark the wordings and sign figures: ―Handle with Care‖, ―This Side Up‖,
―Guard against Damp‖, etc. Work strictly according to the warnings.
-- Load and unload gently to avoid any impacts.

∷ Storage Condition Requirement

-- Store the lithotripter in the drafty room without caustic gas and cover
with dedusting hood
-- Condition temperature: –10~40℃
-- Relative Humidity: ≤90%

6
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 7

3 OPERATING INSTRUCTION

General Situation of JC-ESWL-B-Ⅰ

 JC-ESWL-B- Ⅰ is composed of Mainframe, Patient Treatment Table and

ultrasound photography Imaging System, etc.

Mainframe
Mainframe is the main part of JC-ESWL-B-Ⅰlithotripter whose components and
control parts are showed below (Fig.3-1). There are swivel casters under the
mainframe which make it convenient to move to anywhere in need. After moving to
the right place, please stamp down the locking pin and make sure that all the swivel
casters have been locked.

Localization System

Emergency Stop Button

Control Box

Main Power Switch

Fig. 3-1 Mainframe of JC-ESWL-B-Ⅰ

Control Box
The control box is the control center of JC-ESWL-B-Ⅰ, controlling the power source,
shock wave generator, automatic distance measurement, display function, etc.
Doctor can operate the system by touching the buttons on the control box.

Localization System
Ultrasound probe and shock wave generator are both fixed on the localization system.
They realized the localization function with the help of orientation, driving device,
distance measurement device, and digital display screen. The control handle and
button on the localization system can also help the doctor to operate the system
conveniently.

Control System
Control system is fixed inside the mainframe, including power supply, fuse, and
circuit board of different functions which are produced by high-tech integrate circuits
and CMOS clips, including: ①Main Circuit Control Board ②H.V. Trigger Circuit
Board ③Treatment Table Control Circuit Board ④Computer Circuit Board ⑤
Range Finder Circuit Board ⑥H.V. Vision Circuit Board ⑦Switch Over Circuit
Board, etc. All the circuit board use plugs and sockets, which set the running on the
safe side and make the adjustment and maintenance easier.

Shock Wave System

Shock wave system is a very important part of the lithotripter, including H.V. capacitor,
discharge tube, triggering system, H.V. oil box, and electromagnetic shock wave
generator.

Patient Treatment Table

The patient treatment table is also a important part of JC-ESWL-B-ⅠLithotripter as it
is showed bellow (Fig 3-2).

Motion Control Button

Fig. 3-2 Patient Treatment Table

The treatment table can move horizontally or vertically with the help of the motion
structure and control circuit inside it. The control buttons are just on the treatment
table, which make it easy to operate.

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3 OPERATING INSTRUCTION

Control Box Operating Instruction

The control box is the control center of JC-ESWL-B. The control box emits operating
commands, including H.V. Power, water supply control, parameter setting, therapy
control. The control box displays related number and indicator light.

Buttons of similar functions are blocked together according to the design. (Fig.3-3
Control Box Button Disposal) Their names and functions are given in Chart.3-1
Control Box Button Function.

Fig.3-3 Control Box Button Disposal

 Chart.3-1 Control Box Button Function
No. CONTROL / SIGN FUNCTION
1 ON H.V. power on.
H.V. Power Control

2 OFF Cut off H.V. power.

3 H.V. POWER 0-5 Adjust therapy voltage.
4 kV Display of H.V. DC voltage.
5 LED H.V. power indicator.
6 WATER IN Get water in.
WATER POCKET
Water supply Control

7 AIR OUT Exhaust air out.

8 ON Start water cycling system.
CYCLING WATER
9 OFF Stop water cycling system.
10 ON Start water draining.
DRAIN
11 OFF Stop water draining.
12 Indicator light Indicator of separate functions.
13 PREPARE Set trigger preparing mode.
14 SETTING TIMES Set triggering times.
TIMING P

15 T/MIN Set triggering frequency.

Parameter Setting and Therapy Control

16 START Start triggering.

17 REPEAT Repeat triggering.
Continuously trigger regardless
18 THERAPY CONTINUOUS
of the parameter settings.
ECG. R wave synchronization
19 ECG. SYN
trigger preparing mode.
H
20 START Start triggering.
21 SINGLE TRIGGER Single trigger at prepare mode.
22 RESET Reset the computer.
23 STOP Stop triggering.
24 0–9 Input number.
25 CONFIRM Confirm the input number.
Display triggering mode
26 LED TRIGGER DISPLAY
and triggering times.

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3 OPERATING INSTRUCTION

Localization & Launch Operating Instruction

The localization control buttons of JC-ESWL-B-Ⅰare arranged on the localization &
Launch system which make it convenient and intuitionistic to operate. (Fig.3-4
Localization & Launch System Button Disposal) Their names and functions are given
in Chart.3-2 Localization & Launch System Button Function.

UP
DOWN

UP DOWN

BACK& FORTH

SWING

UP

DOWN

Fig.3-4 Localization & Launch System Button Disposal

Chart.3-2 Localization & Launch System Button Function

No. CONTROL / SIGN FUNCTION
Display the distance from the generator to
1 LED Display
Launch the focal point.
2 System UP Move the focal point farther.
3 DOWN Move the focal point closer.
Move the localization system back and
4 BACK & FORTH
forth until locked.
5 Localization SWING Swing the localization system until locked.
6 System UP Up move the localization system.
7 DOWN Down move the localization system.
8 LOCK HANDLE Lock the therapy angle.
 3 OPERATING INSTRUCTION

Therapy Operating Instruction

Preparations
1 B efore apply Extracorporeal Shock Wave Lithotripter to treatment, be sure
B
to study the case carefully, avoiding contraindication case. Examines and assays are
essential before the therapy. When treating special cases, such as cardiopath,
precaution and salvage preparation should be done before the therapy in case any
emergency may happen and instruct the patient to clear his intestines to make it
easier to localize and get clear calculus image.
Suitable Conditions of Treatment
-- Kidney stone
-- Ureter stone (upper/lower)
-- Vesical calculus
Unsuitable Conditions of Treatment
-- Pathological block changes under the calculus in the urethra
-- Uncurable hemorrhage disease
-- Severe nephrocardiac disease or hypohepatia
-- Pregnant
-- The calculus cannot be localized because of the body figure, etc.
-- Too big calculus

2T T he doctor should examine the machine one part after another to make sure
that every part is in good condition, WATER IN and AIR OUT function should also be
in good condition.

BDuring the therapy, any gas should be! Caution

avoided in the transmission path of stress
pulse, such as gases in patient’s body (clear intestines first), bubbles in the water
pocket or in the couplant, etc. Bubbles may not only influence the effect of
lithotripsy, but also burn patient’s skin.

3 Disinfection
-- The doctor should disinfect the mattess of the treatment table and the surface of
the exterior surface of the water pocket clinical disinfector to ensure the sanitation

B and safety of the parts which the patient touches.

-- Alternative disinfector: 84 Disinfector (0.35～0.4%), diluted at 1/13 (or refer to the
disinfector instruction book).
-- Disinfect the treatment room with ultraviolet radiation lamp for half an hour after the
therapy everyday.
-- Change the bedspread after the treatment of each patient.

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 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 13

4 Temperature of Water Pocket

-- Control the surface temperature of the water pocket to ensure the safety of the
patient touching the water pocket. No higher than 41℃ and no lower than 5℃ under

B
room temperature.
-- The doctor should measure surface temperature of the water pocket every time
before the patient lie on the treatment table. (the thermometer is consumer’s own
accession)
-- When the generator works over 2,000 times or the surface temperature of the
water pocket exceed 41℃, please turn on the cycling water system to reduce the
temperature.

To start and Adjust Zero Position

 STARTING
Security procedure has been designed to avoid misoperation.
① When supplied by exterior power, cut off the master power, and then, there
will be no display on the control box.
② Press MASTER POWER button to switch on the master power. Control box
indicator light lightens. Under this circumstance, table movement, intake or
drain of water pocket, computer control and range finder are power-supplied,
and operations can proceed.
③ Press H.V. POWER – ON button and rotate to the require voltage (5 levels
adjustable), according to the relationship table (Chart.3-3 H.V. Knob Levels).
When H.V. power is on, treatment table movement, distance measurement,
water instilling and draining are all interdicted according to the industry
standard.
! Caution
Special Indication
If the consumer has deeply considered, we can unlock the interdiction.

Chart.3-3 H.V. Knob Levels

Knob Position 0 1 2 3 4 5
H.V. Voltage (kV) 0 14.0 16.0 16.5 17.0 17.5
④ H.V. Power Security Procedure
 ―TURN ON‖ procedure
press H.V. POWER ON button  rotate H.V. Knob (adjust UP/DOWN)
 ―TURN OFF‖ procedure
rotate H.V. Knob (adjust DOWN to 0)  press H.V. POWER OFF button
 ! Caution
Misoperation Rejection
If H.V. hasn’t been adjusted down to 0, H.V. POWER - ON and OFF button
cannot turn on or turn off H.V. power.
 ⑤ Emergency Stop Procedure:
Press EMERGENCY STOP button to cut off the power, and then, there will be
no display on the control box.
To restart, turn H.V. knob to ―0‖ position and CW turn the EMERGENCY
STOP button to unlock, and then, the H.V. display on control box will show
―00.0‖ and operations can be preceded.

 Zero Position Adjustment

① When MASTER POWER is on, control box H.V. display ―00.0‖.
② Press the horizontal movement buttons on the treatment table, check the
motion function, and move the treatment table to the middle.
③ Check the motion function of localization & launch system and move it to Zero
Position:
-- Press localization system- UP button to move the localization system to
the highest position.
-- Press localization system- BACK&FORTH button to move the localization
system BACK to the end.
-- Press launch system- UP button to move the launch system to the
highest position.
④ Press WATER IN button on the control box (LED indicator lightened) and
keep an eye on the water pocket intake status. Meanwhile, press down the
button and hold on (LED indicator lightened) until all the air in the water
AIR OUT
pocket is exhausted (LED off when loose the button).
⑤ Press Drain- ON button (LED indicator lightened) and watch the draining
status. Press Drain- OFF button when the water level in the water is the
same as that in the shock wave generator (LED off).

To localize and Aim the Calculus

 This operation is related to ultrasound system. Please refer to the ultrasound
system operating instruction. Fig.3-5 Localization & Launch System shows the
structure of the Localization & Launch System.

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 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 15

Focal point

Fig.3-5 Localization & Launch System

 Localization Operation Instruction
1 W hen the power switch is on, the ultrasound system is put in the working
order and begin to scan, that is, the monitor begin to display the vision of the object
which the probe is sounding. To make it convenient for localization, the probe can
be took off to examine beforehand by ultrasound only, or use other available
materials, such as X-ray film, etc. to localized the general position if the calculus
and mark a sign on the skin.
Estimate the calculus depth to adjust the expansion link of the probe. Fix on the
height of the water pocket, ensuring that the water pocket always clings to the
patient’s skin through the therapy.

2 T he patient who suffers from renal calculus or urinary calculus in upper

segment should lie on his back on the treatment table, and patient who suffers
from vesical calculus or urinary calculus in lower segment should lie his face down
on the treatment table. In that way, the treating area is pointed directly to the
center of the water pocket. Make the patient lie in good pose to ensure the
shockwave to spread without any barrier, such as bone and acantha.
(NOTICE: Stress pulses are attenuated when spread through the muscles and the
surplus pulses are absorbed by the bones.)
Move the ultrasound probe to point it to the stone and find the sound shadow of the
stone in the monitor display.

3 R est the patient’s head on the Sleeper to make him lie in a comfortable
pose. Make the patient lie the position that is near the middle of the treatment table
where is more convenient to carry out the localization.
 4 C ooperating with the motion of the launch and localization system, press
localization system- UP DOWN BACK&FORTH on the control handle (and
also the horizontal movement buttons on the treatment table when necessary) to
make the stone in the sounding area of the ultrasound probe and the scan section
in the coronal section.
Measure and read the relative depth of the calculus sound shadow to the zero
position, and press launch system - UP or DOWN button to make the LED
display number accord with the ultrasound display
N depth.

 Water Pocket Operation Instruction

 After finishing localization against calculus, press WATER POCKET- WATER IN
button on the control box (LED indicator lightened and water intake from water
box). Control the water quantity inside the water pocket and make sure the water
pocket cling tightly to the skin of the patient. Intake stops and LED indicator goes
off when the button is released.
 Press WATER POCKET- AIR OUT button (LED indicator lightened) to exhaust
air as long as water intake until there is no air inside the water pocket and
shock wave generator (LED indicator goes off when releasing the button and
exhausting stopped).

! Caution

-- Make sure that the water pocket is always tightly clinging to the skin of the
patient. Place certain amount of couplant between them.
-- Never move the patient when the water pocket is carrying water intake.
-- For the first time using of the machine or adding water to the water supply
system of the generator, please refer to (p23) Water Intake Operation
and Water Maintenance in Water Box.
-- When exhaust air out, swing the Localiztion & Launch System by press swing
button until the exhaust port reach the highest position to help all the air in the
water pocket out.

To set Therapy Parameters

When the patient is ready, the doctor can select trigger mode (timing or ECG.)
according to the patient’s condition and set therapy parameters, including:
 Shockwave power -- symbolized by discharging voltage.
 Launch times of shockwave in a single therapy.
 Frequency -- launch times per minute.
 Number of trigger pulses to launch a shockwave.
Switch the power on to set the instrument in Reset & Ready state, displaying (F).
Reset & Ready state:

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 VOLTAGE -- 0kv
 TIMES -- 0
 T/MIN – 60
According to the state of the stones and the condition of the patient, the doctor sets
the rest parameters. The normal therapy voltage is 14~17kV. Then, the computer will
control the launch of shockwaves.
Trigger modes include timing (P), ECG.R wave, breath SYN, etc. Manual trigger as
well as single trigger is mainly used in debugging the machine. Operations are in
effect after the parameters are set.

 Timing Trigger Mode (P)

Press PREPARE button, displaying (P).
Under this state, the doctor can set two parameters according to the condition of the
patient, that is the times and frequency (t/min) of the shockwave.
1 To set TIMES
-- Press TIMES button, displaying ―0000‖. That means 4 digits can be input.
-- Press number buttons 0～9 to input datum needed, such as ―1200‖.
-- Press CONFIRM button to put the datum into effect. The computer goes back
to the timing awaiting order (P).
2 To set T/MIN (Frequency)
-- Press T/MIN button, displaying ―60‖. That means 2 digits can be input.
-- Press number buttons 0～9 to input datum needed, such as ―75‖.
-- Press CONFIRM button to put the datum into effect. The computer goes back
to the timing awaiting order (P).
 EXPLANATIONS
-- Generally, frequency has been set beforehand as 60 times/min. If there is no
special need to change that frequency, don’t set again.
-- To examine a single pulse of shockwave to debug the machine, press
SINGLE TRIGGER button under the PREPARE (P) state. The machine only
launches a single shockwave, displaying (1), and turn back to (P). Press
again, displaying (2), and turn back to (P). Go on analogy.
-- If TIMES has been set and need to be changed, press RESET button to
return the computer to awaiting order (F). Set again.

 ECG. SYN. Trigger Mode (H)

Since stress pulse may cause harmful cardiomotility, patients with heart troubles can
choose this trigger mode.
Press ECG.H-SYN button, displaying ―H‖. Under this state, the machine launches
shockwave synchronously with ECG. R wave.
 In this process of therapy, the computer displays the accumulative total launch
times of shockwave.
 Shock Wave Lithotripsy Therapy
In the process of the therapy, the doctor can observe the condition of the calculus by
the ultrasound monitor display and control the machine manually with the help of 3D
coordinates system to track the stone, thus enhancing the efficiency of lithotripsy.
Check the condition of the bubbles in the water pocket after every triggering of 1000
times or so. If there are obvious bubbles, obviate them before go on to trigger
shockwaves. In emergencies, pressing STOP button, the machine returns to the
corresponding awaiting order at once.

 Timing Mode (P)

1 Press TIMIMG(P)-START button, the computer controls shockwave triggering
according to the parameters set. When total triggering times reach the set value,
the computer stops triggering automatically and return to awaiting order,
displaying ―P‖. START button doesn’t work then.
2 Press REPEAT button, the computer works according to the parameters set
and count the accumulative total triggering times. When the COUNT number is
the integral multiple of the set value, the computer stops triggering automatically
and return to awaiting order, displaying ―P‖. Pressing REPEAT button again and
again is effective.
3
Press CONTINUOUS button, the computer works continuously according to the
set frequency and count the accumulative total triggering times. It won’t stop
triggering until the STOP button is pressed. Then the computer returns to
awaiting order, displaying ―P‖. Pressing CONTINUOUS button again and again
is effective, but the set TIMES lapses.

 ECG. R Wave SYN (H)

Press START button. The computer displays ―—‖, waiting for R wave signal.
Connected with R wave signal, the computer starts triggering shockwaves according
to the parameters set and count the times automatically. When total triggering times
reach the set value, the computer stops triggering automatically and return to
awaiting order, displaying ―H‖.
If press START button again, the status won’t change.

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 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 19

! Caution
① Observe the stones all the time. Any alteration of the position will influence the
treating effect.
② The operator should avoid any movement operation that may put the patient in
danger.
③ Before the machine leaves factory, it is fixed with mutual lock circuit which will
lock the machine when any single fault occurs, and thus guarantee the safety
of stress pulse liberation. If operator of the hospital has deeply considered, we
can set another independent button to give convenience to calculus
observation.
④ When use ECG. system to trigger shockwaves, be sure that the ECG. system
is CF type device and the R wave fan-out drifts relative to ground. Only the
exact ECG. system appointed by our company can be applied to the therapy.
For the sake of people can device, contact our company when fixing the
system.
⑤ ECG.H–SYN button is mutual locked with SINGLE TRIGGER.
⑥ Don’t trigger more than 2,500 times in one therapy. If the stone hasn’t been
smashed after triggering of 2,500 times, please arrange another therapy and
look for the reasons of failure. The next therapy should be put up a month
later, or at least half a month.
⑦Restore the machine after the therapy of each patient. On one hand, it gives
convenience to the patient to enter and leave the treatment table. And more
important, it prepares for next therapy, avoiding the circs that the treatment
table has moved to limit and localization cannot carry on.

End of Therapy
When shockwave triggering stops or triggering times are approaching N, the doctor
can decide further operation or end the therapy

If further operation is required, set the parameters again and trigger the shockwaves.
After the therapy, follow the steps below:

 Adjust the H.V. power until the displaying number decrease to 00.0 (0kv). Then,
press H.V. POWER-OFF button, indicator light going off and H.V. device earthing.
 Help the patient leave the treatment table. Tend the patient according to the
doctor’s enjoining.
 Press DARIN-ON button and watch the draining of the water pocket. Press
DARIN-OFF button when the water inside the water pocket is on the same level
as the generator brim.
 To turn Off
After each operation, if there is another patient to treat, the operator can proceed to
the therapy then. Otherwise, turn off the machine as follows:

 Turn off the ultrasound system first.

 Switch off the MASTER POWER after confirming the LED display is showing
00.0 (0kV), indicator lamp going off. The machine and the computer are
deenergized. Turning off operation done.

! Caution
 To know more details about the security process of turning off and emergency
stopping, please refer to Operating Instruction — Starting (p13), ②,④ ,⑤.

 Having stopped triggering for more than 2 minutes, adjust H.V. down to 0kv to
protract the life of capacitance.

 Keep the machine dry, especially the H.V. parts and capacitance box must
avoid any water around. If water infiltrates through, dispose immediately and
towel off.

 Towel off the probe every time after use and cover it with soft fabric.

 Don’t turn on the machine again within 15 seconds after turning off.

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3 OPERATING INSTRUCTION

Other Related Operations

 JC-ESWL-B-Ⅰ lithotripter need water supply system to work together. On one

hand, the shockwave generator transmits the shockwave impulse to human body
through water pocket. On the other hand, the electromagnetic loop generates heat
when the generator is working and would heat the water inside the water pocket.

Water Cycling Operation

 Every time before water cycling operation, intake and drain water according to
(P.14) Zero Position Adjustment ④ ,⑤ .

 After each therapy, replace the water inside the magnetic shockwave generator
and the water pocket in time and start water cycling as follows:

-- Press Cycling Water- ON button, water cycling LED indicator goes on, water
cycling components and air drain/ water cycling components start working.
Water inside the water box is transferred to the water pocket and then back to the
water box, thus forming a water cycle.

-- Press Cycling Water- OFF button, water cycling LED indicator goes off, water
cycling components and air drain/ water cycling components stop working.
 4 Instrument Maintenance
 Since JC-ESWL-B- Ⅰ is large-scale therapy equipment, the quality of
maintenance directly influence the machine’s service life and effective therapy
times. The operator should earnestly carry through the daily maintenance and
find the errors in time, thus keep the machine in good condition.

Daily Maintenance
 Keep the therapy room dry. Use dehumidifier in long-term overcast and rainy
days. Otherwise, the capacitance may discharge suddenly in the therapy and
cause ―successional shocks‖.

 Keep the instrument dry, especially the H.V. power components and the
capacitance box surroundings. In case of water inleakage, wipe it immediately.

 Everyday before the therapy, start the machine and examine whether each part
is in normal working order, such as table and arc system movement, ultrasound
system, shockwave generator, etc. If there are any abnormal phenomena, please
lookup the causes. For instance, the abnormal adjustment of the clearance of the
discharge tube or the electrode can cause ―successional shocks‖ or ―missing
shock‖. If the abnormality cannot be debarred, please turn to the professional
maintenance man.

 Maintain the arc system regularly. Wipe the surface of the arc gliding orbit with
clean cotton waste or gauze, and then apply a layer of clean oil to prevent the arc
system from dithering in movement.

 Adjust the localization system regularly. If the warp is in excess of allowance,

please turn to the professional maintenance man.

 Exam the earthing system at least once every three months, make sure the
earthing resistance can meet requirement.

! Important
Besides ordinary tidying after the therapy everyday, some steps must be done
as follows:
 Replacement
 Cover the ultrasound probe with soft fabric after cleaning.
 Disinfect the therapy room with ultraviolet radiation lamp for half an hour and
exchange the sheet on the treatment table
 Cut the machine power and the therapy room’s master power and water
source.
 Exam the earthing system at least once every three months, make sure the
earthing resistance can meet requirement.

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Electromagnetic Shockwave Generator Assembly

The working principle and structure of the electromagnetic shockwave generator is
described in (P.1) Shock Wave Generation. A certain degree of vacuum is assured
by air exhaust components of water supply system. For more detailed information,
please refer to the next chapter, Water Supply System for Generator.
Press H.V. Power- ON button, vacuum system starts working and related circuits
would assure a certain degree of vacuum. Since the vacuum system works for fits
and starts, the customer do not need to do other operations.
The greatest advantage of the magnetic shockwave generator is its long service life,
that is, over 200 thousand (2x105) times. Moreover, the low noise and nice lithotripsy
performance are warmly welcomed by the hospitals and patients home and abroad.

Water Supply System for Generator

Gener-
发生器
ator
Air Exhaust /
排气/循环水
Water Cycling Water Cycling
循环水组件
组件
Components Components
Q
Q33 Ball
球阀Valve
Q1 Q1
Ball球阀
Valve Water Drain Water Intake
Water 排水组件 进水组件
水箱
Box Components Components

Q2 放水阀
Q2 Water Drain Valve

Fig.4-1 Water Supply for Generator

∷ Water Intake Operation
-- Intake pure water or distilled water to keep the water box clean. Do not intake tap
water or dirty water.
-- First intake amount: 25~30 L.

! Caution
Do not let the water overflow when operating water intake and keep the
instrument dry, especially H.V. parts and the rear area of capacitance box. In case
any water overflows, please wipe up immediately.

∷ Water Maintenance in Water Box

Please replace the water inside the water box after 3~6 month’s use.
 Open the water drain valve at the bottom of the water box and drain all the water
inside. Press Water Drain- ON button to drain the remaining water in the water
pocket. After draining all the water, press Water Drain- OFF button to stop.
 Clean the water box and remove the deposited impurity.
 Intake water according to Water Intake Opertaion (p23).

Discharge Tube
 The discharge tube is a H.V. discharge switch filled with inert gases.

Fig. 4-2 Structure of Discharge Tube

 Components of Discharge Tube:
① Control Gate ②H.V. Insulator ③Cathode.
④ Ceramic Body ⑤Anode ⑥Exhaust Tube
 Coupling
Couple the control gate ① through silicon stack to the ―+‖ pole of the impulse
triggering transformer with H.V. lead.
Couple the anode ⑤ to the anode of the H.V. capacitor and the cathode ③ to
the other pole of the impulse triggering transformer with H.V. leader.

∷ Technical Standard of the Discharge Tube

-- Withstand Voltage: 6~12kv
-- Service Life: ≥ 200 thousand times

∷ Working Experiment of the Discharge Tube

Put the machine in operating order and change the voltage of the H.V. capacitor to
avoid ―successional shocks‖ caused by H.V. power (turn H.V. knob to ―5‖) as well as
―missing shock‖ caused by L.V. power (turn H.V. knob to ―1‖). If the capacitor cannot
discharge, please examine whether the insulator between the control gate and the
cathode is punctured.

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 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 25

∷ Maintenance of the Discharge Tube

-- To avoid falling and being knocked, handle gently.
-- To prevent the discharge tube from being affected with damp, keep clean and dry.

! Caution
Be sure to have cut the shockwave H.V. power before changing the discharge
tube, otherwise will be in danger of H.V. electric shock. To avert the remaining
voltage in H.V. capacitor, be sure to proceed to short circuit discharge at the two
poles of the H.V. capacitor with well-insulating lead before operating the H.V.
capacitor to ensure personal safety.

Localization Adjusting
To ensure the lithotripsy performance and to avoid contingency, regular examination of
localization correctness must be carried out. Doctor should exam the localization
correctness every month in the first 3 months and then exam every 3 months. The
examination flow is as below:
1. Remove the water pocket and lens from generator, fix on ―localization shank‖ with
screw. See fig.4-3 Localization Adjusting.
2. Put water tank (come along with the instrument) under the generator and fill in
water. The water level should be over ultrasound probe and the top of localization
shank.
3. Turn on the power of ultrasound and the image of localization shank can be seen
on the screen. Open the ―middle line‖ function of the ultrasound for adjusting.
4. Press launch system- DOWN button. The launch system will move the focal
point to the farthest. The LED display number should be the same as the measured
distance on ultrasound and the image of localization shank should be on the ―middle
line‖.
5. Press launch system- UP button. The launch system will move the focal point
to the closest. The LED display number should be the same as the measured
distance on ultrasound and the image of localization shank should be on the ―middle
line‖.
6. The difference between LED display on launch system and measured distance on
ultrasound should be less than 3mm.

! Caution
Since the system is designed according to very conservative datum, the stability
of the localization system has so great a performance that excursion seldom
occurs. In case there is any error in localization, please inform the related
maintenance man to adjust.
 焦点定位杆
Localization Shank

Fig.4-3 Localization Adjusting

Working Parameters
 Experiment of the Focal Zone’s Position and Size
Perform the experiment with sound pressure sensor and oscillograph. Fix the ringent
water pocket on the top of the reflector and connect the bottom with the mouth of the
reflector hermetically. The level of the water inside should be over the second focal
point.
To begin with, put the inductive head on the second focal point which has been
adjusted before leaving factory. Trigger manually, try to find the V ~T (voltage ~ time)
waveform on the oscillograph, mark down the voltage wave amplitude and label the
focus position on the monitor.
(Notice: The reserve amplitude on the V~ T waveform is the swelling value of the
amplitude. It should be less than the ten percent of the voltage amplitude.)

Then, move the inductive head round the focus up and down, left and right, back and
forth. Still trigger manually and observe the V ~ T waveform on the monitor. Mark the
maximal voltage amplitude as the practical focus and label the position on the
monitor. And then, move the inductive head around that practical focus and observe
the V ~ T waveform on the monitor to ascertain the position and size of the focal
zone. Allowable warp of the focus position: ±3mm (screen size)

 Experiment of Recognizing the Dangerous Warp

The patient’s danger may caused by the excess of the allowable warp. The
experiment can also be performed with the sound pressure sensor and oscillograph
and the method is the same as the above. Measure the actual focus position and
adjust the focus label on the monitor by comparison.

 General Method to examine the Overdue Work

-- After long-term running, simulating lithotripsy experiment can be performed to
examine the actual warp and integrated quality. Estimate the actual focal zone
position, size and the focus position according to the different simulating calculus

26
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 27

smash results or the difference of the dints on the big simulating calculus in
position, depth and size after shocks of same times. If the cases are always that
the focal point cannot be focused on, the image is illegible or the smash effect gets
worse, the machine must have been overdue.

Wearing Parts Disposal and Instrument Life

The replaced wearing parts do not contain any harmful elements. Hospitals can give
them to the recycle center directly.
After 10 thousand times’ or 10 years’ therapy, hospitals should contact our firm to
assure the lithotripsy effect. We would arrange technical experts to go to the hospital
and exam the instruments, then put out a suggestion of through repair or abandon.
 5 Electro Circuit Control Principle

 The electric part of JC-ESWL-B-Ⅰis showed in Fig.5-1 Main Circuit Control

wiring and Fig.5-3 Order Control wiring.

Introduction to Control Principle

The power control circuit is mainly composed of RD1~RD5 fuses, B1~B2 transformers
and power supply switch. The master power switch K0 controls the power supply of
the whole instrument. Press emergency stop button KG in emergent situation to stop
the machine.

K0/10A RD4/2A
L 101 RD1/10A KG B1 108
102 103 104 105 H.V.高压显示板
Display PCB 92
220AC
RD2/10A 123 124 JC-B-D1-03B 93
N 121 122
312 311
124 95 94 93 92
105 RD3/1A B2
107 96 RD6/3A Order Control B6 124
指令控制板
PCB
92 JC-BV-D1-02
V1 + 50 +5VDC 124 97 RD7/3A H.V.
高压控制输入
Control Input
136

Power COM 99
开关电源 RD5/8A
Switch V3 + 98 -12VDC M2
124 83 84 85 86 87
V2 51
+12VDC 106 196 197 2 (3) 3 (4)
Computer 1 (2) 4 (5)
Distance 电脑板 J9-1 Launch and
发射定位系统 KB-A
PCB
JC-BⅢ
333 Localization System
测距板
Measurement -D1-03C
0 5 (6)
JC-BV-D1-04
JC-BⅢ-D1-03C 109 上下控制板
UP & DOWN
(1) 93
PCB 334 Control PCB
JC-BV-D1-05
JC-BⅤ-D1-04 KG JC-BV-D1-05 82
198 199 200
B4 136 B3 88
(12)
327 J10-1 140V KB-B (7)
131
J11-1 (11) (8)
高压发生器
H.V. 132 160V
323 J12-1 133 165V K13 K14 (10) (9)
Generator
J13-1 134 170V 333 334
320 J14-1 135 175V
DC100mA/20kV
B5 331 B7 326
210V
124 330
触发板
Trigger PCB 335 325
220V
RC/5A 332 JC-BⅢ-D1-03A
230V 336 324
抽真空
Vacuum 350
KC 110

Fig. 5-1 Main Circuit Control Wiring

28
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 29

JC-B Ⅲ -D1-03A trigger PCB is powered by B5 transformer and its 20kV D.C.
triggering power is supplied by B7 transformer. The triggering power is passed to the
control part of discharge tube to control the H.V. connecting voltage of the tube.
B3 autotransformer supplies elementary power to the H.V. generator. There are five
different levels of elementary power that is selected by power switch KB and
transformed by JV-BⅤ-D1-02 order control PCB and contact device. Passed through
the B4 transformer, elementary power becomes the charging power and act as power
supply to C H.V. capacitance, as it is showed in Fig.5-1 Main Circuit Control wiring
and Fig.5-2 H.V. Shockwave Generator (Magnetic Disc) Wiring.

324

DZT

C
R
TG放电管
Discharge
Tube
K
320 A 323
电磁盘
Electromagnetic G
Disc
326

Fig.5-2 H.V. Shockwave Generator (Magnetic Disc) Wiring

The parameters are set by control box keystokes, processed by JC-BⅢ-D1-03C

computer PCB and passed to trigger PCB to control the output impulse which will be
supplied to B7 trigger transformer. Therefore, shockwave generator, that is, magnetic
disc, is power supplied by computer PCB – controlled H.V. impulse.
JC-BV-D1-02 order control PCB and JC-BV-D1-05 Up/Down (treatment table motion)
control PCB controls different functions of the instrument as it is showed below.

220V
108 124
93
LED1 61 124
Up
升 K1 J
71 KX1
LED2 62 141 143
降
Down K2 72 TV M1 Rise/Fall
升/降
KX2
LED3 63 142 144
Back/Forth
前后 K3 73 91
LED5 T1 前后
Back/Forth
65
排气
Air Exhaust K5 75 94
Order Control TF1
LED6 66 指令控制板
PCB Air
排气 Exhaust
Water Intake
进水 145
K6 76 JC-ESWL-BV-D1-02 P1
LED7 67
TF2
On K7 77 进水 Intake
Water
排水 Off
Water Drain 开 146
K8 78 P2
关
LED8 68
K9 79 TF3
On
开 Water
排水 Drain
Water Cycling
循环水 Off K10 80 147 P3
关
LED9 69
K11 81 TF4
H.V. 通
Power On Water
循环水Cycling
高压起动 K12 82 88 148
(Vacuum) Off断 P4
(抽真空) KB-B
H.V.
高压起动 Power
109
Z1
(Vacuum)
(抽真空)
92 93 94 95
+12VDC +24VDC

Fig. 5-3 Order Control Wiring

30
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 31

Main Electrical Components

Chart. 5-1 Names and Functions of Main Electric Parts
No. Symbol Name Functions
1 KG Emergency Stop Button Cut power in emergency.
2 K0 Air Switch (2P-10A) Power switch and protection
3 RD1 RD2 10A Protect the main circuit.
4 RD3 1A Protect the B2 transformer.
Protect the electric devices, water
5 RD4 2A pump, electromagnetic valve, and
Fuse Device
switch power source.
6 RD5 8A Protect the H.V. circuit.
7 RD6 RD7 3A Protect the 12V/24V D.C. circuit.
8 Rc 5A Protect the B5 transformer.
Insulate A.C. power source from
9 B1 Insulating 1:1
electric web.
Control 220V/12V
10 B2 Control board power supply.
Board ×2
Adjust initial shockwave voltage
Transformer

11 B3 Auto
elementarily.
12 B4 H.V. Generate shockwave H.V. voltage.
Trigger
13 B5 (special) Trigger board power supply.
Board
Initially sample from H.V.
14 B6 Sampling
transformer.
Supply impulse to discharge tube
15 B7 Impulse
and H.V. triggering.
Drive the distance measuring device
Motion Device

16 M1 Rise/Fall 55TDY4
rise or fall moving.
Drive the launch and Localization
17 M2 Up/Down
system up or down moving.
24V
Drive the treatment table left or right
18 M3 Left/Right
moving.
Back/Forth CPH-50-
19 T1 Lock back or forth motion.
Electromagnet 24V
Exhaust the air inside the
20 P1 Air Exhaust QJ80
shockwave generator.
Pump

21 P2 Water Intake 12WZ-8 Intake water.

22 P3 Water Darin 12WZ-8 Drain water.
23 P4 Water Cycling Carry out water cycling.
Exhaust the air inside the
24 TF1 Q23XD-2
Electro- shockwave generator.
25 TF2 magnetic J011SA-10S Intake water.
26 TF3 Valve J011SA-10S Drain water.
27 TF4 Q23XD-2 Carry out water cycling.
Vacuum Keep the electromagnetic disc
28 Z1 RS-0.3
Pump vacuum.
No. Symbol Name Functions
Contact JQX-115-
29 J Corresponding function execution.
Device 12V-1Z
30 KX1 Motion HK-04G-2A Protect UP & DOWN motion limit.
31 KX2 Switch HK-04G-3A Protect UP & DOWN motion limit.
32 C H.V. Capacitor (special) Store energy for H.V. shockwave.
33 TV Discharge Tube (special) Control H.V. shockwave discharge.
H.V. Breaker and Break H.V. and discharge the H.V.
34 DZT
Discharger (special) capacitor.
JC-BV Order
35 Control the functions of control box.
-D1-02 Control
JC-BⅢ-
36 Triggering Trigger discharge tube impulses.
D1-03A
JC-BⅢ PCB
37 Computer Therapy parameters set and display.
-D1-03C
JCB (Printed Sample and display the D.C. voltage
38 H.V. Display Circuit
-D1-03B of shockwave H.V.
Distance Board)
JC-BV Sample and adjust the distance to
39 Measuremen
-D1-04 meet the ultrasound localization.
t
JC-BV Up/Down Control the up or down motion of
40
-D1-05 Control launch and localization system.

32
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 33

6 Fault and Disposal

 The circuit control principle of JC-ESWL-B-Ⅰis the main gist to estimate the
cause of the fault. Customers can estimate the fault cause according to Chart
Chart.6-1 Frequent Occur Faults Types, Chart.5-1 Names and Functions of Main
Electric Parts, and the principle fig .

Fault Types
Chart.6-1 Frequent Occur Faults Types
Phenomena Control No or No motion Water Poor
Box LED little H.V. reaction to intake/ drain, lithotripsy
indicator Dischar- control or vacuum performa-
Problem Part goes off. ge. buttons. fault. nce.
K0/10A Air Switch ● ● ● ●
KG/10A Emergency Stop ● ● ● ●
RD1RD2RD3 Fuse Device ● ● ● ●
RD4 Fuse Device ● ●
RD5 Fuse Device ●
RD6RD7 Fuse Device ● ●
RD8RD9 Fuse Device ●
JC-BⅢ-D1-03C
●
Computer PCB
JC-BⅢ-D1-03A
●
Trigger PCB
JC-BV-D1-05
●
Up/Down Control PCB
JC-BV-D1-02
●
Order Control PCB
KB H.V. Switch ●
B5 Trigger Transformer ●
M1 Electric Motion Device ●
M2 Electric Motion Device ●
M3 Electric Motion Device ●
T1 Electromagnet ●
KX1 KX2
●
Up/Down Motion Switch
TF1 TF2 TF3 TF4
●
Electromagnetic Valve
J Contact Device ● ●
Z1 Vacuum Pump ●
 Phenomena Control No or No motion Water Poor
Box LED little H.V. reaction to intake/ drain, lithotripsy
indicator Dischar- control or vacuum performa-
Problem Part goes off. ge. buttons. fault. nce.
H.V. Earthing
●
Contact Device
C H.V. Capacitor ● ●
TV Discharge Tube ● ●
Electromagnetic Disc ●
Lens ●
T1 T2 T3 T4 T5
Power H.V. Motion Water Poor
Fault Type
Supply system System Intake/Drain Lithotripsy
Fault Fault Fault Fault performance

34
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 35

Basic Disposal
T1 Power Supply Fault
Examination Steps Possible Causes Disposal Methods

Control box Indicator goes off.

Is the instrument powered?
Yes
No
Have turned on the Forget to turn on Turn on the
distribution box? the power switch. power switch
Yes
No
Is the air switch K0/10A Have difficulty in Replace the
normal? shutting down. air switch
Yes
Yes
Is emergency stop button Emergency stop button Rotate CW
KG locked? self-locked. to unlock
No
Yes Fuse device cut off by
Is fuse device RD1 or RD2 abnormal exterior power Replace the
cut off? fuse (10A)
or interior instrument fault.
No
Yes
Fuse device RD3/1A Replace the
Is fuse device RD3/1A cut off?
cut off. fuse (1A)
No
Still unsolved?
Contact our firm.
T2 H.V. System Fault

Examination Steps Possible Causes Disposal Methods

H.V. LED Indicator goes off. Is No Computer

H.V. switch KB switched to ―0‖? security lock. Switch to ―0‖

Yes
Still unsolved?
Contact our firm.
LED Indicator is on. Yes
H.V. discharge fails.
Is H.V. trigger effective?

No
Yes
Does discharge tube give out Discharge tube Replace the
light when triggering? cannot trigger. discharge tube
No
Is there any triggering sound Yes
given out by the relay inside the Relay broke down. Replace the
computer PCB? Relay
No
No Yes
Is the impulse LED indicator of Is fuse device Replace the
trigger PCB normal? RD5/5A cut off? fuse (5A)
No
Yes
No impulse Replace the
LED indicator? trigger PCB
No
B5 Trigger Replace the
transformer trigger
broke down transformer

36
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 37

Examination Steps Possible Causes Disposal Methods

No
Does the control box display Control Box or
and function normally? Computer PCB fault

Yes
No
Control box displays normally. Trigger PCB fault Contact our firm
Does H.V. triggering work?
Yes
Yes
H.V. triggering works. H.V. capacitor broke Replace the
Is H.V. capacitance broken? capacitance
No
No
Does H.V. earthing contact H.V. earthing contact Contact our firm
device work? device fault or broke
Yes
H.V. triggering works.
But the impulse is small, sound
is slight or with misofire sound?
Yes
Yes
Is the service life of H.V. H.V. capacitance Replace the
capacitance ends? lapses. capacitance
No
No
Is the lightening normal when Discharge tube Replace the
discharge tube is triggering? aging. discharge tube

Still unsolved?
Contact our firm.
 T3 Motion System Fault

Examination Steps Possible Causes Disposal Methods

Control box LED indicator is on.

Treatment bed cannot move.
Is treatment bed motion LED
Yes indicator on?
No
Yes
Is fuse device R8 or R9 Fuse device R8 or R9 Replace the
cut off? cut off fuse (3A)
No
Yes
Are B2 transformer and power Transformer or
supply board normal? power supply board Contact our firm
faults or broke
No
Control box LED indicator is on, No
Low power voltage Repair the power
but no motion effect.
supply system
Is supplied voltage normal?

Still unsolved?
Contact our firm
Launch and localization system immediately.
cannot move up/down.

Yes
Fuse device R3 Replace the
Is fuse device R3 cut off?
cut off fuse (1A)
No
M2 or order control Contact our firm
PCB broke
Launch and localization system
cannot rise/fall.

Yes
Is motion button broke or Motion button broke/ Replace the
mechanical device blocked? Mechanical device button/ Remove
blocked the block
No
M1 or order control
PCB fault or broke

Launch and localization system

cannot move back/forth. T1 fault T1 fault or broke Contact our firm
or mechanical device blocked?

No Still unsolved?
Contact our firm
immediately.

38
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 39

T4 Water Intake/Drain Fault

Examination Steps Possible Causes Disposal Methods

Control box LED indicator is

Yes on. Water system/ vacuum
don’t work. Is water system
LED indicator on?
No
Yes
Is fuse device R3/1A cut off? Fuse device R3 cut off Replace the
fuse (3A)
No
Are B2 transformer and power No Transformer or
power supply board Contact our firm
supply board normal?
fault or broke
Yes
Control box LED indicators are
Yes
normal, but do not function.
Is power supply normal?
No
Yes Replace the
Is fuse device R4 cut off? Fuse device R4 cut off
fuse (2A)
No
Low power voltage Repair the power
supply system

Are order control PCB and No Order control PCB or

Contact our firm
relay normal? relay fault or broke
Yes
Is electromagnetic valve Yes Electromagnetic valve Take down
blocked? blocked and repair
No
No Vacuum pump Replace the
Is vacuum pump normal?
fault or broke vacuum pump
Yes
Still unsolved?
Contact our firm
immediately.
T5 Poor Lithotripsy Performance

Examination Steps Possible Causes Disposal Methods

Lithotripsy performance is poor. Yes

H.V. switch to Switch to higher
Is selected power voltage too
low? low voltage therapy voltage

No
Yes Capacitance has
Capacitance performance Replace the H.V.
becomes poorer? served too long capacitance
No

Discharge tube performance Yes Replace the

Discharge tube has
becomes poorer? served too long discharge tube

No
Yes Replace the
Shockwave generator Magnetic disc has
performance becomes poorer? shockwave
served too long generator
No

Lens has served Replace the lens

too long

No Focus has moved

Is localization accurate? Localize again

Yes

Still unsolved?
Contact our firm
immediately.

40
 Shanghai Jingcheng Instrument Co., Ltd. JC-ESWL-B-I 41

Postscript
Dear user,
Thank you very much for choosing our product. Your information has been in our
users’ file and we will provide you with lifelong service. If you have any other
problems when using this product, you can call or mail us. We will serve zealously
you by all means.

There is one more thing we have to remind you. You should operate and maintain the
instrument strictly follow this operation instruction, and replace the wearing parts or
components according to the requirements. Otherwise, we are not liable for the
kickback or the repairing.

Shanghai Jincheng Instrument Co., Ltd. is a scientific and technical firm specialized
in R&D, manufacture, retail, and after service of Extracorporeal Shock Wave
Lithotripter with Ultrasound Localization. Our motto is:

Products – Better and Better

Customers – Honesty and Faith

We hope our products and services can make you and all our customers satisfied
and reassured.

Shanghai Jincheng Instrument Co., Ltd.

Appendix

 《Medical Instrument Manufacturing License》

-- No. SHMMM 20020830

 《China Medical Instrument Registration Certificate》

-- No. NFMM (A)2009-3210422

 《Medical Instrument Registration Standard》

-- No. YZB/N0331-2009
Shanghai Jingcheng Medical Instrument Co., Ltd.
Address: 5F,No 68,lane 118 suide Rd, putuo District ,china. Zip code: 200331

Telephone: 86-021- 52172884 / 66083551 Fax: 86-021- 66082696-123

Website: http://www.shjingcheng.com E-mail: jingcheng@shjingcheng.com