Manuale D'uso SW500T GB Rev2
Manuale D'uso SW500T GB Rev2
English
Short-wave therapy
Code 5T06
0476
REV. DATA
02 18/10/2006
IDL01526
INDEX
GETTING STARTED
INTRODUCTION: SCOPE OF APPLICATION ............................................................................................................ 4
WARNINGS ....................................................................................................................................................... 4
MANUFACTURER ‘S RESPONSIBILITY .................................................................................................................. 5
SYMBOLS USED ON THE APPARATUS .................................................................................................................. 6
INSTALLATION................................................................................................................................................... 6
MECHANICAL INSTALLATION .............................................................................................................................. 7
GENERAL INFORMATION .................................................................................................................................... 8
PRECAUTIONS TO BE ADOPTED DURING TREATMENT ........................................................................................... 9
DISC ELECTRODES ....................................................................................................................................... 9
PLATE ELECTRODES ..................................................................................................................................... 9
INDICATIONS AND CONTRAINDICATIONS. ......................................................................................................... 12
BASIC OPERATION
DESCRIPTION OF CONTROLS, INDICATIONS AND DEVICES OF THE APPARATUS..................................................... 13
MAIN MENU AND MODES OF OPERATION ........................................................................................................... 14
PATIENTS ................................................................................................................................................ 15
CREATING A PATIENTS’ FILE ..................................................................................................................... 15
ENTERING THE PATIENT’S DATA ................................................................................................................ 16
PATIENT’S PERSONAL CARD ..................................................................................................................... 16
THERAPIES ............................................................................................................................................. 18
RESIDENT PROGRAM FILE................................................................................................................................ 19
CHECKING CABLES AND APPLICATORS .......................................................................................................... 20
RESIDENT PROGRAM OUTPUT NOT ACTIVE .................................................................................................... 20
RESIDENT PROGRAM OUTPUT ACTIVE ........................................................................................................... 21
FREE OPERATION ........................................................................................................................................... 22
SETTING THE FREE PROGRAM PARAMETER ................................................................................................... 22
FREE PROGRAM OUTPUT ACTIVE .................................................................................................................. 23
INFORMATION ........................................................................................................................................ 24
GENERAL FEATURES ............................................................................................................................... 24
ELECTRODE POSITIONING ........................................................................................................................ 25
MODALITIES OF APPLICATION
PREPARING THE PATIENT. ............................................................................................................................... 26
MALFUNCTIONS ............................................................................................................................................ 28
PACKAGE CONTENT
ORDERING THE ACCESSORIES......................................................................................................................... 31
DISPOSAL ...................................................................................................................................................... 32
ANNEX 1
INDICATIONS FOR THE INSTALLATION OF THE TUBE ............................................................................................ 33
ANNEX 2
TABLE OF TREATMENT PROGRAMS ................................................................................................................... 35
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[2]
[5]
[7]
[1]
[3]
[6]
[A]
[B]
[4]
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GETTING STARTED
The primary indications for short-wave therapy include: analgesic treatments, muscle contractures and
inflammatory states.
The apparatus can be used only by specially trained personnel (physicians, physiotherapists) and should be
installed exclusively in environments specially equipped for this purpose (hospitals, clinics and surgeries).
The unit allows short waves to be delivered either in continuous mode or in pulsed mode (pulse packets).
The apparatus is supplied complete with two standard applicators consisting in 150-mm diameter circular
capacitive electrodes (Schliephake), but it can also be used with other types of inductive or capacitive
electrodes supplied as options.
The SW500 unit features an automatic tuning system which search the best tuning between generator and
patient, enabling a wide range of therapeutic applications.
The applicators are applied in close proximity to the patient’s skin without contact. Where contact is required
(rubber inductive electrodes), a cotton cloth or felt should be interposed between the applicator and the
patient’s skin.
The SW500 units contains a series of resident programs for the most common pathologies. Each resident
program indicates the treatment mode, either continuous or pulsed, the pulse frequency and the treatment
time. It will be the operator’s care to adjust the output level according to the patient’s thermal sensation.
In addition to this, the unit features a patients’ file directly manageable via a touch-screen.
It is the user's responsibility to ensure that the apparatus is installed in compliance with current safety
regulations and that all suitable measures are adopted to prevent any accidents.
Warnings
Please ensure this manual is always readily available to all personnel authorised to operate the apparatus.
Before using the SW500 unit, the operator should read carefully the instructions contained in this manual.
The operator should read carefully all warning plates and labels applied on the apparatus and ensure that he
fully understands their meaning in relation to their specific location.
Before performing any treatment, the operator should get familiar with the apparatus operating modes and
be aware of all indications and contraindications for the use of the unit.
The SW500 apparatus can interfere with or be affected by other electronic equipment. For this reason, the
use of other electrical or electronic devices (including walkie-talkies and radiotelephones) within the therapy
room, is prohibited when the SW500 is operated.
To ensure compliance with this prescription, it is recommended that a warning notice be posted at the
entrance of the room.
Do not attempt to remove any parts of the apparatus, as this not only may cause a potential danger, but may
also compromise proper operation of the unit resulting in automatic cancellation of the warranty.
Any repair or service operation on the unit, should be performed solely and exclusively by authorised
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GETTING STARTED
personnel.
Manufacturer ‘s responsibility
Emildue s.r.l. will answer for the safety, reliability and performance of the apparatus only when the following
conditions are complied with:
• The installation, repair and overhaul of the apparatus are performed by authorised personnel.
• The environment where the apparatus is used meets the prescribed safety standards.
• The apparatus is used in compliance with the indications contained in this manual.
• The apparatus is used with the original accessories.
Emildue s.r.l. will not be held responsible for therapy effects resulting from improper use of the apparatus.
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GETTING STARTED
Installation
• Before connecting the apparatus to the power line, make sure the mains voltage and frequency
correspond to the values indicated on the identification plate.
• Ensure the mains outlet connected to the apparatus is properly grounded: use only the power cable
supplied with the equipment.
• Use of the apparatus is allowed only in premises intended for medical use (CEI 64-8 standard, Part 7,
Section 710: premises for medical use).
• Do not expose the apparatus to excessive pressure, humidity, direct sunlight, mechanical vibrations or
dust.
• Adopt suitable measures to prevent the penetration of liquids into the apparatus: if this should occur,
disconnect immediately the unit from the mains and contact the after-sales service.
• The unit cannot be used in explosion-hazardous environments or hydrotherapy rooms. Do not use
oxidising or flammable anaesthetic gases, such as oxygen or nitric oxide (N2O), while performing a
short-wave treatment.
WARNING:
The apparatus requires special electromagnetic compatibility (EMC) precautions.
Portable and mobile radio communication units may affect the apparatus operation.
THE UNIT IS TRANSPORTED AND DELIVERED WITH THE TUBE REMOVED. INSTALLATION OF THE
TUBE SHOULD BE CARRIED OUT EXCLUSIVELY BY QUALIFIED PERSONNEL.
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GETTING STARTED
Mechanical installation
Fix the articulated arm to the unit using the four screws included in the package. To tighten the screws use
the wrench supplied with the equipment (fig. 1).
Fig.1
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GETTING STARTED
General information
The patient should be positioned solely and exclusively on wooden beds or chairs without uncovered
metallic parts.
Patients with hearing aids are recommended to switch off or, better yet, to remove the device before starting
the treatment, to avoid annoying interferences.
WARNING:
Patients with pacemakers cannot be subjected to short-wave therapy and should be kept away from
the area of operation of the unit.
Position the applicators only on uncovered parts: the treatment should not be performed on persons wearing
metallic objects or garments with metallic materials (buttons, buckles, wires etc.).
Do not treat parts of the patient’s body with metallic implants (prostheses) without the authorisation of a
specialist.
Before starting the treatment ensure the patient’s skin is perfectly dry.
When treating the axillary area or the hand and foot finger areas, interpose a cotton cloth between the
applicator and the skin to prevent the formation of sweat.
When using the rubber inductive electrodes, place the cotton felt provided with the equipment between the
electrode and the patient’s skin.
The applicators should always be positioned in such a way as to minimise radiations on other parts of the
body.
The applicators should never come in contact the patient’s skin, but should be held at a distance of 1 cm to
prevent the formation of sweat and the consequent risk of skin burns.
The RF cables should never be placed in contact with the patient’s skin nor with energy conducting or
absorbing objects.
WARNING:
PLATE ELECTRODES should never be applied in direct contact with the patient’s skin; a
biocompatible material should be interposed between the two surfaces to prevent allergic reactions
or skin irritations. The most suitable materials include cotton gauzes and the cellulose paper
commonly used to cover examination couches, which are readily available at chemist’s and medical
supply shops. The piece of material used should be large enough to cover entirely the part of skin in
contact with the electrode.
WARNING:
Check regularly the condition of both the applicators and RF cables. Any damage to insulation may
cause serious electric shocks to both the patient and operator.
WARNING:
NEVER disconnect the RF cables or the applicators during the treatment.
Always switch off the unit before replacing the applicators or the RF cables.
Non-compliance with the above safety prescriptions may result in serious electric shocks to both
patient and operator.
WARNING:
Do not subject the units to shocks or bumps when the tube is still hot.
WARNING:
Use of accessories, transducers and cables other than those specified in Emildue catalogue may
result in increased electromagnetic EMISSIONS or reduced apparatus IMMUNITY.
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GETTING STARTED
The operator should refrain from treating the patient, when this is connected to other devices.
The position of the patient varies according to the area to be treated; he may be either seated or lying, but in
any case he should be always positioned on wooden chairs or beds without metallic parts.
To avoid an excessive concentration of high-frequency current that may increase the heat intensity in the
tissue, causing burns, the patient is required to take off all metal objects (chains, rings, watches, hooks,
metallic prostheses etc.), even if they are located at some distance from the area to be treated.
The type and dimension of the electrodes, as well as their positioning, influence significantly the efficacy of
the therapy. Here we will limit to provide some general indications; it will be up to the operator to select the
most appropriate features for the kind of treatment to be performed, based on his knowledge and clinical
experience.
Schliephake condenser electrodes (disc electrodes) should be held at a distance of 3 to 5 mm from the skin
to allow air circulation, thus favouring the evaporation of the sweat caused by local heating.
Rubber flexible electrodes (plate electrodes) which are usually held in place via rubber bands, should never
be positioned in such a way as to favour the accumulation of sweat which could cause burns.
INTERPOSE BETWEEN THE PATIENT SKIN AND THE PLATE ELECTRODES THE SEPARATION
MATERIAL SPECIALLY PROVIDED (see “General Information”).
The electrode connection cables should never cross. They should possibly be held at the same distance as
between the cable entry bushes.
The cables should be arranged in such a way as to avoid contact with conductive parts. The operator should
also prevent the patient from contacting cables or any metallic parts of the equipment.
Disc Electrodes
They are available in various sizes: Ø 100 mm, Ø 140 mm (standard).
The position of the inside metal disc can be adjusted with respect to the hard cover.
Plate Electrodes
They are available in the following dimensions: 90x120 mm and 130x190 mm.
The metal plate is incorporated into a flexible rubber cover which enables it to adapt itself to the various
parts of the body.
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GETTING STARTED
Electrodes should NEVER touch each other.
NO!
NO!
NO! NO!
NO!
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GETTING STARTED
NO!
NEVER position electrodes face-to-face while they are emitting short waves.
NO!
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GETTING STARTED
Hereunder are mentioned some of the indications and contraindications for the use of the unit.
For more detailed information please refer to the specific bibliography.
Indications:
• Arthrosis
• Sequelae of traumas
• Muscle contractures
• Preparation for kinesiotherapy sessions
• Tissue traumas
• Recent injuries
• Synovitis and acute traumatic haematomas
• Sub-acute and chronic infections, such as paranasal sinusitis
• Initial treatment of peripheral nerve lesions
• Treatment of pain due to various conditions such as degenerative arthritis and neurogenic pain
(phantom limb pain, causalgia, Sudek’s atrophy)
Contraindications:
• Metallic implants
• Varicose veins and thrombophlebitis
• Osteoporosis (only continuous wave therapy allowed)
• Obliterating arteriopathies
• Haemorrhage
• Menses
• Obesity
• Presence of pace-makers or hearing aids
• Pregnancy and TBC in the active phase
• Neoplasias
• Cutaneous hypoesthesia
• Ischemic tissues
• Active tuberculotic lesions
• Pyretic patients
Undesired effects:
• Skin burns
In the presence of skin moisture or cutaneous hypoesthesia, SWT can cause skin burns.
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BASIC OPERATION
[2] Pen
The pen is used to select the parameters displayed on the touch screen.
[6] RF cables
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BASIC OPERATION
SW500
START
Returns to the
previous screen
WARNING:
The treatment of personal data is regulated by the European Directive 95/46/EC of 24 October 1995;
in Italy this matter is governed by the Legislative Decree No. 196 of 30 June 2003 “Personal data
protection code” and its subsequent additions and amendments.
It is the responsibility of the user of the SW500 to treat confidentially all data contained in the
PATIENTS’ file.
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BASIC OPERATION
PATIENTS
PATIENTS
Enters a n ew
patient
Confirms entry
Returns to of a patient
previous sc reen
Deletes a
patient
• Enter the patient’s data by filling in the fields displayed on the screen:
Returns to
NAME main menu
ADDRESS NR OF TR EATMENTS
SCHEDULEDD
Nr. of
ZIP CODE 0 treatments
performed
DATE O F FIRST
Date of first
TOWN
TREATMENT treatment
TEL. PATHOLOGY
Confirms
Returns to treatment
previous screen
• Click a data field (ex. name); an alphameric keyboard will appear to allow the patient’s data to be
entered;
• If you don’t want to save the data entered, press to return to the previous screen;
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BASIC OPERATION
Entering the patient’s data
Confirms data
Returns to entered
prevous sc reen
TEL. ……
NR. OF TREATMENTS SCHEDULED ……
DATE OF FIRST TREATMENT …… Gives access
NR. OF TREATMENTS PERFORMED …… to the file to
PATHOLOGY ……
modify data
• Press to enter a new therapeutic program into the patient’s personal card
The new program will be saved in the patient’s personal card so that it can be accessed directly from the
patients’ file.
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BASIC OPERATION
Returns to
main menu
PAIN LEVEL
Pain level
scale 1 2 3 4 5 6 7 8 9 10
• To set the level of pain to be perceived by the patient during the first session, press “FIRST TREAT.”
and then a number between 1 and 10 for the corresponding pain level.
• To set the level of pain to be perceived by the patient during the last session, press “LAST TREAT.”
and then a number between 1 and 10 for the corresponding pain level.
• Press to save the data entered and return to the patient’s card.
• Press to return to the patient’s card without saving the data entered.
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BASIC OPERATION
THERAPIES
Returns to
previous screen
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BASIC OPERATION
Returns to
main menu
OSTEOARTH. AS
OSTEOARTH. SS
OSTEOARTH. CS
MUSCLE CONT. AS
MUSCLE CONT. SS
CARP. TUNNEL AS
CARP. TUNNEL SS
Returns to
previous screen
Click the desired program to access the output modes (see Annex 2 for resident program parameters).
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BASIC OPERATION
Checking cables and applicators
WARNING:
Before activating the short-wave output, ensure both cables and applicators are correctly positioned
and properly connected.
Confirm
key
Press to continue.
Returns to
main menu
Applicator ELECT.
Starts
Returns to treatment
previous sc reen
Recommended dosage: refers to the thermal sensation the patient should perceive during the treatment:
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BASIC OPERATION
Resident program output active
Returns to
main menu
Treatment Graduated
frequency CW scale of power
Applicator ELECT.
MIN.
Stops
Returns to treatment
previous sc reen
WARNING:
The value indicated on the graduated scale does not represent an absolute value, but merely
provides a visual indication, therefore the output power should be adjusted according to the
patient’s sensation.
Tuning indicator:
When generator and patient are perfectly tuned, the indicator is yellow. When they are out of tune, the tuning
indicator is blue.
If the indicator remains blue for a while, it means that the unit is not well tuned. In this case, interrupt the
output and reposition the applicators.
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BASIC OPERATION
Free operation
Using the corresponding key, select the desired type of applicator:
Returns to
main menu
MONODE/
DIPLODE
ELECTRODES
Returns to
previous screen
Tuning
indicator
Treatment
time 0 : 30
Treatment
frequency CW
Returns to
previous screen
Starts
Saves treatment
program
To adjust the treatment parameters use the and keys located under the indicators.
Press to save the free program selected; the program will be stored in the user program file.
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BASIC OPERATION
Free program output active
Tuning
indicator
Treatment
time 3 : 37 MAX.
Power
graduated
scale
Treatment
frequency 60 Hz
MIN.
Starts
treatment
Saves program
WARNING:
The value indicated on the graduated scale does not represent an absolute value, but merely
provides a visual indication, therefore the output power should be adjusted according to the
patient’s sensation.
Tuning indicator:
When generator and patient are perfectly tuned, the indicator is yellow. When they are out of tune, the tuning
indicator is blue.
If the indicator remains blue for a while, it means that the unit is not well tuned. In this case, interrupt the
output and reposition the applicators.
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BASIC OPERATION
INFORMATION
Returns to
previous screen
General features
Purpose of this section is to provide both the patient and the operator with information on short-wave
therapy. The section contains the following subjects:
• Short-wave therapy
• Condensing electrodes
• Monode
• Doplode
• Effects
• Treatment instructions
• Recommended dosage
• Therapeutic indications
• Contraindications
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BASIC OPERATION
Electrode positioning
The display shows some practical examples of how electrodes should be positioned.
Returns to main
menu
QuickTime™ e un
decompressore
sono necessari per visualizzare quest'immagine.
Returns to
previous screen
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MODALITIES OF APPLICATION
• Put the patient in a comfortable position. The area to be treated should be properly supported, exposed
and relaxed.
• Inform the patient on the purpose of the treatment and on the sensations he will perceive in the course
of the therapy.
• Position the applicators for treatment following the indications provided in section “Precautions to be
adopted ”.
WARNING:
To avoid burns, the operator should check from time to time the heat sensation perceived by the
patient. He should also seek the patient’s cooperation in order to establish exactly the thermal
sensation perceived by him.
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Maintenance
The apparatus does not require any special maintenance, but it is essential to check regularly the condition
of both electrodes and connection cables. In case of failures, use always genuine spare parts ( cables,
electrodes, etc.) and avoid makeshift repairs.
To remove dust or foreign bodies use exclusively the compressed-air cans used for computer keyboard
cleaning.
WARNING:
Do not underestimate the importance of the cleaning and maintenance indications.
The penetration of dust or foreign bodies into the short-wave unit could result in a reduction of the
energy actually delivered to the patient, which may compromise the treatment efficacy. It is therefore
advisable to have the device regularly checked at an Emildue authorised centre.
The user is also recommended to keep a record of all the maintenance and repair operations
performed on the apparatus.
The service manual with all the necessary technical descriptions and wiring diagrams is available on request
and can be obtained from any Emildue Authorised Service Centre.
CAUTION:
Check regularly the applicators and RF cables for wear or insulation damage that may cause serious
electric shocks to both patient and operator.
Cleaning.
CAUTION:
Before performing any cleaning operations, switch off the apparatus and disconnect it from the
mains.
• To clean the apparatus, connection cable and electrodes use a soft cloth soaked with lukewarm water
and a non-abrasive, solvent-free detergent.
• Rubber plate electrodes can be cleaned with lukewarm water and disinfected using a 70% alcohol
solution.
CAUTION:
Before putting the unit into operation, make sure the solution used for cleaning and disinfecting the
apparatus have completely evaporated.
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MALFUNCTIONS
During operation, the SW500 performs a series of internal tests designed to ensure that all unit components
of the unit work properly.
In case of failure the treatment is stopped and the system indicates on the display the malfunction detected.
OUTPUT
ERROR
Switch off the apparatus and switch it on again after a few minutes.
If the malfunction does not disappear, contact the nearest service facility.
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Specifications
- Output modes:
1) Continuous.
- Maximum power: 500 W -30%.
2) Pulsed
- Pulse duration: 400 µs ±30%
- Frequency: 20 ÷ 200 Hz, steps of 20 Hz ±30%
- Peak power: 700 W -30%
- Timer: 0 ÷ 99 min.
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Technical data
POWER SUPPLY VOLTAGE
The SW500 can be supplied with a mains supply voltage of either 230 V~ or 110 V~. Before connecting the
unit check the data indicated on the machine plate.
- Weight: 55 Kg
- Weight: 60 Kg
- Protection degree: IP20 (Protected against the penetration of solid bodies with diameter ≥ 12mm)
Environment temperature: 0 ÷ 50 °C
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PACKAGE CONTENT
4
2
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DISPOSAL
The symbol of a crossed-out wheeled bin indicates that in the European Union the product
must be disposed of as special waste at the end-of-life stage. The same rule applies to all the
accessories supplied with the apparatus marked with this symbol. These products cannot be
disposed of in the municipal waste but must be collected separately.
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ANNEX 1
WARNING:
The operations described hereunder must be carried out solely and exclusively by qualified
personnel.
Remove the outer grid using the Allen Remove the inner grid.
wrench.
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ANNEX 1
Secure the anodic connection as indicated in Make sure the coil present on the anodic
the figure. connection is completely open as shown in the
figure.
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ANNEX 2
The following table provides the list of resident programs. For each program the suggested energy
density is indicated.
It rests with the doctor or therapist to define and adjust the treatment parameters during the
therapy according to the patient's characteristics.
ABBREVIAT. TIME
PATHOLOGY FREQUENCY (Hz) DOSAGE
ON DISPLAY (min)
ACUTE OSTEOARTHRITIS OSTEOARTH. AS 10 CW I-II
SUB-ACUTE MUSCLE
MUSCLE CONT. SS 15 CW II-III
CONTUSION
SUB-ACUTE RHEUMATOID
RHEU. ARTH. SS 15 60 -
ARTHRITIS
CHRONIC RHEUMATOID
RHEU. ARTH. CS 20 200 -
ARTHRITIS
CHRONIC INFECTION OF
C.I. UR. BLADDER 15 60 -
URINARY BLADDER
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IMPORTANT
In the case of repair requests, the unit must be accompanied by this form, duly
completed in every section.
Applicant’s stamp
Messrs.
EMILDUE s.r.l.
Via Della Canapa, 22
44042 Cento (Ferrara)
In accordance with the above provisions, we hereby authorise the addressee of this
document to view the data contained in the software for the sole purpose of maintenance /
repair.
We therefore relieve the company Emildue s.r.l. of any responsibility pursuant to
Legislative Decree No. 196 of 30 June 2003 on privacy.